Traditional Orthogonal Multiple Access (OMA) and spectrum sharing methods struggle to provide the diverse quality of service (QoS) demands for enhanced mobile broadband (eMBB), ultra-reliable low latency communications (uRLLC), and massive machine type communications (mMTC) leading to suboptimal performance and service quality degradation. Single-carrier-non-orthogonal multiple access (SC-NOMA) appears to be a more optimized solution. It can serve multiple users simultaneously on the same time-frequency resources. This approach offers both enhanced spectrum efficiency and meets the QoS requirements for the coexistence of eMBB, uRLLC, and mMTC. However, SC-NOMA has some drawbacks. Decoding a user's signal involves a complex successive interference cancellation (SIC) process that gets harder with more users causing delays and errors. Additionally, strong user signals can interfere with weaker ones, limiting the number of users per channel. In order to overcome the drawbacks associated with OMA and SC-NOMA, this paper introduces a new method called user-paired NOMA (hybrid NOMA). Hybrid NOMA adopts a strategic approach, employing two user pairing techniques: near-far/far-near (NF-FN) and near-near/far-far (NN-FF). NF-FN pairing prioritizes users with similar signal strengths but different distances from the base station. This minimizes interference for the weaker user during SIC. NN-FF pairing, on the other hand, groups users with similar signal strengths and proximity. This approach further simplifies SIC and minimizes potential interference altogether. The simulation results demonstrate trade-offs between eMBB and uRLLC performance. OMA suffers with dedicated resource allocation, while SC-NOMA balances performance but experiences interference. NN-FF prioritizes eMBB and offers best latency, while NF-FN prioritizes uRLLC with high spectral efficiency but suffers from higher latency. Finally, by providing a thorough grasp of how hybrid NOMA resource allocation works to improve the performance of various use cases, this research makes a significant contribution to the field of 5G spectrum optimization. Traditional orthogonal multiple access (OMA) struggles to meet diverse quality of service (QoS) demands in 5G networks, leading to suboptimal performance. Single-carrier-non-orthogonal multiple access (SC-NOMA) offers better spectrum efficiency and meets QoS needs but has decoding complexity and interference issues. This paper introduces hybrid NOMA with user-paired techniques, near-far/far-near (NF-FN) and near-near/far-far (NN-FF), to mitigate these issues. NF-FN reduces interference for weaker users, while NN-FF simplifies decoding. Simulation results show trade-offs, enhancing 5G spectrum optimization for various use cases. image