关键词: 互联网+护理服务；居家服务；集聚度；空间分布；护士资源

Abstract: Objective: To explore the supply-demand spatial distribution and resource structure differences of "Internet+ Nursing Service" in Zhejiang province, providing evidence for the development of such services in China. Methods: Data on "Internet+ Nursing Service" in Zhejiang province from 2023 to 2025 were extracted. Agglomeration and disparity indices were used to analyze the spatial equity of supply and demand, while elasticity coefficients and structure variation were applied to examine human resource structure differences. Results: From 2023 to 2025, the "Internet+ Nursing Service" platform in Zhejiang province expanded rapidly. Spatial equity analysis showed that nurse resource agglomeration was relatively balanced, while service order agglomeration varied across regions. The Gini coefficient for nurse density was 0.18 (highly balanced), and for service density was 0.30 (relatively balanced). The Theil index decomposition indicated that intra-regional disparities were the main source of imbalance (96%). Elasticity analysis showed that the number of nurses had a significant positive effect on service volume (coefficient: 0.852, P<0.001), while the number of institutions did not (P>0.05). The degree of structure variation in nurse age decreased from 0.141 to 0.051, with the contribution rate of nurses aged ≤30 increasing from 20.737% to 33.810%. Conclusion: "Internet+ Nursing Service" in Zhejiang province have grown rapidly, but spatial imbalances exist within regions. Nurse staffing is the core driver of service growth, with young nurses becoming the main force in structural optimization.

Key words: Internet+ Nursing Service; home services; degree of agglomeration; spatial distribution; human resources