智慧养老服务平台的运行逻辑、实践困境与优化路径——基于整体性治理理论的分析

The Operation Logic, Practical Dilemma and Optimization Path of Smart Elderly Care Platform—Analysis Based on the Theory of Holistic Governance

摘要: 智慧养老服务平台以信息技术为基石，通过推动治理主体间的互联互通，为应对老龄化社会、实现助老、孝老、用老目标提供了新路径。本研究聚焦贵阳市“一网统管”智慧养老平台，探讨其运行逻辑、实践困境与优化路径。研究发现，该平台虽有效提升了养老服务的可及性，但仍面临服务供给的四大困境：多元主体权责模糊、数据安全与信任危机、供需结构性错配、专业养老人才不足等。因此，智慧养老服务平台建设需要运用整体性治理理念，进一步明晰多元主体的权责体系、建立跨部门联席会议的具体运作规则、统一数据接口规范、构建完善的数据治理与共享机制、促进数字技术与养老需求的深度融合。研究旨在为智慧养老服务体系的完善提供理论支持与实践路径，推动养老服务从碎片化供给向系统性整合演进，助力养老事业高质量发展。

Abstract: The smart elderly care service platform, grounded in information technology, provides a new pathway for addressing the aging society and achieving the goals of supporting, respecting, and leveraging the elderly by fostering interconnectivity among governance actors. This study focuses on the “One Network for Unified Management” smart elderly care platform in Guiyang, exploring its operational logic, practical dilemmas, and optimization pathways. The findings reveal that while the platform has effectively enhanced the accessibility of elderly care services, it still faces four major challenges in service provision: ambiguous roles and responsibilities among multiple stakeholders, data security and trust crises, structural mismatches between supply and demand, and a shortage of professional elderly care personnel. Therefore, the development of smart elderly care service platforms necessitates the application of holistic governance principles to further clarify the roles and responsibilities of multiple stakeholders, establish specific operational rules for cross-departmental joint meetings, standardize data interfaces, construct a robust data governance and sharing mechanism, and deepen the integration of digital technologies with elderly care needs. The research aims to provide theoretical support and practical pathways for improving the smart elderly care service system, promoting the evolution of elderly care services from fragmented supply to systematic integration, and advancing the high-quality development of elderly care initiatives.