银发经济新赛道：数字时代下移动电子医疗在老年健康公平中的双重效应与突破路径

A New Track of Silver Economy: Dual Effects and Breakthrough Path of Mobile Electronic Healthcare in the Digital Era on Health Equity of the Elderly

摘要: 移动电子医疗作为传统医疗与新兴信息技术相结合的产物，对缓解医疗卫生负担起着至关重要的作用。本研究基于“赋能–负能–使能”的逻辑理路分析，发现移动电子医疗通过转变健康观念范式、扩容健康信息、提升健康能力和滋养健康公平感知为老年群体的健康公平带来了机遇。但机遇背后也隐含着“技术替代”冲击“人医互动”理念、知识生产异化挑战、人机交互门槛形成能力代差鸿沟、主体身份遮蔽、技术焦虑等挑战。为把握机遇，化解挑战，本研究从观念认同、知识创生、能力擢升、情意共振四个方面提出移动电子医疗赋能老年健康公平的“使能”路径，以推动老年群体从数字健康鸿沟走向健康公平。

Abstract: As a product of the integration of traditional healthcare and emerging information technologies, mobile e-health plays a pivotal role in alleviating the burden of healthcare. Based on the logical framework of “empowerment-negative-enabling,” this study reveals that mobile e-health creates opportunities for health equity among the elderly population by transforming health conceptual paradigms, expanding health information, enhancing health capabilities, and fostering perceptions of health equity. However, these opportunities are accompanied by challenges such as “technological substitution” undermining the concept of “human-physician interaction,” challenges posed by the alienation of knowledge production, the formation of capability gaps due to barriers in human-computer interaction, obscured subject identities, and technological anxiety. To seize opportunities and address challenges, this study proposes an “enabling” pathway for mobile e-health to empower health equity among the elderly population through four dimensions: conceptual recognition, knowledge creation, capability enhancement, and emotional resonance, thereby facilitating the transition of the elderly population from the digital health divide to health equity.