数字技术赋能养老医疗服务的困境识别与优化路径研究——基于“主体–机制–技术”框架的分析

Research on the Identification of Dilemmas and Optimization Paths of Digital Technology Empowering Elderly Healthcare Services—Based on the “Subject-Mechanism-Technology” Analytical Framework

摘要: 数字技术作为驱动健康治理现代化的核心力量，正深度重塑养老医疗服务体系。然而，技术的引入并未自动转化为服务效能的提升，反而在实践中遭遇多重梗阻。本研究旨在超越对技术效能的单一关注，将“主体–机制–技术”整合性分析框架应用于医疗领域，系统审视数字赋能进程中的系统性困境。本研究为理解数字医疗实践的复杂性提供了整合性分析视角，并为推动其从技术叠加走向系统重构提供了理论参考。

Abstract: As a core force driving the modernization of health governance, digital technology is profoundly reshaping the elderly healthcare service system. However, the introduction of technology has not automatically translated into improved service effectiveness; instead, it has encountered multiple obstacles in practice. This study aims to go beyond a singular focus on technological effectiveness and applies the “Subject-Mechanism-Technology” integrative analytical framework to the medical field, systematically examining the systemic dilemmas in the digital empowerment process. This study provides an integrative analytical perspective for understanding the complexity of digital healthcare practice and offers theoretical reference for promoting the transition from technological accumulation to systemic reconstruction.