整体智治视域下我国社区“体医养”融合的老年健康服务模式的优化策略研究

Research on the Optimization Strategy of Holistic Intelligent Governance for Elderly Health Services under the Community Integration of “Sports-Medicine-Nursing Care”

摘要: 探索与发展老年健康服务是构建高质量养老服务体系、积极应对人口老龄化的重要措施。运用文献资料、逻辑分析等方法来分析在整体智治视域下我国社区“体医养”融合的老年健康服务模式的逻辑进路，剖析现阶段面临的现实困境并提出针对性策略建议。研究认为，我国社区“体医养”融合的老年健康服务模式表现出：实现主动健康与价值共创的价值驱动逻辑；驱动精准触达与服务公平的需求适配逻辑；赋能数智基座与精准智控的技术驱动逻辑；打破部门壁垒与构建治理共同体的结构协同逻辑。针对实践中存在的工具主义规训偏向、资源配置失衡、以及多元主体治理碎片化等现实梗阻，据此提出优化策略：重塑主动健康价值导向，回归人文关怀；健全复合型人才培育体系，筑牢服务根基；驱动数智技术价值释放，实现供需适配；强化政府有为角色，构建协同网络。

Abstract: Exploring and developing elderly health services is a crucial measure for constructing a high-quality elderly care service system and actively addressing population aging. Utilizing methods such as literature review and logical analysis, this study systematically deconstructs the logical approach of the integrated elderly health service model featuring the integration of “sports-medicine-nursing care” in Chinese communities from the perspective of holistic intelligent governance. It analyzes the current practical dilemmas faced and proposes targeted strategic suggestions. The research suggests that the integrated elderly health service model featuring the integration of “sports-medicine-nursing care” in Chinese communities exhibits the following characteristics: a value-driven logic that realizes active health and value co-creation; a demand-adaptation logic that drives precise reach and service equity; a technology-driven logic that empowers digital and intelligent infrastructure and precise intelligent control; and a structural synergy logic that breaks down departmental barriers and builds a governance community. In response to practical obstacles such as instrumental disciplinary bias, imbalanced resource allocation, and fragmented governance by multiple stakeholders in practice, optimization strategies are proposed accordingly: reshaping the value orientation of active health and returning to humanistic care; innovating a composite talent cultivation mechanism to strengthen the foundation of services; driving the value release of digital and intelligent technology to achieve supply-demand adaptation; and strengthening the proactive role of the government to build a collaborative network.