数字赋能与多元协同：社区智慧养老应急服务的运行机制与实践路径

Digital Empowerment and Multi-Agent Collaboration: Operational Mechanisms and Practical Pathways of Community Smart Emergency Services for the Elderly

摘要: 我国人口老龄化持续深化，城市老旧社区独居老人居家安全风险凸显，传统行政主导的应急服务存在响应链条长、资源碎片化等局限。本文以贵阳市“贵人守护”平台为案例，依托TOE理论框架，从技术、组织、环境三维度剖析社区智慧养老应急服务的运行机制。研究发现，该服务体现为技术创新、人才资源与环境约束的三维耦合：技术维度通过智能终端与数据平台实现从被动响应向主动预警转型；组织维度以退役军人队伍为核心，构建多元主体协同的医养救服一体化体系；环境维度受地理约束、政策支持与技术支撑共同塑造。研究同时揭示，当前面临技术适老化不足、协同碎片化、数字鸿沟显著等困境。据此提出优化路径：技术提质需深化适老化改造与预测性应急能力；组织聚力需完善社会化协同网络与多元筹资机制；环境赋能需弥合数字鸿沟与培育可持续服务生态。本文拓展了TOE理论在民生保障领域的应用，为西南山地城市及同类地区提供了可复制经验。

Abstract: China’s deepening population aging has heightened home safety risks for elderly individuals living alone in urban aging communities. Traditional administratively-led emergency services are constrained by lengthy response chains and fragmented resources. Drawing on the Technology-Organization-Environment (TOE) framework, this study examines Guiyang’s “Guiren Shouhu” platform to analyze the operational mechanisms of community smart elderly care emergency services. Findings reveal a three-dimensional coupling of technological innovation, human resources, and environmental constraints: intelligent terminals and data platforms enable the shift from passive response to proactive early warning; veteran-centered teams construct an integrated medical-nursing-rescue-service system through multi-stakeholder collaboration; and geographical constraints, policy support, and digital infrastructure collectively shape service delivery. The study identifies predicaments including inadequate technological age-friendliness, fragmented collaboration, and pronounced digital divides. Optimization pathways are proposed: deepening age-friendly transformation and predictive capabilities; improving socialized collaboration networks and diversified financing; and bridging digital divides to cultivate sustainable service ecosystems. This paper extends TOE theory to public welfare, offering replicable experience for southwestern mountainous cities and similar regions.