智慧养老在老年健康服务中的应用与困境分析研究

Research on the Application and Challenges of Smart Elderly Care in Senior Health Services

摘要: 在人口老龄化持续加深与数字化浪潮深度交织的时代背景下，智慧养老被视作破解传统养老模式结构性矛盾的战略性路径，已成为积极应对人口老龄化国家战略的重要组成部分。本文基于文献梳理与案例分析，系统考察了智慧养老在老年健康服务中的技术应用维度与发展现状，揭示了其面临的多重困境。研究发现，智慧养老在健康监测、远程医疗、智能照护等方面已形成可观的应用场景，亦取得了一批富有说服力的实践成果，但“看上去很美，用起来蛮难”的矛盾特征依然突出：技术供给与用户需求之间的匹配偏差、数据孤岛与标准缺失、成本高企与盈利困难、法律滞后与隐私风险等问题相互交织，制约着智慧养老从概念走向实效。在此基础上，本文提出制度重构、经济激活、文化重塑与技术跃迁四维协同的治理路径，以期为推动智慧养老在老年健康服务领域的实效化转型提供理论参考与实践启示。

Abstract: Against the backdrop of deepening population aging and the pervasive digital transformation, smart elderly care has emerged as a strategic solution to address structural limitations in traditional care models, becoming a crucial component of China's national strategy for addressing demographic challenges. Through literature review and case studies, this paper systematically examines the technological applications and current development status of smart elderly care in senior health services, highlighting its multifaceted challenges. While significant applications have been developed in health monitoring, telemedicine, and intelligent care delivery—with substantial practical achievements—the persistent paradox of “appearing promising yet proving challenging” remains prominent: mismatches between technological capabilities and user needs, data silos and lack of standards, high costs versus profitability difficulties, coupled with legal lag and privacy risks—all collectively hinder the transition from concept to reality. Building on these findings, the study proposes a four-dimensional governance framework integrating institutional reform, economic empowerment, cultural revitalization, and technological advancement, aiming to provide theoretical insights and practical recommendations for achieving effective implementation of smart elderly care in health services.