智慧养老服务的伦理审视与治理路径

Ethical Examination and Governance Pathways for Smart Elderly Care Services

摘要: 人口老龄化与数字技术深度融合催生了智慧养老服务模式，但其发展并非单纯的技术应用，而是关乎老年群体尊严与福祉的伦理实践。智慧养老内蕴科技向善的技术底色、以人为本的价值核心、孝亲敬老的文化传承以及公平正义的社会追求，构成多维伦理价值体系。然而，当前实践面临观念认知偏差、制度供给缺位、产业发展失衡与技术理性僭越等现实伦理困境，致使人文关怀遭遇消解、伦理价值未能充分释放。破解上述困境需从观念培育、制度完善、产业升级与技术优化四维路径协同推进，在技术效率与人文关怀之间建立动态平衡，使智慧养老真正成为守护老年幸福、促进社会公平的民生支撑。

Abstract: The deep integration of population aging and digital technology has given rise to the model of smart elderly care services. However, its development is not merely a technological application, but rather an ethical practice that concerns the dignity and well-being of the older population. Smart elderly care embodies the technological ethos of “technology for good,” the value core of human-centeredness, the cultural heritage of filial piety and respect for the aged, and the social pursuit of fairness and justice—together constituting a multi-dimensional system of ethical values. Nevertheless, current practices face realistic ethical dilemmas, including cognitive biases, institutional deficits, industrial imbalances, and the overreach of technological rationality, which have led to the erosion of humanistic care and the underutilization of ethical values. To address these dilemmas, it is necessary to promote coordinated governance along four pathways: cultivating correct perceptions, improving institutional frameworks, upgrading industrial structures, and optimizing technological applications. Only by establishing a dynamic equilibrium between technological efficiency and humanistic care can smart elderly care truly become a pillar of social welfare that safeguards the happiness of the elderly and promotes social equity.