贵州民族大学学报(哲学社会科学版)

人工智能技术的加速演进，正推动智慧养老成为我国养老服务体系建设的重要方向。而服务生态的建设水平，则是决定智慧养老效能发挥的关键所在。论文系统梳理了我国智慧养老服务的政策演进脉络，以及东、中、西部地区的典型实践。尽管各地智慧养老在部分领域已取得积极进展，但在服务生态方面仍面临供需总体错配、要素协同失灵、制度系统失配和伦理生态赤字等结构性困境。为此，亟须从供需均衡的交互生态、要素高效协同的系统生态、部门协同的政策生态和价值共创的治理生态四个维度协同发力，构建多主体共同参与、全要素价值充分发挥、供需有效衔接的养老服务共同体。

The accelerated evolution of artificial intelligence technology is driving smart elderly care to become a vital orientation for the construction of China' s elderly care service system.The development level of the service ecosystem serves as a core determinant of the operational efficiency of smart elderly care.This paper systematically sorts out the policy evolution context of smart elderly care services in China,alongside typical practical cases in eastern,central and western regions.Although local smart elderly care initiatives have achieved positive progress in certain sectors,their service ecosystems are still trapped in structural predicaments including overall supply-demand mismatch,failed coordination among essential factors,mismatched institutional frameworks,and ethical ecosystem deficits.Therefore,concerted efforts are urgently required across four dimensions:an interactive ecosystem balancing supply and demand,a systematic ecosystem enabling efficient coordination of key factors,a policy ecosystem featuring inter-departmental collaboration,and a value-co-creation governance ecosystem.The ultimate goal is to establish an elderly care service community with multi-stakeholder participation,full-value realization of all essential elements,and effective linkage between supply and demand.