【摘要】 目的 探索智慧医疗服务数字包容的实现路径，以解决不同群体在医疗数字化进程中的不平等问题。方法 通过文献调研法，分析我国智慧医疗服务发展概况，梳理出当前智慧医疗服务实现数字包容面临的难题，并提出治理对策。结果 以接入鸿沟、使用鸿沟、心理鸿沟及数据鸿沟为主的4类鸿沟构成智慧医疗服务数字包容演进的核心障碍，据此构建了四维治理路径：环境包容、技术包容、社会包容、数据包容。结论 通过完善医疗领域顶层制度设计与法律法规，强化基础设施建设与智慧医疗区域协作，深化全民数字素养与技能教育培训等多元举措，有望弥合智慧医疗领域的数字鸿沟，确保所有群体共享医疗数字化发展成果。更多还原

【Abstract】 Objective To explore the implementation pathways of digital inclusion in smart healthcare services, aiming to resolve inequality issues among different groups during healthcare digitalization. Methods Using the literature research method, this study analyzed the development of smart healthcare services in China, identified current challenges in achieving digital inclusion, and proposed governance countermeasures. Results Four types of divides-access divide, utilization divide, psychological divide, and data divide-constitute the core barriers to digital inclusion in smart healthcare services. Accordingly, a four-dimensional governance pathway was constructed: environmental inclusion, technological inclusion, social inclusion, and data inclusion. Conclusion Through diversified measures such as improving top-level institutional design and regulations in healthcare, strengthening infrastructure development and regional collaboration, and enhancing nationwide digital literacy and skills training, the digital divide in smart healthcare can be bridged, ensuring all groups share the benefits of healthcare digitalization.更多还原