【摘要】 在数智技术与基层医疗融合及中医药数字化转型政策推动下，数智中医已成为提升基层重大慢病管理能力的核心战略。该文聚焦心脑血管疾病与肿瘤重大慢病，系统探讨了数智中医在基层管理中的应用现状、挑战及可行路径。研究表明，数智中医在慢病“防-筛-诊-治-管”全链条基层医疗服务中展现出新兴潜力。然而，当前仍面临数据孤岛与安全风险、算法模型与实际临床需求脱节，以及基层医护人员与老年患者数字素养薄弱等现实困境。为应对这些问题，该文提出应建设安全互通的区域数据平台、开发适配基层能力的轻量化智能设备与配套服务、统一技术与数据标准并完善质控体系、研发具有自适应性和动态更新能力的模型、开展跨学科人才培养与患者教育、强化政策引导与医保支付支持。总体而言，数智中医对提升基层医疗服务效能、构建创新的中医慢病全周期管理模式具有深远意义。更多还原

【Abstract】 Driven by policy initiatives promoting the integration of digital-intelligent technologies with primary healthcare and the digital transformation of traditional Chinese medicine(TCM), Smart TCM has emerged as a pivotal strategy for enhancing primary healthcare services for major chronic diseases. This paper reviews the current status, chal enges, and feasible pathways of Smart TCM in community-level management of cardiovascular–cerebrovascular diseases and tumors, which represent major chronic disease burdens. Our findings indicate that Smart TCM demonstrates emerging potential in primary healthcare for chronic diseases across the entire continuum of “prevention-screening-diagnosis-treatment-management.” However, several significant challenges persist, including data silos and security vulnerabilities, limited applicability of existing models to real-world clinical needs, and insufficient digital literacy among primary healthcare physicians and elderly patients. To address these constraints, this paper proposes a multidimensional strategy encompassing the development of secure and interoperable regional data platforms, lightweight intelligent devices and support services aligned with primary care capacity, unified technical and data standards with corresponding quality control systems, adaptive and dynamically updated artificial intelligent models, interdisciplinary workforce training and patient education programs, and enhanced policy and health insurance support. Overall, Smart TCM shows great promise for improving the efficiency of primary healthcare delivery and establishing innovative TCM-based chronic disease management paradigms.更多还原