医学教育管理 ›› 2026, Vol. 12 ›› Issue (3): 425-433.doi: 10.3969/j.issn.2096-045X.2026.03.022

• 专  论 • 上一篇    

人工智能在主动健康管理服务中的实践应用:现状、挑战与展望

  

  1. 1.北京市神经外科研究所办公室,北京 100070; 2.首都医科大学公共卫生学院,北京 100069
  • 收稿日期:2026-05-13 修回日期:2026-05-25 出版日期:2026-06-20 发布日期:2026-07-13

Artificial intelligence in proactive health management services: current applications, challenges, and future perspectives

  1. 1. Office, Beijing Neurosurgical Institute, Beijing 100070, China; 2. School of Public Health, Capital Medical University, Beijing 100069, China
  • Received:2026-05-13 Revised:2026-05-25 Online:2026-06-20 Published:2026-07-13

摘要:

 随着全球老龄化程度和慢病负担的持续加剧,由传统“被动医疗”向“主动预防”的主动健康管理成为提高全民健康水平的重要策略。近年来,人工智能(artificial intelligence AI)在医学领域飞速发展,为疾病早期风险预测、个性化评估和干预提供了关键技术支撑。尽管有一定的研究基础,目前我国AI在主动健康服务管理中的应用进展与局限仍不十分清楚。因此,本综述系统梳理PubMedWeb of Science和中国知网等数据库近十年关于AI在主动健康管理领域实践进展的研究证据,发现基于机器学习、深度学习及大语言模型等在健康监测、风险评估、个体化干预及整合型健康管理平台建设等关键环节形成较为成熟的应用体系,但数据偏倚、隐私安全、算法缺乏验证等问题也进一步限制了其大规模向临床转化应用。本综述为我国未来优化人机协同模式和发展伦理政策提供了重要理论依据。

关键词:

 , 人工智能|主动健康管理|多模态数据|数字疗法|个性化干预

Abstract:

As accelerating global aging and the burden of chronic diseases, the transition from traditional "passive medicine" to "active prevention", termed proactive health management, has emerged as a pivotal strategy for improving population health. In recent years, artificial intelligence (AI) has undergone rapid advancement in the medical field, offering critical technical support for early disease risk prediction, personalized assessment, and intervention. Despite existing evidence, the current progress and limitations of AI applications in proactive health service management in China remain unclear. Thus, this review systematically summarized evidence from the past decade across databases including PubMed, Web of Science, and the China National Knowledge Infrastructure (CNKI) on the practical implementation of AI in proactive health management. The findings indicate that AI technologies, including machine learning, deep learning, and large language models, have formed a relatively mature application framework for key domains such as health monitoring, risk assessment, personalized intervention, and integrated health management platform development. Nevertheless, challenges including data bias, privacy and security concerns, and a lack of algorithm validation continue to impede large-scale clinical translation and implementation. This review provides a crucial theoretical foundation for optimizing human–AI collaborative models and guiding the formulation of ethical and policy frameworks for the future of proactive health management in China.