随着人口数量的持续增长，预计在我国老年群体数量会在接下来五年内突破三亿人，正式进入中度老龄化社会。为给老年人提供舒适便利，传统养老模式开始创新变化。嵌入式养老模式是将机构与居家养老服务进行融合，让老年群体既可以享受入住机构的养老方式，又可以选择社区居家养老。互联网和智能设备地快速发展，机构的养老设施也随之更新，服务深受影响，但随之而来也出现了“数字鸿沟”的问题。现代科技与养老服务相结合产生的“智慧养老”，理念为“以 老人为本”，与社会工作理念“以人为本”如出一辙。因此，社会工作可以通过自身独特的专业与人文优势，运用专业方法补充机构智慧养老中存在的问题。

本研究基于需求层次理论与增能理论，运用半结构式访谈和参与式观察的质 性研究方法，与 10 位 X 嵌入式机构中使用智慧养老的提供者（2 位机构工作人员、1 位专职社工）和接受者（5 位老人、2 位亲属）进行深度访谈。以期了解当前 X 机构智慧养老服务的使用情况，分析使用中存在的问题以及老年群体对智慧养老的需求，针对性开展社会工作介入，并对社工介入方法进行总结，探索社会工作介入机构智慧养老的路径。本研究发现：一是从嵌入式机构使用智慧养老的情况来看，机构共为 3000 余名老年人提供养老服务，其中提供智慧养老服 务人数为 268 名；机构内使用智慧养老服务云平台从生活、娱乐、医疗等方面将线下养老服务需求在线上得到精准对接。二是使用中存在的问题有机构内设备平台的使用率较低、人文关怀欠缺和专业社会工作力量不足，服务成效难评估。三是老年人使用智慧养老的需求主要为医疗保健为主的安全需求及亲友陪伴和团体活动的情感需求。除此之外，本研究还发现社会工作介入机构中智慧养老可以 解决实际问题、提供情感陪伴和健全支持网络。

本研究结论为：一是嵌入式机构智慧养老的实际困境是平台利用率不足、人文关怀低、社工力量少，具体可以通过老年人与机构两个视角进行分析。二是通过社会工作嵌入视角分析政策引导下社会工作嵌入智慧养老，利用社区和小组专 业的方法技巧为机构与社区中的老人开展服务。三是将社会工作介入路径总结为三条，从宏观层面进行政策引导社会工作嵌入、在中观层面让社区工作主动参与、在微观层面由一线社会工作者提供小组服务。

With the continuous growth of the population, it is expected that the number of elderly people in China will exceed 300 million in the next five years, officially entering a moderately aging society. In order to provide comfort and convenience for the elderly, the traditional pension model has begun to innovate and change. The embedded pension model is to integrate institutions with home-based elderly care services, so that the elderly group can not only enjoy the pension method of living in institutions, but also choose community home-based care. With the rapid development of the Internet and smart devices, the elderly care facilities of institutions have also been updated, and the services have been deeply affected, but with it has also the problem of "digital divide". The concept of "smart old-age care" produced by the combination of modern technology and elderly care services is "elderly-oriented", which is the same as the social work concept of "people-oriented". Therefore, social work can use professional methods to supplement the problems existing in institutional smart elderly care through its own unique professional and humanistic advantages.

Based on the hierarchy of needs theory and the energy enhancement theory, this study used the qualitative research methods of semi-structured interview and participatory observation to conduct in-depth interviews with 10 providers (2 institutional staff, 1 full-time social worker) and recipients (5 elderly people and 2 relatives) who used smart elderly care in X embedded institutions. In order to understand the current use of smart elderly care services in X institutions, analyze the problems in use and the needs of the elderly group for smart elderly care, carry out targeted social work intervention, summarize the intervention methods of social work, and explore the path of social work intervention in smart elderly care institutions. This study finds that: first, from the perspective of the use of smart elderly care in embedded institutions, institutions provide elderly care services for more than 3,000 elderly people, of which 268 provide smart elderly care services; The smart elderly care service cloud platform is used in the institution to accurately connect the offline elderly care service needs online from the aspects of life, entertainment, and medical treatment. Second, the problems in use include the low utilization rate of equipment platforms in institutions, the lack of humanistic care, and the insufficient professional social work force, and it is difficult to evaluate the service effectiveness. Third, the needs of the elderly to use smart elderly care are mainly the safety needs of medical care and the emotional needs of family and friends to accompany and group activities. In addition, this study also found that smart elderly care in social work intervention institutions can solve practical problems, provide emotional companionship and improve support networks.

The conclusion of this study is that insufficient platform utilization, low humanistic care, and few social workers are the actual dilemma of embedded institutions for smart old-ageing, which can be analyzed from two perspectives: the elderly and institutions. Through the perspective of social work embedding, social work embeds smart elderly care under the guidance of policies, and uses community and group professional methods and skills to provide services for the elderly in institutions and communities; Finally, the social work intervention path is summarized into the following three points: policy guidance social work embedding at the macro level, active participation of community work at the meso level, and group services provided by front-line social workers at the micro level.