加快智慧主动健康服务的创新应用是新时代推进健康中国建设的重要构成，也是后疫情时期满足民众健康需求的有效举措。本文围绕构建智慧主动健康服务新范式，以提高主动健康干预和管理能力、为民众提供高质量健康服务为主旨，分析了主动健康服务的发展现状与困境，概括了其智慧化发展趋势；阐述了智慧主动健康服务的概念、内涵，并基于结构化分析方法，凝练了智慧主动健康服务的技术体系；构建了智慧主动健康服务“一个中心、一个门户、三个端点”的应用框架并提出了内外协同的生态系统；从技术集成和智能应用维度总结了智慧主动健康服务的应用场景与实践案例。研究建议：强化宏观政策工具，改善自身发展环境；提高民众数字素养，重塑服务参与氛围；构建服务标准体系，筑牢内部数字生态；打造多元供给格局，持续增进服务质量；加快“产学研用”融合，提升科技成果转化，以推进我国智慧主动健康服务的可持续、高质量发展。

The innovative application of smart proactive health services is an important component of the Healthy China initiative and an effective measure to satisfy the diversified health needs of the public in the post-epidemic era. This study focuses on building a new paradigm of smart proactive health services and aims to improve proactive health intervention and management capabilities and provide high-quality health services for the public. It analyzes the current status and challenges of proactive health services, summarizes the smart development trend, and proposes the concept of smart proactive health services. Moreover, the study constructs a technical system of smart proactive health services using a structured analysis method, establishes an application framework consisting of one center, one portal, and three endpoints, and proposes a construction ecology featuring internal and external collaboration. The application scenarios and practical cases of the smart proactive health services are summarized in terms of technology integration and smart application. Furthermore, we propose the following suggestions to promote the sustainable and high-quality development of smart proactive health services in China: (1) strengthening macro policy tools to improve the development environment; (2) improving the public's digital literacy to reshape the atmosphere for service participation; (3) building a service standards system to improve the internal digital ecology; (4) creating a multiple supply pattern to continuously improve service quality; and (5) accelerating the integration of industry, academia, research, and application to enhance the commercialization of research findings.