 摘要： This paper proposes an analytical framework of “dual effects-structural mismatch” to investigate the empowerment mechanisms, tension manifestations, and underlying roots of embedding intelligent technology in public health governance. The study finds that intelligent technology empowers public health governance through datadriven approaches, intelligent analysis, and process reengineering, while simultaneously generating three inherent tensions: privacy erosion, algorithmic bias, and power shift. The root of these tensions lies in the structural mismatch between the logic of the technological system pursuing efficiency and the value logic of public governance adhering to fairness, transparency, and accountability. Based on these findings, this paper constructs a threedimensional adaptive framework of “technology governance-institutional construction-social collaboration” and proposes an institutional approach that includes embedding explainable algorithms, building resilient regulations, and promoting multistakeholder cogovernance, thereby providing theoretical support for smart public health governance. 

 摘要： This paper introduces value sensitive design (VSD) and institutional ethics theory, proposes a diagnostic framework of “institutional ethics absence”, and differentiates between the two paradigms of “technical ethics embedding” and “institutional ethics reconstruction”. The analysis indicates that the prevailing ethical challenges in the intelligent public health governance do not stem from technical limitations. Instead, they reflect an external manifestation of the absence of institutional ethics. Although ethical principles are broadly proclaimed, there is a deficiency in operational mechanisms to transform these principles into institutional regulations, leading to “institutional hollowness” wherein principles exist nominally but lack substantive enforcement. The article elucidates the integration pathway between VSD and institutional ethics: VSD offers a methodological foundation for embedding ethical considerations into design, whereas institutional ethics provides a “meta-institutional” guarantee for the design process. Together, these approaches facilitate the “dual embedding” of ethical requirements at both technological and institutional levels. This paper develops a three-tiered institutional reconstruction pathway centered on the core concepts of “precaution, human subjectivity, and justice”. It integrates the frameworks of technical standard setting, organizational ethics review, and legal accountability, thereby offering theoretical support for the ethical legitimacy of intelligent public health governance in the digital era.