数字技术同公共治理深度融合之时，人工智能便成了公立医院治理变革与智慧服务升级的关键推动力。本文以公共价值创造、可持续性为双主线，围绕AI赋能公立医院智慧服务的实践逻辑，分析其在提升医疗服务可及性、优化公共医疗资源配置、改善服务质量与患者体验方面的公共价值创造路径，剖析AI赋能所面临的预算投入、人事适配、数据壁垒等核心体制性障碍，提出对应的可持续优化路径。本文主要研究破解智慧服务公共价值释放相关体制困境，释放智慧服务公共价值，助力公立医院高质量发展。

When digital technology is deeply integrated with public governance, artificial intelligence has become a key driving force for the transformation of public hospital governance and the upgrade of intelligent services. This article takes public value creation and sustainability as the two main lines, focusing on the practical logic of AI empowering intelligent services in public hospitals, analyzing its paths of public value creation in enhancing the accessibility of medical services, optimizing the allocation of public medical resources, improving service quality and patient experience, and dissecting the core institutional obstacles such as budget investment, personnel adaptation, and data barriers faced by AI empowerment. It proposes corresponding sustainable optimization paths. The main research focus of this article is to solve the institutional predicaments related to the release of public value in intelligent services, release the public value of intelligent services, and assist public hospitals in achieving high-quality development.