全球醫療體系正進入以人工智慧、醫療資訊互通與數位治理為核心的新時代。智慧醫院已不再只是資訊化設備的堆疊，而是涵蓋臨床治理、資料標準化、流程再造、跨系統整合與國際品牌經營的全面轉型工程。本文從「實力」與「名聲」兩大面向切入，探討臺灣如何建構世界領先的智慧醫院體系。文章首先分析智慧醫院治理模式的轉型，說明數位部門如何由傳統後勤支援角色提升為醫院核心戰略單位；其次討論智慧醫療的全流程整合概念，以及人工智慧於急重症照護中的應用；再進一步說明FHIR、LOINC、SNOMEDCT等國際標準如何形成臺灣次世代醫療資訊基礎建設；最後探討智慧醫療國際品牌、學術發表與外部驗證的重要性。本文認為，未來智慧醫院的競爭關鍵不僅在於技術導入，更在於制度治理、國際連結與人才培育能力，而這也是臺灣邁向全球智慧醫療領導者的重要契機。

Global healthcare systems are entering a new era driven by artificial intelligence (AI), health information interoperability, and digital governance. Smart hospitals are no longer defned solely by the deployment of information technologies; rather, they represent comprehensive transformations encompassing clinical governance, data standardization, process redesign, cross-system integration, and international brand development. This article explores how Taiwan can establish a globally competitive smart hospital system from the perspectives of organizational capability and international influence. First, it examines the transformation of smart hospital governance models, illustrating how digital departments have evolved from traditional operational support units into strategic drivers of hospitals development. Second, it discusses the concept of end-to-end integration in smart healthcare and the application of AI in acute and critical care settings. Third, it explained how international standards, including Fast Healthcare Interoperability Resources (FHIR), Logical Observation Identifiers Names and Codes (LOINC), and Systematized Nomenclature of Medicine—Clinical Terms (SNOMED CT), from the foundation of Taiwan’s next-generation healthcare information infrastructure. Finally, it highlights the importance of international visibility, academic dissemination, and external validation in strengthening the global presence of smart healthcare institutions. This article argues that the competitiveness of smart hospitals depends not only on technological advancement but also on effective governance, international collaboration, and workforce development. Strengthening these capabilities will provide Taiwan with an important opportunity to become a global leader in smart healthcare.