diff --git a/apps/miniprogram/src/app.config.ts b/apps/miniprogram/src/app.config.ts
index 167c029..3c5e2d1 100644
--- a/apps/miniprogram/src/app.config.ts
+++ b/apps/miniprogram/src/app.config.ts
@@ -27,6 +27,7 @@ export default defineAppConfig({
         'followup/index', 'followup/detail/index',
         'report/index', 'report/detail/index',
         'alerts/index', 'alerts/detail/index',
+        'action-inbox/index',
         'dialysis/index', 'dialysis/detail/index', 'dialysis/create/index',
         'prescription/index', 'prescription/detail/index', 'prescription/create/index',
       ],
diff --git a/apps/miniprogram/src/pages/doctor/action-inbox/index.scss b/apps/miniprogram/src/pages/doctor/action-inbox/index.scss
new file mode 100644
index 0000000..16d1fa5
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/action-inbox/index.scss
@@ -0,0 +1,182 @@
+.action-inbox-page {
+  min-height: 100vh;
+  background: #f5f5f5;
+}
+
+.inbox-tabs {
+  display: flex;
+  background: white;
+  padding: 0 16px;
+  border-bottom: 1px solid #eee;
+
+  .inbox-tab {
+    flex: 1;
+    text-align: center;
+    padding: 12px 0;
+
+    &.active {
+      .inbox-tab-text {
+        color: #C4623A;
+        font-weight: 600;
+        position: relative;
+
+        &::after {
+          content: '';
+          position: absolute;
+          bottom: -12px;
+          left: 30%;
+          right: 30%;
+          height: 3px;
+          background: #C4623A;
+          border-radius: 2px;
+        }
+      }
+    }
+  }
+
+  .inbox-tab-text {
+    font-size: 14px;
+    color: #666;
+  }
+}
+
+.inbox-list {
+  height: calc(100vh - 50px);
+  padding: 12px;
+}
+
+.inbox-card {
+  background: white;
+  border-radius: 12px;
+  padding: 14px 16px;
+  margin-bottom: 10px;
+
+  .inbox-card-header {
+    display: flex;
+    align-items: center;
+    gap: 8px;
+    margin-bottom: 6px;
+  }
+
+  .inbox-type-tag {
+    color: white;
+    font-size: 10px;
+    padding: 2px 6px;
+    border-radius: 4px;
+    flex-shrink: 0;
+  }
+
+  .inbox-card-title {
+    font-size: 14px;
+    font-weight: 500;
+  }
+
+  .inbox-card-desc {
+    font-size: 12px;
+    color: #999;
+  }
+}
+
+.inbox-empty {
+  text-align: center;
+  padding: 80px 0;
+
+  .inbox-empty-text {
+    font-size: 14px;
+    color: #999;
+  }
+}
+
+// 半屏弹窗
+.half-screen-dialog {
+  position: fixed;
+  bottom: 0;
+  left: 0;
+  right: 0;
+  max-height: 70vh;
+  background: white;
+  border-radius: 16px 16px 0 0;
+  z-index: 1000;
+  overflow-y: auto;
+
+  .dialog-header {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    padding: 16px 20px;
+    border-bottom: 1px solid #f0f0f0;
+
+    .dialog-title {
+      font-size: 16px;
+      font-weight: 600;
+    }
+
+    .dialog-close {
+      font-size: 13px;
+      color: #999;
+    }
+  }
+
+  .dialog-body {
+    padding: 16px 20px;
+  }
+
+  .dialog-patient {
+    font-size: 13px;
+    color: #666;
+    display: block;
+    margin-bottom: 12px;
+  }
+
+  .thread-item {
+    display: flex;
+    align-items: flex-start;
+    gap: 10px;
+    padding: 6px 0;
+  }
+
+  .thread-dot {
+    width: 8px;
+    height: 8px;
+    border-radius: 50%;
+    margin-top: 4px;
+    flex-shrink: 0;
+
+    &.completed { background: #52c41a; }
+    &.in_progress { background: #faad14; }
+    &.pending { background: #d9d9d9; }
+    &.dismissed { background: #ff4d4f; }
+  }
+
+  .thread-content {
+    .thread-label {
+      font-size: 13px;
+      display: block;
+    }
+
+    .thread-time {
+      font-size: 11px;
+      color: #999;
+    }
+  }
+
+  .dialog-actions {
+    display: flex;
+    gap: 8px;
+    padding: 12px 20px 20px;
+    border-top: 1px solid #f0f0f0;
+
+    .action-btn {
+      flex: 1;
+      text-align: center;
+      padding: 10px;
+      border-radius: 8px;
+      font-size: 14px;
+      font-weight: 500;
+
+      &.primary { background: #C4623A; color: white; }
+      &.danger { background: #ff4d4f; color: white; }
+      &.default { background: #f5f5f5; color: #666; }
+    }
+  }
+}
diff --git a/apps/miniprogram/src/pages/doctor/action-inbox/index.tsx b/apps/miniprogram/src/pages/doctor/action-inbox/index.tsx
new file mode 100644
index 0000000..311e444
--- /dev/null
+++ b/apps/miniprogram/src/pages/doctor/action-inbox/index.tsx
@@ -0,0 +1,228 @@
+import React, { useState, useCallback, useRef } from 'react';
+import { View, Text, ScrollView } from '@tarojs/components';
+import Taro, { useDidShow, usePullDownRefresh } from '@tarojs/taro';
+import {
+  listActionItems,
+  getActionThread,
+  type ActionItem,
+  type ThreadResponse,
+} from '@/services/action-inbox';
+import Loading from '@/components/Loading';
+import './index.scss';
+
+const TYPE_LABEL: Record<string, string> = {
+  ai_suggestion: 'AI建议',
+  alert: '告警',
+  followup: '随访',
+  data_anomaly: '异常',
+};
+
+const TYPE_COLOR: Record<string, string> = {
+  ai_suggestion: '#722ed1',
+  alert: '#f5222d',
+  followup: '#1890ff',
+  data_anomaly: '#fa8c16',
+};
+
+const STATUS_TABS = [
+  { key: '', label: '全部' },
+  { key: 'pending', label: '待处理' },
+  { key: 'in_progress', label: '进行中' },
+  { key: 'completed', label: '已完成' },
+];
+
+export default function ActionInboxPage() {
+  const [items, setItems] = useState<ActionItem[]>([]);
+  const [total, setTotal] = useState(0);
+  const [_page, setPage] = useState(1);
+  const [loading, setLoading] = useState(false);
+  const [activeTab, setActiveTab] = useState('');
+  const [threadData, setThreadData] = useState<ThreadResponse | null>(null);
+  const [showDetail, setShowDetail] = useState(false);
+  const loadingRef = useRef(false);
+
+  const fetchItems = useCallback(
+    async (pageNum: number, status: string, isRefresh = false) => {
+      if (loadingRef.current) return;
+      loadingRef.current = true;
+      setLoading(true);
+      try {
+        const resp = await listActionItems({
+          page: pageNum,
+          page_size: 20,
+          status: status || undefined,
+        });
+        const list = resp.data || [];
+        if (isRefresh) {
+          setItems(list);
+        } else {
+          setItems((prev) => [...prev, ...list]);
+        }
+        setTotal(resp.total);
+        setPage(pageNum);
+      } catch {
+        Taro.showToast({ title: '加载失败', icon: 'none' });
+      } finally {
+        setLoading(false);
+        loadingRef.current = false;
+      }
+    },
+    [],
+  );
+
+  useDidShow(() => {
+    Taro.setNavigationBarTitle({ title: '待办事项' });
+    fetchItems(1, activeTab, true);
+  });
+
+  usePullDownRefresh(() => {
+    fetchItems(1, activeTab, true).then(() =>
+      Taro.stopPullDownRefresh(),
+    );
+  });
+
+  const handleTabChange = (key: string) => {
+    setActiveTab(key);
+    fetchItems(1, key, true);
+  };
+
+  const handleItemClick = async (item: ActionItem) => {
+    try {
+      const data = await getActionThread(item.source_ref);
+      setThreadData(data);
+      setShowDetail(true);
+    } catch {
+      Taro.showToast({ title: '加载失败', icon: 'none' });
+    }
+  };
+
+  const handleAction = async (action: {
+    key: string;
+    api_endpoint?: string;
+  }) => {
+    if (!action.api_endpoint || !threadData) return;
+    try {
+      await Taro.request({
+        url: `${process.env.TARO_APP_API_URL}${action.api_endpoint}`,
+        method: 'POST',
+        header: { 'Content-Type': 'application/json' },
+        data: { action: action.key },
+      });
+      Taro.showToast({ title: '操作成功', icon: 'success' });
+      setShowDetail(false);
+      fetchItems(1, activeTab, true);
+    } catch {
+      Taro.showToast({ title: '操作失败', icon: 'none' });
+    }
+  };
+
+  return (
+    <View className="action-inbox-page">
+      <View className="inbox-tabs">
+        {STATUS_TABS.map((tab) => (
+          <View
+            key={tab.key}
+            className={`inbox-tab ${activeTab === tab.key ? 'active' : ''}`}
+            onClick={() => handleTabChange(tab.key)}
+          >
+            <Text
+              className={`inbox-tab-text ${activeTab === tab.key ? 'active' : ''}`}
+            >
+              {tab.label}
+            </Text>
+          </View>
+        ))}
+      </View>
+
+      {items.length === 0 && !loading ? (
+        <View className="inbox-empty">
+          <Text className="inbox-empty-text">暂无待办事项</Text>
+        </View>
+      ) : (
+        <ScrollView scrollY className="inbox-list">
+          {items.map((item) => (
+            <View
+              key={item.id}
+              className="inbox-card"
+              onClick={() => handleItemClick(item)}
+            >
+              <View className="inbox-card-header">
+                <Text
+                  className="inbox-type-tag"
+                  style={{
+                    background: TYPE_COLOR[item.action_type] || '#999',
+                  }}
+                >
+                  {TYPE_LABEL[item.action_type] || '未知'}
+                </Text>
+                <Text className="inbox-card-title">{item.title}</Text>
+              </View>
+              <Text className="inbox-card-desc">
+                {item.patient_name} ·{' '}
+                {new Date(item.created_at).toLocaleDateString('zh-CN')}
+              </Text>
+            </View>
+          ))}
+          {loading && <Loading />}
+          {!loading && items.length >= total && total > 0 && (
+            <Loading text="没有更多了" />
+          )}
+        </ScrollView>
+      )}
+
+      {showDetail && threadData && (
+        <View className="half-screen-dialog">
+          <View className="dialog-header">
+            <Text className="dialog-title">
+              {threadData.action_item.title}
+            </Text>
+            <Text
+              className="dialog-close"
+              onClick={() => setShowDetail(false)}
+            >
+              收起
+            </Text>
+          </View>
+          <View className="dialog-body">
+            <Text className="dialog-patient">
+              {threadData.action_item.patient_name} ·{' '}
+              {threadData.action_item.priority === 'urgent'
+                ? '紧急'
+                : threadData.action_item.priority === 'high'
+                  ? '高'
+                  : '中'}
+            </Text>
+            <View className="thread-timeline">
+              {threadData.thread.map((evt, idx) => (
+                <View key={idx} className="thread-item">
+                  <View className={`thread-dot ${evt.status}`} />
+                  <View className="thread-content">
+                    <Text className="thread-label">{evt.label}</Text>
+                    {evt.timestamp && (
+                      <Text className="thread-time">
+                        {new Date(evt.timestamp).toLocaleDateString('zh-CN')}
+                      </Text>
+                    )}
+                  </View>
+                </View>
+              ))}
+            </View>
+          </View>
+          {threadData.available_actions.length > 0 && (
+            <View className="dialog-actions">
+              {threadData.available_actions.map((action) => (
+                <View
+                  key={action.key}
+                  className={`action-btn ${action.variant}`}
+                  onClick={() => handleAction(action)}
+                >
+                  {action.label}
+                </View>
+              ))}
+            </View>
+          )}
+        </View>
+      )}
+    </View>
+  );
+}
diff --git a/apps/miniprogram/src/services/action-inbox.ts b/apps/miniprogram/src/services/action-inbox.ts
new file mode 100644
index 0000000..83cd5d3
--- /dev/null
+++ b/apps/miniprogram/src/services/action-inbox.ts
@@ -0,0 +1,60 @@
+import { api } from './request';
+
+export interface ActionItem {
+  id: string;
+  action_type: string;
+  priority: string;
+  status: string;
+  title: string;
+  summary: string;
+  patient_id: string;
+  patient_name: string;
+  source_ref: string;
+  created_at: string;
+  updated_at: string;
+}
+
+export interface ThreadEvent {
+  step: string;
+  label: string;
+  status: string;
+  detail?: string;
+  timestamp?: string;
+  link_to?: string;
+}
+
+export interface ActionDef {
+  key: string;
+  label: string;
+  variant: string;
+  api_endpoint?: string;
+}
+
+export interface ThreadResponse {
+  action_item: ActionItem;
+  thread: ThreadEvent[];
+  available_actions: ActionDef[];
+}
+
+interface PaginatedData {
+  data: ActionItem[];
+  total: number;
+}
+
+export async function listActionItems(params?: {
+  status?: string;
+  type?: string;
+  page?: number;
+  page_size?: number;
+}) {
+  return api.get<PaginatedData>(
+    '/health/action-inbox',
+    params as Record<string, string | number | undefined>,
+  );
+}
+
+export async function getActionThread(sourceRef: string) {
+  return api.get<ThreadResponse>(
+    `/health/action-inbox/${encodeURIComponent(sourceRef)}/thread`,
+  );
+}