Explore and analyze The United States and Canada’s long-term care model, as the representative of the developed market economy countries, combined with the status quo of China"s medical and support model, summarize the service pathway of the medical and support model, put forward to promote the Community-based medical and support model, set a single entry point, build multidisciplinary teams, improve the long-term care insurance system and information system as well as customer classification system, keep the stakeholder win-win state and so on.