Promoting the construction of a multi-level elderly health service system that is balanced and sustainable is not only the concept of building a "aging civilization", but also the necessary meaning to improve the quality and level of life of the elderly, and promote the coordinated development of population, economy and environment. This article attempts to clarify the connotation and constituent elements of China's elderly health service system, and clarify the value logic of system construction. Based on this, a strategic thinking for sustainable development of the system is formed from the guiding perspective of "smart growth": actively exploring the construction of a discourse system of "aging civilization" in culture; Play a policy leading role in the system; Improve the operational efficiency of the system in terms of mechanisms; On the basis of infrastructure construction, we will create a friendly environment for all ages. At the same time, we will actively explore the construction of a "smart and elderly health service" platform to promote the formation of a good situation for an elderly society where everyone participates, builds together, and shares.