Through exploration and analysis of the long-term care model in United States and Canada （as the representative of the developed market economy countries）, and combined with the status quo of Chinese medical support combined with pension service model, we summarize the service pathway of the model, and put forward to promote the community-based medical and support model for the elderly. We should set a single entry point, build multidisciplinary teams, improve the long-term care insurance system and information system as well as customer classification system, and keep the stakeholder win-win state and so on.