The study aimed to analyze the signing of family doctorsand health service demand ofthe elderly over 60 years old in community in Nanjing and Wuxi， and to find out the existing problems and propose targeted improvement suggestions. Results showed that among the 533 elderly people， 182（34.1%） signed family doctors， 299（56.1%） did not sign family doctors， and 52（9.8%） did not know whether to sign family doctors. There were significant differences in the signing of elderly family doctorsin terms of age， income level， spouse and education level of the elderly family doctors（P<0.05）. It is necessary to rationally allocate health resources， strengthen the construction of general medical talents， strengthen family doctors signing services and community health education publicity，improve residents’ cognitive depth and participation enthusiasm， improve the signing rate of family doctors， promote community health education， and improve the health level of the elderly in the community.