According to the The Sampling Survey of Life of Elderly People in Guangzhou in 2017，this study finds out that in terms of the basic needs，the medical care is generally and prominently needed by the elderly. As people grow old，the demand of elderly care is transformed from “demand for development” to “demand for survival”. Meanwhile，in terms of provision evaluation，major problems of community-based household elderly care in Guangzhou occur，such as lack of awareness of the existing services，imbalanced development of services programmes，the disparity of elderly care service provision between urban and rural areas. Thus，the policy design of household elderly care should insists on “the elderly centred” principle，dynamically grasp the demand of elderly care from the people in need，constructing a health-centered elderly care system，reduce the disparity of elderly care supply between urban and rural areas，and increase the attainability of elderly care services.