the accurate development of elderly care services is an important measure to actively respond to the aging population and effectively meet the elderly care service needs.Under the comprehensive influence of various factors，the demand for elderly care services in Shanghai has shown a trend of total expansion，content diversification and specialization，regional differentiation and so on.However，the supply of elderly care services in Shanghai is facing prominent problems such as prominent structural contradictions，uneven distribution，lack of integration of medical care and health care，shortage of elderly care nurses，and insufficient social participation.The precise connection between supply and demand of elderly care services in Shanghai requires planning in advance，adjusting the structure，optimizing the layout，building teams and stimulating vitality.