目的 在全球人口老龄化背景下，探究整合性照护和在地老龄化的理论基础和实践形式，构建服务设计策略，建立可及的、高效的、满意的在地老龄化服务系统，提高老年人社区或家庭养老的生活质量和医疗体验。方法 通过文献对比研究、案例分析和叙述研究的方法，探究在地老龄化照护的理论依据和创新机会点，构建相应的设计策略。结论 建立跨学科的设计合作团队、参与式设计过程和服务过程、创建以用户为中心的可持续服务传递系统、关注老年人社会情感需求，为四个可行的在地老龄化服务设计策略。以老年人需求为中心提供连贯性的在地老龄化整合性照护，构想以服务设计思维驱动的由医院和疗养院向社区或家庭健康的养老转型。

The work aims to explore the theoretical basis and practical form of integrated care and in-place aging under the background of global population aging, construct the service design strategies and establish the accessible, efficient and satisfactory in-place aging service system, to improve the quality of life and medical experience of community or family care for the elderly. Through literature comparison, case analysis and narrative research, the theoretical basis and innovation opportunities of in-place aging care were explored to construct corresponding design strategies. There are four feasible design strategies for in-place aging service, including establishing an interdisciplinary design cooperation team, participating in the design process and service process, creating a user-centered sustainable service delivery system and paying attention to the social and emotional needs of the elderly. Focusing on the needs of the elderly, the consistent and integrated care for in-place aging is provided, and the transformation from hospitals and sanatoriums to community or family care is conceived based on service design thinking.