This paper aims to explore the rehabilitation service model for the hemiplegic elderly and realize the continuous rehabilitation from hospital to family through the design of rehabilitation service platforms and home rehabilitation products.Thehemiplegic elderly in Beijing area hospitals, communities and other service organizations and typical residential districts was investigated by using qualitative and quantitative research methods to analyze the physiological and psychological characteristics of hemiplegic elderly and their needs and summarize the current system and service status. By using the service design methods and taking the hemiplegic elderly as the core, this paper integrates rehabilitation resources and design community rehabilitation services and products.It is results that a hemiplegia rehabilitation service platform that connects all stakeholders was built to realize the role division of medical resources and the smooth transmission of information; an intelligent upper limb rehabilitation aids that match the service was designed, personalized training programs were provided, and the scientific nature of home rehabilitation was realized.Taking the upper limb rehabilitation as an example, the continuous rehabilitation service models were integrated and innovated, the possibility for home rehabilitation of hemiplegic elderly was provided to speed up the rehabilitation process.