At present, the aging situation in China is becoming increasingly severe. The elderly are facing difficulties in acquiring elderly service and medical care in the process, in which the elderly need digital service of the combination between medical and nursing care urgently. However, there still exist some problems of the combination of medical and nursing care in the present stage, such as imperfect models, low level of intelligence, inefficient integration mechanism of resources related to "medical care" and "nursing care", and the inadequate phenomenon in which the service of combination of medical and nursing care leads to "the castle in the air". In view of the current difficulties and blocking points in the combination of medical and nursing care, the research team of this paper use digital and intelligent methods to construct 5 types of smart medical and nursing service models, including "full chain" "multi-subject integration" "active health" of traditional Chinese medicine, "return to the community" and "return to the home". Furthermore, the research team issused 6 group standards, seted up 2 landmark projects, and established more than 20 demonstration application bases across the country in the meantime as well as incorporate 500 community/township promotion plans of Henan Provincial government, which achieve good demonstration effects. This paper briefly introduces five types of model specifications from four aspects of model conception, model composition, model operation mechanism and model function, so as to facilitate the further study and popularization of the five models.

当前我国老龄化形势日益严峻，老年人"养老难"和养老过程中"就医难"问题突出，亟须开展医养结合服务，但我国的医养结合服务尚存在服务模式欠完善、智能化水平低、"医"和"养"相关资源融合机制低效、医养结合"叫好不叫座"等现象。本研究团队针对当前医养结合服务存在的难点、堵点问题，运用数字化、智能化手段，以智慧服务云平台为支撑，构建了全链式、多主体融合式、中医药"主动健康式"、回归社区式、回归居家式共5种智慧医养结合服务模式，并发布中国老龄产业学会团标6项、河南省地方标准立项2项，同时在全国建立了20多个示范应用基地，纳入了河南省政府500个社区/乡镇推广计划，取得了良好的示范成效。本文从模式立意、模式构成、模式运行机制、模式功能4个方面对上述5种模式进行介绍，以期助力各服务模式的进一步研究与推广。