One of the problems of aging is the large increase in the number of disabled elderly people. Due to the complex causes of disability and cognitive impairment caused by aging, acute and chronic diseases, the integrated care mode of comprehensive geriatric assessment and interdisciplinary team work should be adopted in the rehabilitation treatment. In the acute, post-acute and subacute phase of the elderly disease, long-term care and end of life care should be patient-centered, and the whole seamless continuous rehabilitation medical services should be provided; the methods of rehabilitation include professional intensive rehabilitation training in rehabilitation hospitals, general physical rehabilitation training in communities and families, as well as active use of big data research and artificial intelligence technology support. The ultimate goal is to maintain and improve functions and the quality of life of the elderly.
