Abstract: Based on 2010 and 2013 tracking data of Shanghai weak elders’ situation and their main caregivers’ demand, this paper makes a tracking survey on the same group of disable elders living at home, examining their health status, their family care givers’ status and their family and social support. The results show the new characteristics of worse self-care ability, more life assistance demands, the weakening of economic supply ability, the indifference to family and social relationships, the weakness of social support ability, and the increased pressure of family caregivers. Therefore, the government and relevant social forces shall improve the medical service system so that the elders can get more physiological support, expand old-age security sources so that the elders can get more economic support, create warm and harmonious family environment and harmonious family relationship so that the elders can get more psychological support, enhance community service functions so as to provide elders with social support and personality care according to different needs, and set up social support system and provide effective support for primary caregivers.