With the aggravation of global aging, home care has become a new concept of health care for the aged. How to provide continuous, practical, economical and convenient home care services for the elderly has become the goal of long-term care system reform in various countries. At present, internationally representative home care system includes private and social insurance co-paying and private organizations providing services (American mode) , government paying and private organizations providing services (Canadian mode) , government and individuals co-paying and diversified service providers (Australian mode) and insurance paying and diversified service providers (Japan mode) . This article summarizes home care modes represented by the United States, Canada, Australia and Japan, expounds the core elements of home care and analyzes its characteristics, advantages and disadvantages. It is suggested that China should learn from advantages of home care in other countries and create a home care mode in line with national conditions by combing characteristics of social system and economic level in China