Objective To construct a long-term care demand index system for disabled stroke patients in medical-nurse combined care institutions, so as to provide reference for the long-term care of disabled stroke patients. Methods A primary long-term care demand index system for disabled stroke patients in medical-nurse combined care institutions was formed based on literature review, then a 2-round Delphi study was conducted among 19 experts in aged care management, geriatric nursing research, geriatric nur-sing education, etc. The indexes were adjusted according to the consultation results and each index weight was determined using precedence chart. Results The developed index system included 2 first-level indicators, 9 second-level indicators and 57 third-level indicators. The weights of the 2 first-level indicators (medical service and aged care) were 0.409 and 0.591. The weights of secondary indicators placed top three were medical rehabilitation 0.211, daily life care 0.185, parallel health guidance and invironmental safety 0.148. And the weights of tertiary indicators placed top three were cognitive function rehabilitation 0.078, parallel assisted meals and the source and support of funds for long-term care 0.052, respiratory function rehabilitation 0.032. Conclusion The long-term care demand index system for disabled stroke patients in medical-nurse combined care institutions is credible, which can provide reference for promoting the development of long-term care service for disabled stroke patients in medical-nurse combined care institutions.