OBJECTIVE: This study aimed to utilize data from the China family panel studies (CFPS) to systematically analyze the physical and mental health characteristics and needs of older adult individuals with disabilities under the context of smart healthcare, aiming to provide scientific evidence for relevant policy formulation. METHODS: Data were derived from the CFPS surveys conducted by Peking University's China Social Sciences between 2021 and 2022. Older adult individuals aged 65 and above requiring assistance in activities of daily living (ADL) or instrumental activities of daily living (IADL) were included. Descriptive statistics, univariate analysis, and multivariate analysis were employed to analyze the basic characteristics, physical and mental health status, influencing factors, and corresponding needs of older adult individuals with disabilities. RESULTS: Samples aged between 65 and 80, widowed or divorced, demonstrated higher physical health scores ( CONCLUSION: The physical and mental health status of older adult individuals with disabilities is influenced by various factors, including social support, economic conditions, and utilization of medical resources. These factors constitute significant determinants in improving the physical and mental health of older adult individuals with disabilities and represent key needs for their betterment.