Smart terminal for older adults is one of the core touchpoints of the service system, which connects older adults and public services provided by the community. Health Management Terminal for Older Adults in the Community (HMTOAC) is closely related to the health of older adults, and it is an important design issue. However, previous Health Management Terminals (HMT) are not designed for older adults. It is of great scientific significance and extensive application value to deeply explore the real demands of older adults. This research expanded the design process of “exploration-prediction-prototype-evaluation”, and it took the needs of older adults as the starting point. Based on the Technology Acceptance Model (TAM), combined Structural Equation Model (SEM) and Technique for Order Preference by Similarity to Ideal Solution (TOPSIS), we investigated important influencing factors of HMTOAC design, and established the design evaluation model of the HMTOAC.