Abstract
Factors that effect utilization of in - home health and welfare services were examined on troublesome old people of 3,531 persons by logistic regression analysis for the daily life of staying home. As the result, the lowering of ADL affected the utilization on the most service, and the degree is different by the service. And, the one person living very greatly affected the utilization of meal delivery service and home - help service. In the nursing care insurance system, the certification of nursing care needs is fundamentally carried out only by the situation of the mind and body of the aged and not by the family make-up. However, the service level offered actually is low, and it is very difficult to send the staying home life only in the service provided in the insurance, when the family nursing cannot be expected. Therefore, it is desired to pull up the service level offered by the insurance to the grade which does not need family care, or to construct the system which complements the insurance.
