Insured person and their family members of 70 years old or more enrolled in the best health insurance scheme were surveyed. The best insurance scheme means that scheme provides the insured and their family with effective health and welfare services and it is in excellent financial condition. The subjects were classified by status of receiving medical care services such as outpatient and inpatient care. The survey was conducted to determine factors related to motivations of receiving medical care services by an intreviewing method of health nurses. The results are as follows. 1. Hobbies and a happy family life inhibit the insured from receiving medical care services. However, patients who have hobbies or a family prefer inpatient care to outpatient care. 2. The results of the survey demonstrated that aging, dementia, decline of activities of daily living, housing, life style with family, hobbies and cultural exchange in the community are all related to motivation towards inpatient care. 3. The family plays an important role in home care services.