Abstract:OBJECTIVE To understand the demand and utilization of health services for the elderly in Kunming, to discuss the influencing factors of accessibility, health needs and utilization of health services for the elderly in Kunming, and to put forward corresponding countermeasures METHODS A multi-stage stratified random sampling method was used to extract 1,080 elderly people for investigation. Statistical analysis methods such as descriptive analysis, chi-square test and logistic regression were used to analyze the health needs and utilization of the elderly.RESULTS A prevalence rate of 41.85% in the elderly and a higher rate of chronic disease in women than in men; the main chronic diseases were hypertension, diabetes, coronary heart disease, stroke and COPD;. The main factors affecting chronic diseases in the investigated elderly were gender, household registration, occupation, education, family per capita annual income, work status, self-care ability, self-assessment of health status and sleep status. The prevalence rate was 22.38%,18.50% and 12.24% respectively. The main factors affecting the two-week illness of the elderly are the current health status, sleep quality, and the main factors affecting the two-week visit of the elderly The main factors are family type, current health status, smoking status and sleep quality.CONCLUSIONS The demand for health services for the elderly is higher than that of the general population, but the level of utilization of health services is low, which is not conducive to the sharing of health resources between the elderly and the general population, and is likely to cause idle or waste of health resources. We should strengthen community health publicity and education, increase government financial input, and at the same time increase policy inclination and continue to improve the elderly population health security system.