Materials and Method: In this cross sectional study, 2968 households in rural area of Guilan in which household head or senior person above 15 years old was interviewed using a structural questionnaire. Questionnaire was consisting of demographic variables, need of medical care and visit of health services in last month.
Results: In this study 12086 people (family size 4.7) were interviewed. 1624 subjects (13.4%) were old ages.
422 persons (26%) reported of at least one medical problem in the last month.24 persons (5.7%) had not sought any medical attention and 2 (1.2%) had self-treatments. The main sources of medical attention were private clinics (46.8).
The most reasons for the visiting the health care centers was musculoskeletal pain (24.4%).
Conclusion: It was seemed that utilization of health centers with old age groups is more than two times in comparison to other age groups that it must be notice in future strategic planning of health care systems.
Keywords : Health care system, Health utilization, Rural, Elderly