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Methods: 1207 urban community seniors were screened and the volunteered disabled or frail seniors were enrolled. The geriatric team and community health care works were organized to provide geriatric health care services for the intervention group. Results: 103 seniors who were frail or disabled were selected for intervention, with 105 similar seniors as control. The mean age of the intervention group was 78.8 ± 8.3, as well as 79.4 ± 8.2 of the control group. After 1 year intervention, the improvement of ADL score has no difference between two groups, but the health status of the intervention group were more stable or improved than control (73.7% vs 57.1%, p=0.023). We also found that, in the intervention group, it is likely that the seniors with poor family or social support may have more ER visits and hospitalizations, which may also affect the medical intervention. Conclusion: For the disabled seniors in urban community of Beijing, the in-door health care services might be more doable. Only health care services without the supports of assist living may reduce the effectiveness of home medical services. It is important for the government to combine assist living with medical services for the seniors.

FACTORS RELATED TO QOL AND WELL-BEING OF THE ELDERLY WHO NEED HOME CARE AND THEIR CAREGIVERS