This research will continue to examine the ideal way of sustainable medical care and nursing care services in local cities and rural mountain villages towards super aged society. It targets local cities where urgent maintenance of infrastructure for provision of medical and nursing care services, which was originally vulnerable, which can not adapt urban economic principles. In this research, from the viewpoint of users, we quantify the function and location of medical and nursing services by analyzing accessibility (reachability), local life structure, demographic dynamics, medical / nursing care needs and fluctuation prediction etc Method of Evaluating Methodically ", and showed the management method of comprehensive medical and nursing care delivery system centered on home-based services, after showing the type and amount of necessary services.