Abstract: This paper analyzes the health status，health needs and provision of health services among the middle-aged and elderly people from 12 counties of 5 provinces in mid-western China based on the data from a survey“Family Health Care Program”，an Sino-Japanese technical cooperation project undertaken by National Health and Family Planning Commission．Results show that health status was not well and different significantly across the provinces，and there are great health needs．The main health providers are health and family planning agencies，and health status are significantly correlated with health services including health education，health check and health consultation．The results have important policy implications which are discussed at the end of the paper．

Keywords: Middle-aged and Elderly People, Health Status, Health Needs, Service Provision, Health Services

摘要： 文章依据国家卫计委中日技术合作“家庭保健项目”的相关调查数据，对中西部5省1 县中老年人的健康状况、健康服务的需求及服务的提供等进行分析。研究结果表明:中老年人的健康状况不佳且存在地区差异; 中老年人有较高的健康需求;各级卫生和计划生育服务机构是中老年健康服务的主要提供者; 健康教育、健康体检、健康咨询服务的提供和中老年人的健康状况相关。文章建议在我国健康服务资源不足的情况下，可以充分利用现有的县、乡镇计划生育服务机构，开展中老年人健康教育、健康咨询和健康体检服务，在机构改革和人口老龄化快速发展的背景下，实现计划生育服务机构的拓展转型，使计划生育服务机构成为老年健康服务业的一支重要力量。

关键词: 中老年人, 健康状况, 服务需求, 服务提供, 健康服务