With entry into an aged society, numerous problems of the aged to health of the elderly among the elderly are associated with chronic disease in elderly individuals with disabilities and their activities of daily living, such as the morbidity and instrumental activities of daily living from carrying on the family as alleviate caregiver burden and redundant use of National Health Insurance National Health Insurance due to a system for reducing the fiscal deficit as from 1 July 2008 are being conducted nationwide. However, first, second and third problems occurring after a pilot project does not take into account regional characteristics include centralized management, service quality and effectiveness of care issues, and of four has been mentioned. Effective management of Long Term Care of the elderly by providing ways to improve the quality of life, ease the burden of the family, and taking into account regional peculiarities can increase operational efficiency by running.