Objective: ? To know the present status of family system in odisha, changes they were undergoing and implication of such trend on health of the elderly population and to examine the perception of elderly regarding their family support. ? To examine the pattern of health and healthcare utilization among elderly. Methods: A study was carried out in Santoshpur village of Sundergarh district, Odisha. Verbal informed consent was taken from the participants. The questions included demographic profile, satisfaction with current family system, opinions about changing trends of family systems, dependency and decision making of the elderly on children and their implications on health. This questionnaire also includes the questions related to pattern of healthcare utilization. Questionnaire and Interview are employed to collect the information Analysis was done using SPSS 15.0 and Excel. Results: One hundred subjects aged 60 and above were interviewed, out of which 72.3% were living in the joint family system (JFS), whereas 22.3% were living in a nuclear family system (NFS) and 5.4% people are living alone. Out of 130 elderly 51.98% were women. A majority of the population fell in the age range of 65-70 years, with the mean age being 68.7 years. 73.25% subjects in joint family system were married. Most of the males were found to be retired .61.23% in joint family system were unemployed whereas 56.09% subjects in nuclear family were unemployed.72.57% subjects in joint family system were depended on their children. Majority of the respondent in joint family system were satisfied with their family structure and 65.4% elderly commented that modernization has destroyed the family structure and family value. A decline in the proportion of JFS was seen in the subsequent generation and majority of the elderly perceived that family system has a significant impact on health. The pattern of healthcare utilization was not good. For the chronic ailment they were using Govt. hospital and for the entire normal ailment the elderly were using the clinic in their village.