The aim of the study: To evaluate accessibility and quality of health care services in urban and countryside areas. Objectives of the study: · Review of juridical acts that determine services of primary health care and their quality; · Analysis of health care sector of Marijampolė Municipality; · Comparison of accessibility and quality of health care services provided by health care institutions in urban and countryside areas from patients point of view. Investigation methods: Systemic analysis of scientific literature and periodical editions; review of juridical acts and juridical documents; analysis of a sociological survey – anonymous inquiry by a questionnaire. The patients were questionared by Marijampolė Municipality PHC institutions in urban and countryside areas. 300 questionnaires were delivered, 300 respondents answered the questions (response rate 100%). Statistical data analysis was carried out on the basis of program package SPSS 10. Correlation between peculiarities was estimated according to the Chi square criterion test (χ2). As the basis for hypotheses checking was chosen significance level equal to 0,05 or less. Results. The majority of respondents evaluated primary health care from the communication point of view and organization as satisfactory. The bigger part of respondents did not face any problems in: arrival to PHC institution (76,9%), 74,4% of the respondents had to spend not long at the receptionists, spent less time in the waiting hall (57,9%). 8... [to full text]