Purposes: This study analyzes stroke patients' use of a "Long-distance Community Health Care Nursing Service System" provided by an unnamed Medical Center in Southern Taiwan using Andersen's health behavior model, and offers suggestions for this Medical Center to improve system marketing and operations. Methods: In total, 102 first-time stroke patients filled out the study questionnaire. Results: The major findings of this study support Andersen’s health behavior model in that predisposing, enabling and need factors impact the use behavior of stroke patients. Conclusions: Use of the service system by stroke patients is limited, and their need to use this system must be enhanced continually. Based on study results, suggestions for service system marketing and operation are proposed. Analytical results indicate that a family-based, community-oriented "Long-distance Community Health Care Nursing Service System," which offers monitoring information, can support long-term nursing care.