Objectives: The study evaluated the changes in health services utilization and patient satisfaction following the implementation of an Integrated Delivery System(IDS) in the Peng-Hu area, starting on July 1, 2001. Methods: Using data collected from benefit claims of the Kaohsiung-Pinton Branch of National Health Insurance Bureau and community surveys conducted by the investigator, the researcher employed inferential statistics, such as Student T-test, as well as descriptive statistics in fulfilling the goals of the study. Two surveys were conducted before and after the program with a response rate>90%. Results: Following the IDS program, the average number of ambulatory emergency care incidents increased from 760.3 per month to 1117.3 per month (P<0.05) and the average cost rose to NT$357,000 (P<0.05). Similarly, the average number of hospitalized emergency care incidents increased from 91.0 per month to 145.7 per month (P<0.05) and the average cost rose to NT$1,273,000 (P<0.05). Besides, the second time the satisfaction of residents was measured, it was relatively higher than in the first survey. Conclusions: The increase in health services utilization and satisfaction levels among residents showed that the IDS program was successful. Thus, we suggest a continuance of this program is suggested.