Norwegian municipalities have chosen to organize their primary health care services (elderly and people with special needs) in a number of different ways. However, during the last years a clear tendency towards home based services have occurred. Does this change affect the quality and cost efficiency of the services?  The report, published by Fafo, is the result of a joint effort by Ivar Brevik from Brelanta and the following Fafo researchers: Anne Britt Djuve, Inger Marie Hagen, Åsmund Hermansen, Lise Lien and Leif E. Moland.