Objective To explore the willingness and needs toward medical escort service among older adults with chronic diseases and to provide a basis for improving the medical escort service.Methods A descriptive qualitative design was adopted.Thirteen community-dwelling older adults with chronic diseases received semi-structured interviews. Data were analyzed using Colaizzi′s seven-step phenomenological approach.Results Three themes were identified: willingness to utilize medical escort services, multidimensional needs for medical escort services, and expectations for improving support measures for medical escort services.Conclusion Older adults with chronic diseases are strongly willing to use medical escort services and have diversified needs.It is suggested that the actual needs of older adults should be considered to establish and improve medical escort services.