Objective To investigate the levels of health status and readiness for advance care planning (ACP) in community-dwelling older patients with chronic diseases, to analyze the influencing factors, and to provide reference for targeted intervention.Methods A convenience sample of 196 community-dwelling older patients with chronic diseases from Taiyuan and Jinzhong were surveyed using a general information questionnaire, the ACP Readiness scale, and the EuroQol five-dimensional questionnaire (EQ-5D).Results The median (P25,P75) EQ-5D score was 75（66,85） and the total ACP readiness score was 75.21±13.87.Multiple linear regression analysis showed that mobility, medical insurance payment ways, average monthly household income, number of children, years of illness, usual residence, marital status, and hospitalization experience were the factors influencing the readiness for ACP (all P＜0.05).Conclusion The health status and ACP readiness of community-dwelling older patients with chronic diseases are at moderately high levels, and ACP readiness is affected by a variety of factors. Healthcare professionals should take targeted mea-sures to improve their health status and ACP readiness.