Introduction: The growing need for home care services is due to not only the rising age of the population, but also the increasing rate of disabilities and chronic illnesses in Turkey and around the world. This study was designed to determine the needs of home care patients, their primary caregivers problems, and to analyze the burdens of care. Methods: The sample of the research includes 177 patients and their 177 primary caregivers who were registered in a database of a public hospital offering home care services. In order to analyze the data, descriptive statistical methods in addition to the Kruskal-Wallis, Mann-Whitney U, Student t-test variance analysis and correlation test were used. Results:In the study, most of the patients were women age 76 or higher, had at least one chronic illness, and were found to have psycho-social problems. The patients were semi-dependent according to activities of daily living. Most of the primary caregivers were women and between the ages of 46 and 64. They were mostly elementary-school graduates and housewives. When the caregivers responsibilities were identified, the highest factors were time dependency and physical dependency. On the other hand, the lowest factor was emotional dependency. It was also found that when the patients dependency increased according to ADL, the burden of time dependency of the caregivers also increased while emotional dependency decreased. Conclusion: The results of this study show the needs and the problems of patients and their caregivers to home care organizations and health care professionals.