The primary healthcare service is the key policy of caring for global population, as well as Thai people. However, the existing statistical data of health problems of people in Northeastern Thailand continues to dramatically increase. Thus, this focused ethnography research was initiative to explore the beliefs and perceptions of patients with chronic illness and their family members regarding primary health service accessibilities in the Isan region. Overall 30 participants were purposive

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... ing. Hence, 24 key informants were chronic illness, family members. In addition, six general informants were community leaders and health volunteers. The data were collected, during May 2018 to February 2019, by participatory observation, in-depth interviews, focus group discussions, document reviews, and field notetaking. Content with thematic analysis techniques of the data were employed. The five themes were revealed as follows: (1) a decision to access the health services, (2) seeking for a variety of health services, (3) providing access to health services, (4) non-access to the provided health services, (5) additional health service accessibility. The optimal primary healthcare services should be covering all dimensions of accessibilities to holistically healthcare services. The results of this study recommended the covered accessibility and holistic guideline for the primary healthcare service center, which placing the important of beliefs and perceptions of local to serve as comprehensive with covering all dimension services in the Isan socio-cultural context.