This paper uses an accessibility index based on the 2SFCA method, which describes the supply-demand balance of long-term care services, to understand the characteristics of the regional supply-demand balance and to examine issues and policies in each region. Local cities with a marked population decline were selected for this analysis. We quantitatively grasped the supply-demand balance of long-term care services in each subregion, and confirmed whether the demand for services considered necessary based on the characteristics of the supplydemand balance in each municipality is compatible with the existing policies for plans of long-term care services.