Abstract: Objective To investigate the current status and influencing factors of falls efficacy in home-living elder,and provide evidence for interventions on fall prevention. Methods From January to December in 2019,178 patients admitted to multi-disciplinary outpatient clinic for fall prevention were studied and their demographic data were collected.Evaluations including Modified Fall Effectiveness Scale (MFSE),Self-rated Fall Risk Questionnaire in Chinese Version,Timed Up & Go test (TUGT),30-second chair stand and 4-Stage Balance were administered,and influencing factors of fall efficacy were analyzed. Results The average score of MFSE was (102.57±29.361).The two items with lowest score were 'bath alone' and 'up and down stairs alone',which scored (6.85±2.54) and (6.30±2.67) in average,respectively.The main influencing factors of fall efficacy were age (B=-0.238,P=0.003),educational level (B=-0.168,P=0.022),and 30-second chair stand result (B=-0.208,P=0.010). Conclusion The level of falls efficacy in home-living elderly in this study is medium.The elderly with higher age,higher education level,weaker balance muscle strength are prone to have lower fall efficacy and higher risk of fall.