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Home health care has become the fastest growing segment of the health services industry. Expansion of medicare benefits, lower costs for care at home relative to hospital care, and modern technology have contributed to this growth. Although home health care is not a replacement for all hospital services, it has become an important setting for delivering preventive, diagnostic, therapeutic, rehabilitative, and long-term maintenance services.

According to employment data from the Current Employment Statistics survey, one in five jobs created in the nonfarm economy since January 1988 has been in the health services industry. Within health services, employment in home health care has risen by 168 percent (or 345,000 additional jobs). In contrast, employment in hospitals has increased by 18 percent - 580, 000 additional jobs (see table). Since health services are always in demand, the health care industry is recognized for its strength in bad times as well as good. For example, during the most recent employment recession, June 1990 through February 1992, employment in the health services industry grew 7.5 percent while employment in the total nonfarm economy fell 1.7 percent. During the first 3 years of the recovery period following this recession, home health care had the third largest increase of all industries, following mortgage bankers and brokers and title insurance.

 Home Health Care ProfileHome health care services, as defined in the Standard Industrial Classification Manual 1987, are "establishments primarily engaged in providing skilled nursing or medical care in the home, under the supervision of a physician." Services range from helping with basic activities of daily living to caring for patients needing specialized care for AIDS or cancer chemotherapy. Time with the patient can range from 1 hour a week to around-the-clock care.
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