Direct Care Workforce: The Shift towards Nonmedical Services

Christopher Kelly


Purpose:A shift in the direct care workforce from aides trained to provide medical services to those trained only to provide nonmedicalservices impacts both providers and consumers of long-term care. Between 2013 and 2014, data from the U.S. Census Bureau show that the number of nursing, psychiatric, and home health aides (who providemedical services) has declined while the number of personal and home care aides (who provide nonmedical services) has increased. This study explores the potential reasons for these trends by comparing these two groups of aides, using data from the 2013 and 2014 American Community Survey (ACS).