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NIOSH Programs > Health Care and Social Assistance > Sector Description
Health Care and Social AssistanceInput: Sector DescriptionThe HCSA sector (North American Industry Classification System [NAICS] 62) comprises establishments providing health care and social assistance for individuals. The sector includes health care subectors (ambulatory healthcare services, NAICS 621; hospitals, NAICS 622; and nursing and residential care facilities, NAICS 623). Social assistance (NAICS 624) includes individual and family services, community food and housing and emergency services, vocational rehabilitation services, and child day care services. The industries in this sector are arranged on a continuum starting with those establishments providing medical care exclusively, continuing with those providing health care and social assistance, and finally finishing with those providing only social assistance. The services provided by establishments in this sector are delivered by trained professionals. All industries in the sector share this commonality of process, namely, labor inputs of health practitioners or social workers with the requisite expertise. Many of the industries in the sector are defined based on the educational degree held by the practitioners included in the industry. The HCSA sector represents over 12% of all employment and 8% of all establishments. In 2006, the HCSA sector employed over 17.8 million workers, with most (82%) working in health care. (Table 1) Growth of this sector through 2016 is projected to be more than 25%, adding 4 million new jobs. Occupations in this sector are projected to account for half of the 20 fastest growing occupations during this 10-year period. Over 81% of the establishments in the HCSA sector are in health care, which vary greatly in terms of size, staffing patterns and organizational structure. These include offices of physicians, dentists and other health practitioners, home health care services, outpatient care centers, and other ambulatory health care services, hospitals, and nursing and residential care facilities. Seventy-seven percent of the health care establishments are offices of physicians, dentists or other health practitioners. Nearly half of non-hospital healthcare establishments employ 5 or fewer workers, and more 85% employ fewer than 20 workers. Hospitals account for only 1% of the health care establishments, but they employ 35% of all health care workers. Half of all establishments in social assistance, except child day care, employ fewer than 5 workers. Some of the fastest growing jobs in the Nation, such as home health aides, personal and home care aides, and human service assistants are concentrated in social assistance. More than 80% of child day care services establishments employ fewer than 20 workers, accounting for half of this industry’s jobs. Resources: Occupational Outlook Handbook, 2008-09 Edition Career Guide to Industries: Career Guide to Industries: Healthcare Career Guide to Industries: Social Assistance, Except Child Day Care Career Guide to Industries: Child Day Care Services NAICS codes for HCSA, including types of establishments The U.S. Bureau of Labor Statistics (BLS) publishes detailed information on occupational injuries, illnesses, and fatalities for all industry sectors. The "Industry at a Glance" profile from the BLS provides detailed information on employment, wages, productivity, and occupational outlook for the HCSA sector.
Page last updated:
October 20, 2008
Page last reviewed: October 20, 2008 Content Source: National Institute for Occupational Safety and Health (NIOSH) Division of Respiratory Disease Studies |
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NIOSH Program:Health Care and Social Assistance |
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