Table 4. Home Health Service Use, by Human Resource Profile Code (HRPC): 1983 and 1987.

HRPC	Users per 1,000 Enrollees		Visits per User
	1987	1983	1987	1983
Metropolitan
Large Core	55.0	49.5	21.5	24.8
Large Fringe	52.4	47.9	21.4	25.0
Medium	47.7	43.0	24.4	25.2
Small	42.6	36.9	24.0	25.0
Non-Metropolitan
Urban Adjacent	43.8	38.9	22.9	24.1
Urban Non-Adjacent	44.3	38.3	26.1	26.9
Less Urban Adjacent	45.2	36.1	25.8	24.0
Less Urban Non-Adjacent	44.4	36.9	26.9	24.3
Thinly Populated Adjacent	45.7	36.4	27.2	24.6
Thinly Populated Non-Adjacent	44.8	37.3	27.3	24.6

NOTES: Use rates are calculated as the ratio of home health users per 1,000 Medicare enrollees. For 1983, the use rates are calculated with the inclusion of the health maintenance organization (HMO) members in the denominator. For 1987, the denominator includes only 40 percent of the HMO members because 60 percent of them had risk contracts so that their home health use would not appear in the Home Health Agency 40-percent Bill Skeleton files.

SOURCES: Health Care Financing Administration, Bureau of Data Management and Strategy: Data from the 1983 and 1987 Health Insurance Skeleton Write-Off files and the Home Health Agency 40-percent Bill Skeleton files.