The National Home and Hospice Care Survey (NHHCS) is a continuing series of surveys of home health and hospice care agencies, regardless of whether they are Medicare certified or licensed. Data are collected about agencies that provide home and hospice care and about their current patients and discharges. Home health care is provided to individuals and families in their place of residence for the purpose of promoting, maintaining, or restoring health or for maximizing the level of independence while minimizing the effects of disability and illness, including terminal illness. Hospice care is defined as a program of palliative and supportive care services providing physical, psychological, social, and spiritual care for dying persons, their families, and other loved ones. Hospice services are available in both home and inpatient settings. Data are collected on demographic characteristics, referral and length of service, diagnoses, number of visits, patient charges, health status, reason for discharge, and types of services provided. The NHHCS has been conducted in 1992-1994, 1996, and 1998.