This question comes up a lot — from families making decisions, and from businesses deciding where to put their attention next.
The short answer: because that's where the people are, and the numbers keep getting bigger.
The global home care services market is sitting at about $660 billion, growing at roughly 10.5% a year. Institutional care — nursing homes and residential facilities — is around $380 billion, growing at about 3.9%.
So home care is expanding at nearly three times the rate of institutional care. That gap has held for five years running. It's not a blip.
What's driving it? Three things, mostly.
Across every country we sell to — North America, Europe, Asia — the preference is the same. Roughly 80–90% of seniors say they want to age in place, in their own homes. That's not a niche preference. That's the overwhelming majority.
Here's the part most people miss: less than 5% of those homes have equipment designed for an aging person's needs. Most seniors are sleeping on regular beds and using regular furniture — not because a better option wouldn't help, but because nobody offered them something that looks like it belongs in a house.
That gap is the opportunity. It's also why aging in place has become the defining trend in elderly care — and why companies are finally paying attention.
A nursing home bed in a developed country runs $3,000 to $8,000+ per month depending on where you are. A home nursing bed with height adjustment — the kind that actually helps someone get in and out of bed independently — costs a few thousand dollars. One-time purchase. That contrast is why so many families searching for medical beds for home use end up going the home route.
You don't need to be a finance person to see which side of that equation wins.
A facility carries rent, renovation, and 24-hour staffing — the bed is a small part of the cost. At home, the equipment is the investment. One good piece of furniture replaces what would otherwise mean hired help or a facility bill.
Families are doing this math, and more of them are choosing the home option.
There aren't enough professional caregivers. The global healthcare worker gap is projected at 10 million by 2030, and nursing aides and home health aides are among the hardest-hit roles.
When there aren't enough hands, equipment has to do more of the work. A bed that helps someone get up on their own, or a walker that lets them move safely without a second person standing by — those stop being nice-to-haves and become the way care actually gets delivered at home.
Families aren't just choosing home care because they want to. Increasingly, it's the only option that's available.
If you're a family member deciding what to buy for a parent, this trend works in your favor. More manufacturers are competing for the home market now, which means better-designed products — equipment that looks like furniture, not hospital gear. The choice keeps getting better.
If you're in the business — a distributor evaluating nursing home beds for sale, a facility operator, or a supplier deciding where to put capacity next — the direction is clear. From our own factory floor, we've watched this shift arrive in the order books. The home segment is where the growth is. And it's still early. With equipment penetration under 5% in home settings, most of that growth is ahead of us, not behind us.
The center of gravity in elderly care has moved. It's now in the home.
Part of our Comprehensive FAQ Guide to Elderly Care Equipment. We manufacture rotating beds, nursing beds, and mobility aids at AIDASTRA.
→ Home Care vs. Nursing Homes: 2026 Market Reality
→ FAQ: What Is a Rotating Bed?
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