Depends. If I made a bed quilt (I've got two in progress but neither is finished yet) I expect it will be used as a bed quilt until it is too worn, and then to be used as a "blanket" (carried on picnics, taken camping, on fishing trips, etc). If I make a throw size or baby quilt, I expect they'll be carried around and used however the owner needs to use them, whether it's on the couch or on a picnic.
Really, I don't do hand quilting, and all my quilts tend towards the "utility" end of the quilt continuum. I try to make them washable and durable, and I very rarely do complicated patterns or hand applique. I use a lot of scraps, and reuse clothing. I might feel differently about a hand-appliqued, hand-quilted baltimore album made entirely from quilt shop fabric that cost $10 a yard.