Free Essay

Evolution of Programs and Services

In: Other Topics

Submitted By kdsmom10
Words 1073
Pages 5
Evolution of Programs and Services
Vicki Sellers
June 16, 2014
Geraldine O'Neal

Evolution of Programs and Services
For many generations, care of the elderly has continually been the responsibility of various family members. The elderly individual needing care would generally stay in the home of their children or other relatives until their death like some still do today. In various cultures such as that of the Chinese and Japanese, their traditions dictate that caring for the elderly whether it be a parent or an uncle or aunt is a matter of honor and a way to show respect to their elderly. In some countries, especially impoverished ones, the care of the elderly continues to fall on the family because they have no financial means to seek other methods of care or no services are available where they live. Fortunately for those who live in countries such as the U.S., Europe and Australia, there are many services available to aid in the care of the elderly which gives family members other options and assistance as needed. Caring for the elderly consists of many different factors and can at times be impossible for those wanting to provide care for their loved ones at home. Financial factors and health factors are two of the most significant issues that determine how the elderly are cared for. Other factors hinge on whether or not the family member providing care has space in their own home, is able to arrange their schedule to provide that care, or already their own health issues that would prevent them from providing care to an elderly family member. Due to those circumstances, the services that are now in existence help in many ways with those decisions. In the past 50 years services have evolved in many ways which offer financial help, support, and outside care that has proven beneficial to the elderly as well as their loved ones.

One of the ways that services have evolved is how people can access services. The internet and social media is one area that has evolved over 50 years that grants greater access to seniors who are seeking any type of care. For those with computers, tablets, or cell phones, they can now have direct and more convenient access to care services provided by accessing information about physicians, health care providers, insurance, and other services they need. Advertising and marketing is another way that services have evolved in how the elderly are made aware of what is available. Providers of various long term services for the elderly are taking advantage of social media to reach a larger client base and help educate seniors about the services offered (Pratt, 2010). Other ways that services have evolved is with government programs being put into place to financially help them such as Medicare and Medicaid. Independent living, assisted living, and nursing care facilities have also evolved in the last 50 years as services that assist the elderly in their quality of life.

Medicare is a government funded program that was started in 1965 along with Medicaid under the leadership of President Lyndon Johnson. Medicare was enacted to provide health insurance to individuals who were 65 and older and not be discriminated against due to income or medical history. Since Medicare’s inception, what is covered for these individuals has grown to include many other medical related problems. Medicare now includes coverage for speech, physical, and chiropractic therapy rather than just general doctor’s visits or check-ups. Medicare coverage is no longer limited to those 65 and older, but also covers those who are younger, have permanent disabilities, and who may also be collecting Social Security Disability benefits. While Medicare has widened its range of people who can be covered, and has seen many valuable changes for those who need these programs, with the amount of debt the government currently has, those who are now covered under Medicare and even Medicaid may see their coverage being limited due to the funding for these programs decreasing. One of the reasons this is happening is that the programs are finding hard to provide coverage for a growth in the population than what was initially realized (Pratt, 2010).

Types of long-term care and what is provided is another service that has evolved over the past 50 years. For example, 50 years ago and beyond, elderly people were more prone to be taken care of in the homes of their children or other relatives when they became unable to care for themselves. Now with the option of many housing options available to seniors, they are able to find other alternatives to their care than possibly being a burden to their families or adding extra responsibilities to family members who are not qualified to help them. However with community-based home care programs having evolved those who prefer to stay in their own home are able to stay with family members are able to do so. In home care services have also evolved in that family care givers can hire formal care givers to come in with their loved one to provide respite care, companionship, help with bathing, housekeeping, check-ups for those in bound and therapy services among many others.

Those needing care and the services that provide care have changed and grown over the past 50 years. The changes that have taken place in the past 50 years with the growing amount of services has had a positive impact in many ways on those needing these services and has also improved the quality of life and care of those receiving said services. With the baby boomer generation, there is an even greater influx of elderly individuals who need care. This will not only impact government programs such as Medicare and Medicaid, but it will also affect health insurance, care providers, and the types of care that are currently available. The growing population of elderly and others needing care may find some services will continue to grow while others may decrease due to shortage of people, lack of funding, and other factors that may influence how these services are provided and will ultimately have a bearing on the delivery of care over all.

Foos, P., & Clark, M.C. (2008). Human Aging. (2nd ed.). Boston, MA: Allyn & Bacon,

Pratt, J.R. (2010). Long-term care: Managing across the continuum. (3rd, ed.). Sudbury, M.A. Jones and Bartlett.…...

Similar Documents

Premium Essay

Effective Training Program Influence Service Quality and Customer Satisfaction

...more on service quality and their customer’s needs and wants. Reason why must focus on needs and wants of their customer and service quality is because customer will seek for solution when they needs or wants something and they always look for better service quality. If the industry can produce something according to customer needs and wants then they will success. Customer will return to the particular industry if they receive quality service and quality product that they want. Customer will be satisfied if they get what they want. To achieve service quality and customer satisfaction must have valuable human resources. Through training and development program, employee will be become more perfect to achieve service quality. Therefore, training and development program that will influence service quality and customer satisfaction are very important for an organization to be successful. Keywords: Service quality, customer satisfaction, training and development program Acknowledgement I would like to acknowledge the important role of Ms.Adeline Yong, my tutor for teaching us how to write a research proposal, how to find journal, how to set up questionnaire, how to collect data and how to use SPSS system. This research proposal is one of my coursework to review the relationship between training program, customer satisfaction and service quality. Introduction In this research proposal, include explanatory study that will seek to test the effective training program......

Words: 3560 - Pages: 15

Premium Essay

Proposal for a New Career Exploration Program for Service Canada

...Proposal for a New Career Exploration Program for Service Canada This proposal is for a new career exploration program for Service Canada office of Cornwall, Ontario. It will examine the use of four standardized assessments in career counseling, then select and budget relevant assessments and resource material. The anticipated client group includes: unemployment recipients (70% recently unemployed due to downsizing), average age is 30-40, 60% female, 20% First Nations, 20% professional immigrants, and an English and French population. To get a fuller understanding of an individual undergoing career counselling, there are four main groups of the psychometric assessments to consider performing, that would be helpful to assisting the individual in their decision process, they are: value scales, interest inventories, personality inventories, and aptitude test. Even though the connection between these four groups of assessment is complex, an easier way to describe the main interrelationships in terms of career assessment is that values measures make it easier to understand fundamental motivators and the cultural context. Interests come from, and can be understood in the context of these fundamental values. If the outcomes of interest measures are vague, for instance if there are two differing veins of interests, the career counsellor can go back to the values outcomes to offer a starting point for choosing between them. The personality and aptitude measures provide the person an...

Words: 1637 - Pages: 7

Free Essay

The Evolution of Wire Services.

...Abstract This paper explores the origin of wire services, major new agencies providing those services, and the evolution of the service over its history. Wire services are necessary for the facilitation of news internationally. The methods of providing news from a wire service, or news agency, to other newspaper, periodical, radio, television, or other communication outlet has evolved throughout history. This paper explores the humble beginnings of wire services and highlights several of the major wire service providers, including Reuters, The Associated Press (AP), United Press International, Agence France Presse (AFP), and Bloomberg. The Evolution of Wire Services: Then and Now Wire services are integral components of international communication. Also referred to as a news agency, a wire service is an organization “that sends out syndicated news copy to subscribers by wire or by satellite transmission (Mish, 1997).” With origins dating back to the early 1850s (McPhail, 2010), wire services have not always conducted communication transfers with advanced technology like satellite transmissions. From telegraphy to teleprinters to radio, the process of getting news from a wire service to its dependent news and other providers has evolved substantially throughout the years. The conception and continued modernization of wire services can be attributed to various agency titans, including Reuters, The Associated Press (AP), United Press International, Agence France Presse......

Words: 3472 - Pages: 14

Premium Essay

The Evolution of Medicaid

...The Evolution of Medicaid Genesis65 HCS/310 April 19, 2010 Barbara Sinacori, RN, MSN, CNRN The Evolution of Medicaid Prior to 1965, the poor elderly in the United States were left with little options when it came to accessing and paying for preventative health related services. As a result, many of the poor in the U.S. went without routine health care or treatment for known illnesses. In response to this growing issue, the Federal government, under the direction of President Lyndon B. Johnson and in conjunction with state governments, established the Medicare program on July 30, 1965 through Title XIX of the Social Security Act (Centers for Medicare and Medicaid Services, 2010). Along with passage of the Medicare Bill in 1965, Congress also passed an insurance program known as Medicaid that would provide health care insurance for various groups of disenfranchised U.S. citizens. This paper will briefly discuss the evolution of the Medicaid program and examine how Medicaid has influenced the current health care system in the United States. The ever-rising cost of health insurance has prohibited many businesses from providing health insurance to their workers, effectively leaving millions of Americans uninsured or underinsured. According to the U.S. Census Bureau (2007), “The number of people without health insurance coverage [in the U.S.] rose from 44.8 million (15.3 percent) in 2005 to 47 million (15.8 percent) in 2006.”......

Words: 1112 - Pages: 5

Premium Essay

Managing Teacher Education and in-Service Programs: Learning Styles Perspective

...Managing teacher education and in-service programs: Learning styles perspective Urban schools and minority students. It is possible that the quality of teaching is inadequate only in urban schools attended by poor children who are members of minority groups. In a family with three or more children, one will do well, another will perform adequately and another will be bored or frustrated on an almost daily basis. • Special education and need for in-service. Parents are led to believe that special education is a legitimate classification for students who are unable to learn. But if future teachers were being taught to identify and teach to their student’s learning styles during their initial training, the need for frequent retraining would be drastically diminished. • Lack of student discipline and/or motivation. It is often said that students are not as well disciplined or as highly motivated as students used to be. Motivation is not biologically imposed; it results from students’ experiences and interests. Teachers who are unable to motivate and teach their students need to learn how to do so. • Children taking prescription medications. Physicians may not understand that active and nonconforming children learn differently from the way passive, conforming children do. Parents allow their active children to be drugged because they are unaware that their children can learn; that traditional instructional approaches are not responsive to how their children learn. •......

Words: 2695 - Pages: 11

Premium Essay


...offering and freely exchanging products and services of value with other. The managerial perspective of marketing is “the art of selling products” (Kotler P. and Keller K, 2006). It can also be defined as an organizational function and a set of process for creating, communicating and delivering value to customers and for managing customer relationship in ways that benefit the organization and it stakeholder (AMA, 2007). Marketing Mix – this has been defined as the set of marketing objectives in target market (Kotler P. and Keller K, 2006). According to Borden, is the set of marketing tools that the firm uses to pursue its marketing objectives (Zinkhan et al, 2007). However, these tools were classified into four based groups which McCarthy called the four P’s of marketing: product, price, place and promotion. Marketing strategy – this is the marketing tool as well by which the business units hope to achieve its marketing objectives. It consists of specific strategies for target market positioning the marketing mix and marketing expenditure level (Levy S.J, 2004). Marketing of banking services – this is the process of identifying and stimulating demand for the banks service, meeting that demand by making available the banking services in the most effective and efficient manner to present and potential customers and achieving the profit and other objectives related to the identification, stimulation and satisfaction of demand for the bank services (Kotler P. and Keller K,......

Words: 2997 - Pages: 12

Premium Essay

Qualitative Service Program

...QUALITATIVE SERVICE PROGRAM (QSP) Effective April 1, 2012 the Army activated the enlisted Qualitative Service Program (QSP) to identify NCOs for involuntary early separation from active duty. The QSP consists of a series of centralized enlisted selection board processes designed to support the Army Leader Development Strategy (ALDS) and to retain the highest quality NCOs who display the greatest potential for continued service while satisfying mandated force structure requirements. An active duty Noncommissioned Officer (NCO), upon attaining the rank of Staff Sergeant (SSG), serves in a voluntary indefinite status once they reenlist with over 10 years of active federal service (AFS). These NCOs continue to serve on active duty consistent with a retention control point (RCP) for the rank they hold. Depending on their rank, the maximum period of service may extend up to 35 years. Combined with promotion timing, RCPs establish specific leader development gateways used to develop a professional NCO Corps. When faced with rapid structure reductions, especially at the senior NCO grades, the Army cannot achieve balance by natural attrition alone. A force shaping process to accelerate losses becomes necessary in order to preserve viable career paths across all military occupational specialties (MOSs) in an effort to sustain an All Volunteer Army. Because the Army cannot achieve future end strength requirements through natural loss of personnel, the Army developed and......

Words: 914 - Pages: 4

Free Essay

Human Service Programs: Commonalities & Successes

...Human Service Programs: Commonalities & Successes Paper Mindy Joy Mayer BSHS/425 12/15/2014 Nicole Nightingale Human Service Programs: Commonalities & Successes Paper All human service agencies share the goal of satisfying human needs through an interdisciplinary knowledge base, concentrating on prevention as well as remediation of problems, and asserting a commitment to better the tone of life enhancement and bring positive changes to the families and individuals (National Human Service, 2014). There are many characters of human service that are under vary by category, and it comes in different sizes, such as a worldwide representation to small agency in many urban centers. Most agencies are nonprofit, which the nonprofit uses its revenues to carry out its missionary work, and cannot distribute profits to owners or shareholders. Some agencies are for profit, which for-profit agencies carries out their missionary works, but uses revenue as profit. Human service agencies’ mission is to put people’s need as a first priority through an interdisciplinary knowledge base focusing on prevention and commitment to help improve the quality of life (National Human Service, 2014). There are four trends, which is political, economic, social, and technological. The political pressure to avoid displaying material reduction in service while costs increase and revenues falls the changes in human services. Technologies has produced a great alteration in human services,......

Words: 494 - Pages: 2

Premium Essay

Human Services Programs: Commonalities and Successes Paper

...Human Services Programs: Commonalities and Successes Paper Sandra Vargas BSHS/425 February 11, 2015 Dr. Christa Banton Human Services Programs: Commonalities and Successes Human services organizations are unique organizations that are different than any other in the general business world. According to Lewis and Packard (2012), human services organizations work together toward a common goal. Human services professionals work together in different settings and many ways to assist clients improve their lives. This shared vision brings other challenges that need to be dealt in partnership with other professionals. There are common denominators between agencies that are essential in the delivery of the services. Each organization has its own specific service that is provided to a specific population or area. Never the less, they all share the same goal that is to enhance their client’s lives. Through the years, service deliveries have changed based on the trends of that specific time. Service deliveries change based on different factors such as: Political trends, economic trends, social trends, and technological trends (Lewis & Packard, 2012). There are qualities in the human service field that are contributors to the organization’s success. Some of the qualities in the human services organizations are the careful consideration been given to the employees and the sense of stake they have in the organization (Lewis & Packard, 2012). Common......

Words: 968 - Pages: 4

Premium Essay

Ltc310 Evolution

...Evolution of Services and Programs For as long as humans have existed, there has been elderly care. By nature, we are a caring species. The means of the care provided for the elderly population has evolved tremendously within the last fifty years. The twentieth century has been a record era for the elderly population. Within the last fifty years, programs and services have been established to provide many means for older adults. To care for older adults, many programs and services have gone above and beyond to provide as much as possible for older adults to remain happy and healthy throughout their later years. In 1965, Medicaid and Medicare were established as part of the Social Security Act (Administration for Community Living, n.d.). When the Medicare law was passed, large nursing homes based on medical models were built. These facilities included nursing stations and routine care that was given until the patient passed away. In the 1980s, Congress was brought to the attention of abuse and neglect in nursing homes. To stop this from happening, the Omnibus Budget Reconciliation Act of 1987 was declared. This stated that residents in nursing homes deserve a home where they can live for the rest of their lives like individuals. At this time, social, spiritual, emotional, occupational, recreational and cultural needs were introduced as needs to the elderly residents. Today, the elderly population is growing rapidly as the Baby Boom generation enters their......

Words: 739 - Pages: 3

Free Essay

Human Service Programs Commonalities & Successes Paper

...Human Service Programs Commonalities & Successes Paper BSHS 425 Human Service Programs Commonalities & Successes Paper The field of human services primary objective is meeting human needs this is accomplished through an interdisciplinary knowledge base. Human services focus on the prevention and solution of problems while maintaining their commitment to service populations to improve or enhance their overall quality of life. The personal and social development of individuals, families, and communities are dealt with by human service programs. The central focus of all human service programs is to enhance the well-being of the client. Human service programs are in place to help clients meet their needs and solve their problems. The four environmental trends of human service are political, economic, social, and technological. Human service programs are affected by political trends that affect their local environments and challenge their abilities to respond to change (Lewis, Lewis, & Packard, 2012). Despite the efforts of economic development to empower low-income residents the increase of inequality is causing our society to divide further. The human service programs social trends deal with the increase of immigrants in the United States. With these diverse populations clients and families in need of services will increase and with that comes the need for the workers to have knowledge of other cultures. This will cause young people entering the human services field...

Words: 436 - Pages: 2

Premium Essay

Evolution of a Training Program in Use of Electronic Medical Records: Towards Efficiency and Quality Scale-Up “Doing More with Less”

... Evolution of a Training Program in Use of Electronic Medical Records: Towards Efficiency and Quality Scale-Up “Doing more with less” Introduction International Training and Education Center for Health (I-TECH) is a global network that supports the development of a skilled health work force to provide effective prevention, care, and treatment of infectious disease in the developing world I-TECH provides technical assistance to the Kenyan Ministry of Health for implementation of an open-source electronic medical record (EMR) system, called KenyaEMR (hosted on Open MRS platform) within 315 public health facilities in four regions of Kenya. Before implementation, I-TECH carried out a training needs assessment among personnel in 23 facilities. Distinct training needs for health managers and front-line health care workers identified Method I-TECH implemented three different strategies in delivering KenyaEMR trainings to users Trainings were delivered by three different groups (training institutions, centrally located facilitators, county facilitators) Training locations transitioned from off-site (hotel-based) trainings to on-site (facility-based) trainings in a bid to train more health care workers (HCW) Length and content of trainings was adjusted in response to curriculum evaluation and strategy changes to incorporate mentorship sessions Strategy #1 • Five-day off site user training • Delivered by facilitators from training institutions Strategy #2 • Three-day...

Words: 458 - Pages: 2

Free Essay

National Service Training Program

...REVISED IMPLEMENTING RULES AND REGULATIONS OF THE NATIONAL SERVICE TRAINING PROGRAM (NSTP) Pursuant to Section 12 of Republic Act No. 9163 otherwise known as the National Service Training Program (NSTP) Act of 2001, the Commission on Higher Education (CHED), Technical Education and Skills Development Authority (TESDA), and Department of National Defense (DND), in consultation with concerned government agencies, the Philippine Association of State Universities and Colleges (PASUC), Coordinating Council of Private Educational Associations of the Philippines (COCOPEA), Non-Government Organizations (NGOs) and recognized student organizations, hereby jointly issue, adapt and promulgate the following implementing rules and regulations in implement the provisions of the Act. Rule I GUIDING PRINCIPLES Section 1. Guiding Principle. While it is the prime duty of the government to serve and protect its citizens, in turn it shall be the responsibility of all citizens to defend the security and promote the general welfare of the State, and in fulfillment thereof, the government may require each citizen to render personal military or civil service. Section 2. Role of the Youth a. In recognition of the vital role of the youth in nation building, the State shall promote civic consciousness among them and shall develop their physical, moral, spiritual, intellectual and social well-being. It shall inculcate the ideals of patriotism, nationalism, and advance...

Words: 2524 - Pages: 11

Premium Essay

The History and Evolution of the Fire Service was able to harness the power of fire, he has been trying to control it. From a single bucket wielding man to a complex well trained and organized team have been working on controlling and suppressing fire for millennia’s. Many simple and complex tools have been developed to help in the control and suppression of fire. Organized fire brigades can be dated back to the earliest civilizations because of the fear of fire and the damage that it can cause. Many great infrastructures have fallen to the devastation of fire and have taken large groups of dedicated members to control those fires. Over the past century, the fire service has become more than just fire suppression, now these dedicated individuals are trained to rescue people, control hazardous materials, perform fire prevention duties, and attend to the injured. Many people think that the fire service is a fairly modern idea due to the industrial revolution. Some researchers have said that firefighting was first started and organized in ancient Egypt. There is evidence of firefighting machinery was used in Ancient Egypt, including a water pump that was developed by Ctesibius of Alexandria in the third century BC which was later improved upon in a design by Hero of Alexandria in the first century BC. One of the first well documented fire brigade or suppression team was the ones of the Roman Empire. The Roman emperor Augustus is credited with instituting a corps of fire-fighting "watchmen" in 24 BC. Regulations for......

Words: 11715 - Pages: 47

Premium Essay

Evolution of Silos

...“Evolution of Silos and the Subsequent Impact on Organizational Behavior". Managing People in Organizations Word Count: - 3,488 Executive Summary This paper focuses on how culture has impacts the evolution of silos, their subsequent impact on organizational behavior and outcomes for the institution if they are not eliminated. In a competitive environment it is imperative that organizations be as effective and efficient as possible. When departments exist in silos this hinders cross functionality and synergy due to lack of communication and common goals. This in turn has a negative impact organizational behavior and culture. This report examines University Y a Federal third level Education Institution in the Country X which specializes in providing tertiary education for female Nationals using an American Curriculum. It specifically looks at the evolution of silos within the Finance and Administration units which support the academic mission. There are seven of these units they include Finance, Human Resources, Campus Services, Campus Physical Development, Marketing and Publications, Contracts and Procurement and Computing Services. In addition to exploring how organizational culture influenced the evolution of these silos, it examines the impact of the unique culture of the COUNTRY X and finally what role the leader played in the sustaining of these silos, showing that leadership and culture are closely aligned. It examines the challenge of applying...

Words: 4266 - Pages: 18