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Describe the major trends in the evolution of health care services in the United States over the past 100 years and the impact policies had on the changes.

Participation Requirements

The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by wednesday, 11:59 p.m. Eastern Time. Two scholarly sources references are required, unless stated otherwise by your professor.

Please review the rubric before posting to ensure a maximum of points.

Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of DNP essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)

Rigor, currency,  and relevance of the scholarly references. (Use articles that are below 5 years). (20%)

Peer & Professor Responses. The number of responses, quality of response posts. (20%)

Timeliness of the initial post and the answers to the peers. (10%)

 

Struggling with where to start this discussion? Follow this guide to tackle your post easily!

Step-by-Step Guide for Writing Your Discussion Post

Step 1: Understand the Scope of the Question

• Focus on major trends in U.S. healthcare over the last 100 years: expansion of hospital care, rise of managed care, introduction of Medicare/Medicaid, advances in technology, telehealth, and preventive care.

• Identify key policies that drove these trends, such as:

  • Social Security Act (1935)

  • Medicare & Medicaid (1965)

  • Affordable Care Act (2010)

Step 2: Organize Your Discussion Structure
A clear structure ensures relevance and high readability:

1. Introduction (2–3 sentences) – Briefly introduce the evolution of U.S. healthcare.

2. Body Paragraphs (3–4 paragraphs) – Discuss major trends and link each trend to the policy impact.

3. Conclusion (2–3 sentences) – Summarize the overall effect of these trends and policies.

Step 3: Provide Evidence and Scholarly Support

• Cite recent scholarly sources (within 5 years).

• Use data, statistics, or examples from research studies to support trends and policy impact.

• Example trends to highlight:

  • Shift from infectious to chronic disease management

  • Growth of outpatient and home care services

  • Impact of federal and state health policies on accessibility and affordability

Step 4: Connect to DNP Essentials and Competencies

• If applicable, link your discussion to DNP role-specific competencies, e.g., leadership, policy advocacy, and systems-based practice.

• Explain how understanding policy trends helps nurse leaders improve healthcare delivery.

Step 5: Engage with Peers

• Respond to at least one peer post with substantive feedback.

• Agree, expand, or challenge perspectives using evidence.

• Keep responses professional, respectful, and evidence-based.

Step 6: Writing and Quality Control

• Use professional, clear, and concise language.

• Avoid grammar, spelling, and punctuation errors.

• Make sure your post is substantive (at least 300–400 words).

Step 7: References

• Include at least two scholarly references in APA format (recent publications preferred).

• Examples of sources: peer-reviewed journals, government publications, professional association reports.

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Helpful Resources

• CDC: History of U.S. Public Health: https://www.cdc.gov/about/history/index.html

• Health Affairs: U.S. Health Policy Analysis: https://www.healthaffairs.org/

• Borkowski, N. & Meese, K.A. (2021). Organizational behavior in healthcare (4th ed.). Jones & Bartlett Learning.

• Weberg, D. & Davidson, S. (2019). Leadership for evidence-based innovation in nursing and health professions (2nd ed.). Jones & Bartlett Learning.

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