Directions and trends in aging services: a German-American comparison.

Services for older people in many countries now appear to have strong similarities. There are, however, important differences in the directions and emphases of these services. This article examines factors related to differing trends in the development of services in the United States and West Germany, two countries that currently have major economic, social, and political commonalities. The differing historical development of these two countries is traced and related to the structure of services for the elderly, the role of professionals in developing these services, and the relative emphases on primary, secondary, and tertiary prevention. Predictions of future trends in services for older persons in the two countries are also explored.