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[德国养老保险的康复质量保障:概述]

[Quality assurance of rehabilitation by the German pension insurance: an overview].

作者信息

Klosterhuis H, Baumgarten E, Beckmann U, Erbstösser S, Lindow B, Naumann B, Widera T, Zander J

机构信息

Deutsche Rentenversicherung Bund, Berlin.

出版信息

Rehabilitation (Stuttg). 2010 Dec;49(6):356-67. doi: 10.1055/s-0030-1268433. Epub 2010 Dec 7.

Abstract

The German pension insurance has in recent years developed a comprehensive programme for quality assurance in rehabilitation, and has implemented the programme into routine practice. Different aspects of rehabilitation are evaluated with differentiated instruments. Issues dealt with inter alia include the quality of rehabilitative care in a narrower sense, the structure and organisation of the rehabilitation centres, as well as quality from the patients' perspective. On the whole, positive results predominate. Big differences in quality however have been found between the rehabilitation centres. The data collections and data evaluations carried out make a continuous process of quality assurance reporting possible for use by rehabilitation centres and pension insurance agencies. This will enable targeted initiatives for quality improvement. The methods and procedures of quality assurance are enhanced at regular intervals, and the scope of quality assurance is extended. Thus, rehab quality assurance is also expanded to cover ambulant rehabilitation or rehabilitation of children and young people.

摘要

近年来,德国养老保险机构制定了一项全面的康复质量保障计划,并将其应用于日常实践。康复的不同方面通过不同的工具进行评估。特别涉及的问题包括狭义上康复护理的质量、康复中心的结构和组织,以及患者视角下的质量。总体而言,积极成果占主导。然而,各康复中心之间在质量上存在很大差异。所进行的数据收集和评估使康复中心和养老保险机构能够持续进行质量保障报告,从而促成有针对性的质量改进举措。质量保障的方法和程序定期得到加强,质量保障的范围也不断扩大。因此,康复质量保障还扩展至涵盖门诊康复或儿童及青少年康复。

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