Semmler O
Rehabilitation (Stuttg). 1990 Feb;29(1):28-32.
The impetus for founding the Bundesarbeitsgemeinschaft für Rehabilitation BAR (Federal Rehabilitation Council) had been the will of the social partners that the coordination found to be indispensable in the rehabilitation field should be brought about and safeguarded in the long run while preserving the rights of self-government. Founded February 6, 1969 as a voluntary association of all branches of the social protection system, the Federal Rehabilitation Council already in 1970 presented principles for harmonization of services and benefits as well as for cooperation among the rehabilitation administrations involved, pointing out perspectives for benefitting from the advantages of the structured system and overcoming its disadvantages. In retrospect, it is notably the harmonization agreements (Gesamtvereinbarungen) concluded at BAR-level and the various standards presented that document its successful work. Voluntarily agreed on by the various rehabilitation administrations, these rules and regulations for harmonization are fully in line with the legislator's intentions in this respect, and are recognized to have obviated governmental action. The range of future tasks of the Federal Rehabilitation Council will in particular be moulded by the changing disease spectrum on account of the increase of chronic conditions as well as by demographic changes due to a growing number of old people. Both factors require new approaches in the field of integration of disabled persons, ranging from increased efforts to implement community-based rehabilitation, to needs-based concepts in psychosocial counselling. Like in other areas, research and teaching will have to come to an even closer dialogue with practice in rehabilitation, too.
成立联邦康复委员会(Bundesarbeitsgemeinschaft für Rehabilitation,BAR)的推动力源自社会合作伙伴的意愿,即希望在康复领域实现协调,这在长期来看必不可少,同时要在维护自治权利的前提下实现并保障这种协调。联邦康复委员会于1969年2月6日作为社会保护体系所有部门的自愿协会成立,1970年就已提出服务与福利协调以及相关康复管理部门间合作的原则,指出了从结构化体系的优势中获益并克服其劣势的前景。回顾过去,尤其是在联邦康复委员会层面达成的协调协议(Gesamtvereinbarungen)以及所提出的各项标准,都证明了其工作的成功。这些协调的规章制度是各康复管理部门自愿达成的,完全符合立法者在这方面的意图,并且被认为避免了政府的干预。由于慢性病增多导致疾病谱变化,以及老年人数量增加带来的人口结构变化,联邦康复委员会未来的任务范围将尤其受到影响。这两个因素都要求在残疾人融入领域采用新方法,从加大实施社区康复的力度到心理社会咨询中基于需求的概念。与其他领域一样,康复领域的研究和教学也必须与实践进行更紧密的对话。