Tempelmann Anke, Kolpatzik Kai, Ehrenreich Heidi, Ströing Miriam, Hans Christian
AOK-Bundesverband Abteilung Prävention, Rosenthaler Str. 31, 10178, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Mar;62(3):296-303. doi: 10.1007/s00103-019-02910-4.
With the demographic shift, the number of persons in need of long-term care is continuing to grow, as is the need for nursing care staff and specialists. Stress levels within the long-term care sector are very high. Multiple legislative reforms have given rise to societal and political awareness of the resulting challenges: Preventive Health Care Act (2015), First and Second Acts and Third Bill to Strengthen Long-term Care (2015-17), Federal Participation Act (2017), and the Bill to Strengthen Nursing Care Staff (2019).To meet these challenges, in May 2017 the four-year project quality-oriented prevention and health promotion in institutions for persons with disabilities and of long-term care (QualiPEP) was founded. It is administered by the AOK-Bundesverband and promoted by the federal health ministry. The project addresses part- and full-stationary residential long-term care settings and residential home settings for persons with disabilities. It pursues three goals: 1. Developing a quality concept to improve effectiveness and sustainability of prevention and health-promotion programming; 2. Strengthening the health literacy of home residents, employees and organizations (therefore, a framework concept will be developed); 3. Expanding upon existing workplace health-promotion measures for employees. The ultimate impact objective is to increase health-related quality of life for the target groups.The process of developing quality indicators begins with a needs assessment, followed by phases of conceptualization, implementation, evaluation and adaptation. The present article illustrates QualiPEP project objectives with a specific focus on long-term care facilities and further describes the project's research design and planned execution.
随着人口结构的变化，需要长期护理的人数持续增长，对护理人员和专家的需求也在增加。长期护理部门的压力水平非常高。多项立法改革引发了社会和政治对由此产生的挑战的认识：《预防性医疗保健法》（2015年）、《加强长期护理的第一部和第二部法案及第三项法案》（2015 - 2017年）、《联邦参与法》（2017年）以及《加强护理人员法案》（2019年）。为应对这些挑战，2017年5月启动了为期四年的“面向残疾人和长期护理机构的质量导向型预防与健康促进”（QualiPEP）项目。该项目由德国法定健康保险医师协会联邦联合会管理，并由联邦卫生部推动。该项目涉及部分和全托式长期护理机构以及残疾人寄宿家庭。它追求三个目标：1. 制定质量概念，以提高预防和健康促进计划的有效性和可持续性；2. 提高寄宿者、员工和组织的健康素养（因此，将制定一个框架概念）；3. 扩展针对员工的现有工作场所健康促进措施。最终的影响目标是提高目标群体与健康相关的生活质量。制定质量指标的过程始于需求评估，随后是概念化、实施、评估和调整阶段。本文以长期护理机构为重点阐述了QualiPEP项目目标，并进一步描述了该项目的研究设计和计划执行情况。
