Weinbrenner Susanne, Kayser Eve Luise, Moser Nina-Tamara, Siebert Thorsten
Geschäftsbereich Prävention, Rehabilitation und Sozialmedizin, Deutsche Rentenversicherung Bund, Ruhrstr. 2, 10704, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2022 Mar;65(3):319-326. doi: 10.1007/s00103-022-03501-6. Epub 2022 Feb 22.
According to Sixth Book of the Social Code (SGB VI), the German Pension Insurance (GPI) has the mandate to maintain or restore the employability of its insured persons. In order to achieve this goal, the GPI offers its insurees rehabilitation benefits. These are, on the one hand, services for prevention and medical rehabilitation (rehab) and, on the other hand, services for return-to-work or stay-at-work, respectively. In order to fulfill this mandate in the best possible way, in 1990 the GPI introduced instruments of external quality assurance (EQS) with scientific support. The system was firmly established in 1997. Since then, all rehab facilities owned and managed by the GPI are obliged to participate in the EQS system.Over the years, a large number of instruments and procedures have been developed that can map various aspects of quality as structure, process, and outcome. Until 2017, results of the EQS had no influence on the cooperation between the GPI and service providers. With the binding decision of the Federal Executive Board of the GPI in 2017, for the first time the GPI linked the allocation of rehab services for specific patients with the results of EQS. On this basis - confirmed by article 3 of the Digital Pension Overview Act - new paths are being taken. As part of the technically supported selection of a suitable facility for insured persons, quality should systematically and transparently acquire special importance and be consistently taken into account when occupying rehab facilities.This article gives an overview of the development of the proved and tested instruments of rehab quality assurance (QA), their current application, and an outlook on the rehab QA of the future.
根据《社会法典》第六卷（SGB VI），德国养老保险（GPI）的任务是维持或恢复其参保人员的就业能力。为实现这一目标，GPI为其参保人员提供康复福利。这些福利一方面是预防和医疗康复服务，另一方面分别是重返工作岗位或维持工作岗位的服务。为了尽可能好地履行这一任务，GPI于1990年引入了在科学支持下的外部质量保证（EQS）工具。该系统于1997年稳固确立。自那时起，GPI拥有和管理的所有康复机构都必须参与EQS系统。多年来，已经开发出大量工具和程序，这些工具和程序能够从结构、过程和结果等方面描绘质量的各个方面。直到2017年，EQS的结果对GPI与服务提供商之间的合作没有影响。随着GPI联邦执行委员会在2017年做出具有约束力的决定，GPI首次将特定患者的康复服务分配与EQS的结果联系起来。在此基础上——经《数字养老金概述法》第3条确认——正在开辟新的道路。作为为参保人员技术支持选择合适机构的一部分，质量应系统且透明地获得特别重要的地位，并在占用康复机构时始终予以考虑。本文概述了经过验证和测试的康复质量保证（QA）工具的发展、它们目前的应用情况以及对未来康复QA的展望。
