[Outcome Quality in Medical Rehabilitation: Relationship Between "Patient-Reported Outcomes" (PROs) and Social Security Contributions]. / Ergebnisqualität medizinischer Rehabilitation: Zum Zusammenhang zwischen "Patient Reported Outcomes" (PROs) und geleisteten Sozialversicherungsbeiträgen.

Aim of the Study The outcome quality of medical rehabilitation is evaluated often by "Patient Reported Outcomes" (PROs). It is examined to what extent these PROs are corresponding with "hard" or "objective" outcomes such as payments of contributions to social insurance. Methods The "rehabilitation QM outcome study" includes self-reports of patients as well as data from the Rehabilitation Statistics Database (RSD) of the German pension insurance Baden-Wurttemberg. The sample for the question posed includes N=2 947 insured who were treated in 2011 in 21 clinics of the "health quality network" and who were either employed or unemployed at the time of the rehabilitation application (e. g. the workforce or labour force group, response rate: 55%). The sample turned out widely representative for the population of the insured persons. Results PROs and payment of contributions to pension insurance clearly correspond. In the year after the rehabilitation improved vs. not improved rehabilitees differed clearly with regard to their payments of contributions. Conclusions The results support the validity of PROs. For a comprehensive depiction of the outcome quality of rehabilitation PROs and payments of contributions should be considered supplementary.

[Population- and system-oriented quality assurance--is there a need for qualification for medical practice and physicians?] . / Bevölkerungs- und systemorientierte Qualitätssicherung--Qualifikationsbedarf für Arztinnen und Arzte?

The position of public health related issues in the continuing/professional education "quality management for doctors" is discussed, especially in terms of a deepened comprehension of systems of the health care providers. To answer this question, structured working groups with the participants of the courses on "quality management for doctors" were held. From the public health related quality assurance they expect valid statements on undersupply and excess supply of certain population groups, generalization of experiences and subjective assessments and support to contact and to communicate with special population groups such as migrants. The need for qualification was worked out especially for epidemiological basics, for methods in the health reporting system and health technology assessment as well as communication techniques.