title: [Outcome Quality in Medical Rehabilitation: Relationship Between "Patient-Reported Outcomes" (PROs) and Social Security Contributions].
abstract: Aim of the StudyThe 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.MethodsThe "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.ResultsPROs 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.ConclusionsThe 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.
authors.affiliation: Gesellschaft für Qualität im Gesundheitswesen GfQG, Karlsruhe.
authors.forename: R
authors.initials: R
authors.lastname: Nübling
authors.affiliation: Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm.
authors.forename: R
authors.initials: R
authors.lastname: Kaluscha
authors.affiliation: Institut für Rehabilitationsmedizinische Forschung an der Universität Ulm.
authors.forename: G
authors.initials: G
authors.lastname: Krischak
authors.affiliation: Gesellschaft für Qualität im Gesundheitswesen GfQG, Karlsruhe.
authors.forename: D
authors.initials: D
authors.lastname: Kriz
authors.affiliation: DRV Baden-Württemberg.
authors.forename: H
authors.initials: H
authors.lastname: Martin
authors.affiliation: Schlossklinik Bad Buchau.
authors.forename: G
authors.initials: G
authors.lastname: Müller
authors.affiliation: Kur- und Klinikverwaltung Bad Rappenau.
authors.forename: J
authors.initials: J
authors.lastname: Renzland
authors.affiliation: Reha-Zentren der DRV BW.
authors.forename: M
authors.initials: M
authors.lastname: Reuss-Borst
authors.affiliation: Gesellschaft für Qualität im Gesundheitswesen GfQG, Karlsruhe.
authors.forename: J
authors.initials: J
authors.lastname: Schmidt
authors.affiliation: Gesellschaft für Qualität im Gesundheitswesen GfQG, Karlsruhe.
authors.forename: U
authors.initials: U
authors.lastname: Kaiser
authors.affiliation: Hochschule Bonn-Rhein-Sieg.
authors.forename: E
authors.initials: E
authors.lastname: Toepler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007341:Insurance / Q000191:economics*; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D017060:Patient Satisfaction / Q000191:economics*; D011785:Quality Assurance, Health Care / Q000191:economics* / Q000706:statistics & numerical data; D011787:Quality of Health Care / Q000191:economics / Q000706:statistics & numerical data; D012046:Rehabilitation / Q000191:economics* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D012943:Social Security / Q000191:economics* / Q000706:statistics & numerical data; D013223:Statistics as Topic; D016896:Treatment Outcome; D055815:Young Adult