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. 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. 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. 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.

InstituteDie There are many ways to operationalize the construct RTW. In the present study 4 calculation variants are compared. Methods:The data used are from the "Rehabilitation QM Outcome Study", a naturalistic, multicenter observational study including self-reports of rehabilitation patients and data from the German Rehabilitation Statistics Database (RSD). The sample for the present issue includes n = 2 947 insurants of the DRV Baden-Württem-berg, treated at 21 hospitals in 2011. All were economically active at the time of the rehabilitation application, that is employed or unemployed. The sample was broadly representative for the selected total group of insurants. Results: Depending on the type of calculation, the proportions of insurants who were still or again employed one year after rehabilitation (RTW rate) differed between 46 and 83 %. ROC analyzes show that social security contributions differentiate better in the simpler calculation variant, which speaks for the validity of these variants. Conclusions: For the comparison of RTW rates the selected calculation variant is crucial; these should be validated on the basis of both other, patient-reported outcomes and concrete social contributions. Dieses Dokument wurde zum persönlichen Gebrauch heruntergeladen. Vervielfältigung nur mit Zustimmung des Verlages.

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