Qualität in Prävention und Gesundheitsförderung: Entwicklung eines gemeinsamen Handlungsrahmens in der Qualitätsentwicklung für die Mitglieder der Bundesvereinigung Prävention und Gesundheitsförderung e.V

[Quality prevention and health promotion programming in long-term care: the QualiPEP Project]

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.

[Prevention of overweight in children: Standard setting documents]

BACKGROUND

The quality of preventive measures is an essential precondition for their success. A current objective of health policy in Germany is to find the criteria for quality, as well as to process and discuss them systematically with relevant stakeholders.

OBJECTIVES

An assessment of the quality standards of overweight prevention in children was the main objective of the study. Scientific articles and standard-setting documents of purchasers and providers of measures were analyzed.

METHODS

A literature search with the meta-database MEDPILOT yielded 19 relevant papers, which were processed using a content analysis. An internet-based inquiry using the search engine Google led to 62 standard-setting documents for further analysis.

RESULTS

There is hardly any German literature on the intersection of quality standards and primary overweight prevention in children. Only six of the standard-setting documents have a focus on overweight prevention in children. Overall, there is a wide range of criteria. The documents of the central actors have wide intersection and show a common understanding of quality. Nevertheless, the documents do not relate to each other and it is not yet clear which documents guide the actions for prevention practice.

CONCLUSIONS

To develop common standards, mutual recognition is needed between actors of the field, science and politics. The scientific discourse needs to interrelate better studies of primary prevention with overweight research as well as quality assessment.