[Evaluation and quality assurance in neurorehabilitation]

Quality assurance is among the dictates of the hour and should, through integral feedback, lead to on-going methodical improvement. It must not be mistaken for merely comprising control measures decreed from higher up. The following is brought forward: 1. Humaneness must be the overruling principle. 2. The methodological specifics of the various disciplines and the needed range of methods on the one hand have to be accepted with all their complexities, yet on the other be tied into an appropriate quality assurance system with certain norms and standards. 3. We were able to develop the "Barolin-Reha-Scale", which has proved its efficiency in neuro-rehabilitation and has several advantages over the previously available scales. 4. In addition, on-going patient self-assessment must routinely be carried out, although we certainly are well aware of the many "subjectivity factors" involved. 5. The above can only come to bear if meaningful controls are permanently established in addition to the necessary motivational and organisational measures.