[10-year anniversary of the Long-term Care Charter : Time to take stock]. / 10 Jahre Pflege-Charta : Zeit, Bilanz zu ziehen.

Ten years ago, the Charter for People in Need of Long-term Care was published in Germany. The Charter contains a series of basic rights for people in need of long-term care. At the initiative of the Federal Ministry for Family Affairs, Senior Citizens, Women and Youth (BMFSFJ), this was developed in a complex consensus process together with the Federal Ministry of Health (BMG) and representatives from all areas of care. Since then, the Charter has gained practical relevance in various areas of care and has entered into legislation. The article looks at the dissemination and impact of the Charter following a review of the social and legal environment. Further implementation requirements and the revision of the charter are discussed.

[Evidence-based rehabilitation and health care in view of social law]. / Evidenzbasierte Reha- bilitation und Pflege im Spiegel des Sozialrechts.

The explicit requirement for rehabilitation to be based on sound scientific evidence is only sporadically encountered among statutory provisions. Nevertheless, such requirement may be implicitly concluded from regulations for effective and high-quality service provision. Evidence-based rehabilitation medicine differs from evidence-based clinical medicine in that rehabilitation is obliged to aim at more therapeutic goals than just maintenance, recovery, or improvement of health. Furthermore, among statutory pension funds the granting of rehabilitation measures depends on an individual's probability to improve his or her earning capacity by rehabilitation. This point particularly denotes the need for a sound scientific evidence base. Care, as defined by Social Code Book XI (SGB XI), is mainly directed towards the support of daily living activities--therefore a scientific evidence base does not play a specific role. In sick-nursing, the role of evidence-based practice has not yet achieved a clear significance. Aside from service provision, evidence-based decisions may play a role in planning of facilities and services for rehabilitation. In rehabilitation medicine, the responsibilities for the production and financing of scientific evidence, aside from educational and research purposes, may be seen in compatibility with the responsibilities after and 19, Para. 1 Social Code Book IX for the provision of adequate services: The federation, the states, and providers/payers of rehabilitation.