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Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany

This article reviews the German discourse on quality of life, quality assurance, and outcome measurement in services for persons with intellectual disabilities. Following institutional assumptions of path dependencies in organizational development, it is argued that concepts such as quality assuranc...

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Autores principales: Rohrmann, Albrecht, Schaedler, Johannes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486834/
https://www.ncbi.nlm.nih.gov/pubmed/36188892
http://dx.doi.org/10.3389/fresc.2022.890822
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author Rohrmann, Albrecht
Schaedler, Johannes
author_facet Rohrmann, Albrecht
Schaedler, Johannes
author_sort Rohrmann, Albrecht
collection PubMed
description This article reviews the German discourse on quality of life, quality assurance, and outcome measurement in services for persons with intellectual disabilities. Following institutional assumptions of path dependencies in organizational development, it is argued that concepts such as quality assurance must be understood in the context of the national support system development. For the Federal Republic of Germany, it can be noted that previous approaches to quality assurance of services based on measurement and evaluation tools have not been the drivers of innovation for inclusion. The driving forces behind reforms in the field of disability originated from the three angles of the social service structure (people with disabilities, statutory welfare agencies, and service providers). Policies of key actors were not part of a consistent reform strategy. However, the main elements of the inclusive philosophies of the disability rights movement became hegemonial and led to national legislation that prioritizes person-centered support arrangements in inclusive settings. With regard to governance arrangements in Germany and the idiosyncrasies of local disability fields, it is suggested that there should be a conceptualization of quality assurance in a multilevel approach as “local quality dialogues for collective learning.”
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spelling pubmed-94868342022-09-29 Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany Rohrmann, Albrecht Schaedler, Johannes Front Rehabil Sci Rehabilitation Sciences This article reviews the German discourse on quality of life, quality assurance, and outcome measurement in services for persons with intellectual disabilities. Following institutional assumptions of path dependencies in organizational development, it is argued that concepts such as quality assurance must be understood in the context of the national support system development. For the Federal Republic of Germany, it can be noted that previous approaches to quality assurance of services based on measurement and evaluation tools have not been the drivers of innovation for inclusion. The driving forces behind reforms in the field of disability originated from the three angles of the social service structure (people with disabilities, statutory welfare agencies, and service providers). Policies of key actors were not part of a consistent reform strategy. However, the main elements of the inclusive philosophies of the disability rights movement became hegemonial and led to national legislation that prioritizes person-centered support arrangements in inclusive settings. With regard to governance arrangements in Germany and the idiosyncrasies of local disability fields, it is suggested that there should be a conceptualization of quality assurance in a multilevel approach as “local quality dialogues for collective learning.” Frontiers Media S.A. 2022-08-26 /pmc/articles/PMC9486834/ /pubmed/36188892 http://dx.doi.org/10.3389/fresc.2022.890822 Text en © 2022 Rohrmann and Schaedler. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Rehabilitation Sciences
Rohrmann, Albrecht
Schaedler, Johannes
Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany
title Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany
title_full Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany
title_fullStr Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany
title_full_unstemmed Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany
title_short Quality assessment, inclusive community development, and collective learning: An institutional perspective from Germany
title_sort quality assessment, inclusive community development, and collective learning: an institutional perspective from germany
topic Rehabilitation Sciences
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486834/
https://www.ncbi.nlm.nih.gov/pubmed/36188892
http://dx.doi.org/10.3389/fresc.2022.890822
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