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[Medical rehabilitation between politics and demographic development--consequences for quality management in rehabilitation clinics].

Drastic changes are ahead for medical rehabilitation in the wake of austreity measures in the pension insurance domain. This paper presents consequences for rehabilitation hospitals and their current strategies of coping in the German health care system. Quality management now needs long and medium term planning, rather than short-term reactions. Demographic trends and a changing spectrum of morbidity indicate possible survival strategies. These societal developments are already incorporated in Total Quality Management.