[Quality management and development in primary prevention and health promotion: status, challenges, and perspectives].

In the past three decades, quality development in primary prevention and health promotion have developed significantly. A major contribution to this has been their legal anchoring. The reintroduction of prevention and health promotion in the statutory health insurance and the Prevention Act gave this development an additional boost. The discourse that had already begun in the run-up to this, involving numerous researchers and stakeholders from different fields of prevention and health promotion, contributed to an increased understanding of central aspects of quality development. Comprehensive procedures for quality assurance and development are available for prevention and health promotion. In addition, recommendations for action, checklists, and instruments, for example, have been edited and are easily accessible for all four quality dimensions - planning, structural, process, and outcome quality. Certifications and quality seals for interventions and health promoting institutions are available.However, none of these procedures is used comprehensively and continuously. The fields in prevention and health promotion differ significantly with regard to the implementation of quality assurance. Obstacles are, among other things, insufficient human and financial resources with simultaneous discontinuity and intra-facility quality management systems. There is a need for action to further develop the implementation of quality on site, especially in the community setting, and to better integrate quality assurance into existing structures. Qualification, intensive exchange, and small-scale prevention reporting should promote quality development.