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Classification > W - MEDICINE > W - HEALTH PROFESSIONS > W 84.1 Health services. Delivery of health care. General coverage..
W 84.1 Health services. Delivery of health care. General coverage.. |
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After-hours in primary care / Pascale Jonckheer / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)
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Barcode Call number Media type Location Section Status No copy After-hours in primary care / Pascale Jonckheer / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)
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After-hours in primary care : which solutions ? - Syntesis [printed text] / Pascale Jonckheer, Author ; Cécile Dubois
, Author ; Els Verhoeven, Author ; Emilie Rinchard, Author ; Anne-Marie Baudewyns, Author ; Toon Haezaert, Author ; Imgard Vinck
, Author ; Murielle Lona
, Author ; Dominique Paulus
, Author ; Liesbeth Borgermans, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2011 . - 13 p. : ill. ; A4. - (KCE Reports. Health Services Research (HSR); 171CS) .
ISSN : D/2011/10.273/89 : 0,00
Study : 2010-15
Languages : English (eng)
Descriptors: Indexation
2010-15 ; After-Hours Care ; Family Practice ; Primary Health Care ; R171
Classification
W 84.1 Health services. Delivery of health care. General coverage..Link for e-copy: https://doi.org/10.57598/R171CS Format of e-copy: PDF [Open Access](798 KB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2893 Copies
Barcode Call number Media type Location Section Status No copy Care integration in a vulnerable elderly population in Belgium / Justien Cornelis / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2021)
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Care integration in a vulnerable elderly population in Belgium : an evaluation of the third phase of Protocol 3 [printed text] / Justien Cornelis, Author ; Melissa Desmedt, Author ; Esther Chevalier, Author ; Olivier Camaly, Author ; Wendy Christiaens
, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2021 . - 156 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 346C) .
ISSN : D/2021/10.273/39 : 0,00
Languages : English (eng)
Descriptors: Indexation
2020-02 ; Delivery of Health Care, Integrated ; Frail Elderly ; Home Care Services, Hospital-Based ; Interprofessional Relations ; Qualitative Research ; R346
Classification
W 84.1 Health services. Delivery of health care. General coverage..Contents note: SCIENTIFIC REPORT 8 -- 1 INTRODUCTION TO THE PROTOCOL 3 PROJECTS 8 -- 1.1 BACKGROUND AND CONTEXT: AGEING IN PLACE AND INTEGRATION OF CARE 8 -- 1.2 TOWARDS ENHANCED INTEGRATED CARE FOR VULNERABLE ELDERLY PEOPLE: THE 3 PROTOCOL AGREEMENTS AND THE PROTOCOL 3 CONVENTION 9 -- 2 TOPIC OF STUDY IN THIS REPORT: EVALUATION OF THE THIRD PHASE OF THE PROTOCOL 3 CONVENTION 13 -- 2.1 THE BASE CONVENTION OF THE THIRD PHASE OF PROTOCOL 3 EXPLAINED 13 -- 2.1.1 Outline and aim of the convention 13 -- 2.1.2 Description of the reimbursed base interventions 14 -- 2.1.3 Rules, period, units and amount of reimbursement 17 -- 2.1.4 General and specific terms and conditions for inclusion of a beneficiary in the protocol 3 project and base interventions 19 -- 2.1.5 Registration process of the beneficiary 21 -- 2.2 THE ATTACHMENTS TO THE BASE CONVENTION OF THE THIRD PHASE OF PROTOCOL 3 EXPLAINED 22 -- 2.2.1 Description of the reimbursed supplementary interventions 23 -- 2.2.2 Rules, period, units and amount of reimbursement 24 -- 2.3 CHARACTERISTICS OF THE PROJECTS WITHIN THE THIRD PHASE OF THE PROTOCOL 3 CONVENTION 26 -- 2.3.1 General characteristics of the 19 projects that signed the protocol 3 convention in 2019 26 -- 2.3.2 Amount of patients, expenditures and resources available 30 -- 3 RESEARCH QUESTIONS AND APPLIED STUDY METHODOLOGY 33 -- 3.1 RESEARCH AIMS AND QUESTIONS 33 -- 3.2 APPLIED STUDY METHODOLOGY 33 -- 3.3 ANALYSIS OF DATA AND REPORTING THE PERCEPTIONS OF THE DIFFERENT ACTORS 39 -- 4 FINDINGS FROM THE INTERVIEWS WITH MEMBERS OF THE STEERING COMMITTEE 41 -- 4.1 FULL CARE PACKAGE BASED ON NEEDS 42 -- 4.2 INTERPROFESSIONAL COLLABORATION AND INTEGRATED CARE 44 -- 4.3 BELRAI ASSESSMENT AND THE DRAWBACKS OF THE INCLUSION CRITERIA 46 -- 4.4 DRAWBACKS OF FEE-FOR-SERVICE FINANCING AND THE TERMS OF THE CONVENTION 46 -- 4.5 SHORTCOMINGS RELATED TO THE GOVERNANCE OF PROTOCOL 3 50 -- 5 FINDINGS FROM THE INTERVIEWS WITH COORDINATORS OF THE PROTOCOL 3 -- PROJECTS 53 -- 5.1 FULL CARE PACKAGE BASED ON NEEDS 54 -- 5.2 INTERPROFESSIONAL COLLABORATION AND INTEGRATED CARE 56 -- 5.3 ACCESSIBILITY 59 -- 5.4 BELRAI ASSESSMENT AND DRAWBACKS OF THE INCLUSION CRITERIA 60 -- 5.5 DRAWBACKS OF FEE-FOR-SERVICE FINANCING AND THE TERMS OF THE CONVENTION 62 -- 5.6 SHORTCOMINGS RELATED TO THE GOVERNANCE OF PROTOCOL 3 68 -- 6 PERCEPTIONS OF THE HEALTHCARE PROFESSIONALS WORKING WITHIN THE P3 -- INITIATIVES 71 -- 6.1 ACCESS 72 -- 6.2 FULL CARE PACKAGE BASED ON NEEDS 73 -- 6.3 INTERPROFESSIONAL COLLABORATION AND INTEGRATED CARE 79 -- 6.4 ACCESSIBILITY 82 -- 6.5 AWARENESS 83 -- 6.6 BELRAI ASSESSMENT AND DRAWBACKS OF THE INCLUSION CRITERIA 83 -- 6.7 DRAWBACKS OF FEE-FOR-SERVICE FINANCING AND THE TERMS OF THE CONVENTION 86 -- 6.8 SHORTCOMINGS RELATED TO THE GOVERNANCE OF PROTOCOL 3 90 -- 7 PERCEPTIONS OF THE PATIENTS AND INFORMAL CAREGIVERS 92 -- 7.1 ACCESS 93 -- 7.2 FULL CARE PACKAGE BASED ON NEEDS 93 -- 7.3 INTERPROFESSIONAL COLLABORATION AND INTEGRATED CARE 95 -- 7.4 ACCESSIBILITY 100 -- 7.5 AWARENESS 101 -- 7.6 SHORTCOMINGS RELATED TO COVID-19 REGULATIONS 102 -- 7.7 MESSAGE TO THE GOVERNANCE 103 -- 8 EVALUATION OF PROTOCOL 3 BY MEANS OF A META-EVALUATION INSTRUMENT 104 -- 8.1 THE STRATEGIC DIMENSION 109 -- 8.2 THE QUALITY DIMENSION 111 -- 8.3 THE PRACTICE DIMENSION 113 -- 8.4 THE FINANCIAL DIMENSION 118 -- 8.5 THE INNOVATION DIMENSION 119 -- 8.6 CONCLUSION 119 -- 9 INTEGRATION OF FINDINGS AND DISCUSSION 120 -- 9.1 POLICIES AND POLITICS ON INTEGRATION OF CARE AND PROTOCOL 3 121 -- 9.2 INTEGRATION OF THE RESULTS ON SYSTEM-, PROCESS-, AND PATIENT-LEVEL 124 -- 9.3 INDICATING FRAMEWORK CONDITIONS FROM A PRACTICE PERSPECTIVE 130 -- 9.4 THE QUINTUPLE AIM OF INTEGRATED CARE 134 -- 9.5 STUDY LIMITATIONS 135 -- 9.6 IN CONCLUSION 137 -- REFERENCES 140 -- APPENDICES 145 -- APPENDIX 1. INTERVIEW GUIDES 145 Link for e-copy: https://doi.org/10.57598/R346C Format of e-copy: PDF [Open Access] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4794 Elective care for foreign patients / Bob De Mars / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)
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Elective care for foreign patients : impact on the Belgian healthcare system - Appendix [printed text] / Bob De Mars, Author ; Katrien Boulanger, Author ; Paul Schoukens, Author ; Walter Sermeus, Author ; Carine Van de Voorde, Author ; France Vrijens, Author ; Imgard Vinck
, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2011 . - 25 p. : ill. ; A4. - (KCE Reports. Health Services Research (HSR); 169S) .
ISSN : D/2011/10.273/75 : 0,00
Study : 2009-08
Languages : English (eng)
Descriptors: Indexation
2009-08 ; Elective Surgical Procedures ; European Union ; Insurance, Health, Reimbursement ; Legislation ; Medical Tourism ; R169
Classification
W 84.1 Health services. Delivery of health care. General coverage..Contents note: 1. APPENDICES FROM CHAPTER 1 (INTRODUCTION) 3 -- 2. APPENDICES FROM CHAPTER 2 (LEGAL FRAMEWORK) 4 -- 3. APPENDICES FROM CHAPTER 4 (VOLUME AND CHARACTERISTICS OF FOREIGN -- PATIENTS STAYS: DATA, METHODOLOGICAL ISSUES AND RESULTS) 7 -- 3.1. APPENDICES RELATED TO MACRO DATA (HOSPITAL DISCHARGE) 7 -- 3.1.1. Description of the linkage between MCD and HBD databases 7 -- 3.1.2. Technical codes for initial selection of stays based on MCD-HBD 8 -- 3.1.3. Coding of the type of admission in MCD 9 -- 3.1.4. Selection of diagnoses and interventions in HDP-2 project 9 -- 3.1.5. Check of the selection: information available in the Maxi Feedback from SPF/FOD 10 -- 3.1.6. Volume of non residents in MCD (analyses based on country of residence) 11 -- 3.1.7. Nationality of foreign patient stays based on MCD database 11 -- 3.1.8. Nationality of coordination patients in Belgium 12 -- 3.1.9. Treatments for stays in the context of a cross-border cooperation agreement 12 -- 3.1.10. Hospitalisations for patients with foreign nationality living in Belgium 13 -- 3.1.11. Differences in severity between coordination patients and national mean for Belgian patients 15 -- 3.2. APPENDICES RELATED TO HOSPITAL REPORTS 6 -- 3.2.1. Overview of the questions from the case studies 16 -- 3.2.2. Comparison of tariffs (in euro) charged in different case study hospitals 19 -- 3.2.3. Comparison of case mix between different foreign patient flows 22 Link for e-copy: https://doi.org/10.57598/R169S Format of e-copy: PDF [Open Access](696 KB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2855 Copies
Barcode Call number Media type Location Section Status No copy Geplande zorg voor buitenlandse patiënten / Bob De Mars / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)
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Geplande zorg voor buitenlandse patiënten : impact op het Belgische gezondheidszorgsysteem [printed text] / Bob De Mars, Author ; Katrien Boulanger, Author ; Paul Schoukens, Author ; Walter Sermeus, Author ; Carine Van de Voorde, Author ; France Vrijens, Author ; Imgard Vinck
, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2011 . - V, 164 p. : ill. ; A4. - (KCE Reports A. Health Services Research (HSR); 169A) .
ISSN : D/2011/10273/71 : 0,00
Studie : 2009-08
Languages : English (eng) Dutch (nla)
Descriptors: Indexation
2009-08 ; Elective Surgical Procedures ; European Union ; Insurance, Health, Reimbursement ; Legislation ; Medical Tourism ; R169
Classification
W 84.1 Health services. Delivery of health care. General coverage..Abstract: Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) onderzocht samen met de K.U.Leuven de instroom van buitenlandse patiënten die zich laten opnemen in een Belgisch ziekenhuis voor een geplande ingreep. De grote meerderheid komt uit andere EU landen, vooral dan uit Nederland en Frankrijk. In vergelijking met het totaal aantal hospitalisaties is hun aandeel nog beperkt (ongeveer 1,5% van alle hospitalisaties), maar op 5 jaar tijd nam hun aantal wel met 60% toe. Een verdere toename kan financiële problemen of wachtlijsten veroorzaken. Het KCE stelt daarom voor om de ziekenhuisfinanciering aan te passen. Daarnaast zou het pas operationele Observatorium voor Patiëntenmobiliteit aan de alarmbel moeten trekken wanneer er wachtlijsten ontstaan. Contents note: 1. INTRODUCTION 8 -- 1.1. SCOPE AND OBJECTIVES OF THE STUDY 8 -- 1.2. METHODOLOGY AND OUTLINE OF THE REPORT 9 -- 2. LEGAL FRAMEWORK 10 -- 2.1. INTRODUCTION 10 -- 2.1.1. Detailed structure overview 10 -- 2.1.2. Methodology 11 -- 2.2. PATIENT MOBILITY IN THE EU/EEA 11 -- 2.2.1. Patient mobility across different European fundamental rights and freedoms 11 -- 2.2.2. Elective cross-border healthcare in the European social security coordination rules 12 -- 2.2.3. Elective cross-border healthcare and EU primary law in relation to free movement of services 21 -- 2.2.4. EU-citizenship, non-discrimination and healthcare tariffs 34 -- 2.2.5. Patient Mobility Directive 36 -- 2.2.6. Cooperation agreements in border areas 42 -- 2.2.7. Cross-border contracting between Belgian hospitals and foreign health insurers with the EU46 -- 2.2.8. Patients coming from outside EU/EEA under bilateral or multilateral coordination treaty 49 -- 2.2.9. Cross-border contracting at the international level 50 -- 2.3. FOREIGN PATIENTS WITHOUT ANY FUNDING CONTRACT AND/OR CONVENTION 52 -- 2.4. OVERVIEW IDENTIFIED PATIENT TRACKS 53 -- 3. HOSPITAL DATA REGISTRATION SYSTEMS 56 -- 3.1. OVERVIEW STRUCTURE 56 -- 3.2. HOSPITAL DATA AVAILABLE WITH THE FPS PUBLIC HEALTH 56 -- 3.2.1. Transfer of financial and accounting data through FINHOSTA 56 -- 3.2.2. Transfer of individual medical statistical data 60 -- 3.3. DATA AVAILABLE WITH THE NIHDI 64 -- 3.3.1. Hospital invoice data registered within the framework of the statutory health insurance 64 -- 3.3.2. Identification of foreign patients in HBD 64 -- 3.4. SUGGESTIONS TO ADAPT CURRENT HOSPITAL DATA REGISTRATION SYSTEMS TO IMPROVE TRANSPARENCY ON FOREIGN PATIENT INFLOW IN BELGIAN HOSPITALS 71 -- 3.4.1. Need for further transparency 71 -- 3.4.2. Possible adaptations of current hospital registration systems 72 -- 4. VOLUME AND CHARACTERISTICS OF FOREIGN PATIENT STAYS: DATA, METHODOLOGICAL ISSUES AND RESULTS 77 -- 4.1. INTRODUCTION 77 -- 4.2. METHODS 77 -- 4.2.1. Macro analysis of national hospital discharge data 77 -- 4.2.2. Hospital reports 79 -- 4.2.3. Comparison between hospital reports and administrative data 80 -- 4.3. RESULTS OF THE MACRO ANALYSIS 80 -- 4.3.1. Stays for foreign patients not residing in Belgium, based on the MCD 80 -- 4.3.2. Foreign patients with prior authorization or within the context of specific agreements (coordination patients) 91 -- 4.3.3. Integrated overview for inpatient care for year 2008 107 -- 4.4. RESULTS OF THE HOSPITAL REPORTS 108 -- 4.4.1. Characteristics of hospitals included in the survey 108 -- 4.4.2. Evolution of the share of foreign patients in the case study hospitals 109 -- 4.4.3. Differences in tariffs charged 110 -- 4.4.4. Comparison of case mix between different foreign patient flows 111 -- 4.5. COMPARISON OF THE RESULTS OF THE MACRO ANALYSIS AND HOSPITAL REPORTS 111 -- 4.5.1. Hospital A 111 -- 4.5.2. Hospital B 113 -- 4.5.3. Hospital C 114 -- 4.5.4. Hospital D 115 -- 4.5.5. Comparison of the data of all case study hospitals for year 2008 with national databases 116 -- 5. PATIENT MOBILITY AND FINANCING OF BELGIAN HOSPITALS 117 -- 5.1. KEY ELEMENTS OF BELGIAN HOSPITAL FINANCING FOR CLASSIC HOSPITAL STAYS 118 -- 5.1.1. Financing medical interventions of hospital doctors: general aspects 118 -- 5.1.2. Financing of the basis of the Budget of Financial Means 119 -- 5.1.3. Financing of day-care hospital stays 126 -- 5.1.4. Financing capital costs 127 -- 5.2. PATIENT MOBILITY AND HOSPITAL FINANCING: THE PATIENT MOBILITY ACT OF 4 JUNE 2007 128 -- 5.2.1. Tension between patient mobility and closed budget financing 128 -- 5.2.2. The original Patient Mobility Act of 4 June 2007 131 -- 5.2.3. Health Act of 19 May 2010 141 -- 5.3. PATIENT MOBILITY AND HOSPITAL DOCTORS 144 -- 6. HOSPITAL FINANCING (LAW) AND ALTERNATIVES TO CHANGE THE HOSPITAL FINANCING SYSTEM 146 -- 6.1. STATUS QUO: THE FINANCIAL FLOW OF FOREIGN PATIENTS COMING TO BELGIUM IS COMPENSATED BY THE FINANCIAL FLOW OF BELGIAN PATIENTS GOING ABROAD FOR HEALTHCARE 146 -- 6.1.1. Description of the status quo 146 -- 6.2. SEPARATING THE FINANCIAL FLOW OF FOREIGN AND BELGIAN PATIENTS 148 -- 6.2.1. Description of the alternative 148 -- 6.2.2. How to perform that change in the Belgian health system? 148 -- 6.3. CHANGING THE HOSPITAL FINANCING SYSTEM TO MAKE IT MORE ADAPTED TO FOREIGN PATIENTS 150 -- 6.3.1. Description of the alternative 150 -- 6.3.2. How to perform that change in the Belgian health system? 151 -- 6.4. ANALYSIS OF STRENGTHS AND WEAKNESSES OF THE STATUS QUO AND TWO ALTERNATIVES 152 -- 7. NON-FINANCIAL CONSEQUENCES OF PATIENT MIGRATION: WAITING LISTS AND QUALITY OF CARE 153 -- 8. REFERENCES 156 Link for e-copy: https://doi.org/10.57598/R169A Format of e-copy: PDF [Open Access](2,56 MB)) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2853 Copies
Barcode Call number Media type Location Section Status No copy Geplande zorg voor buitenlandse patiënten / Bob De Mars / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)
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PermalinkMaturity of Integrated care in Belgium / Anne-Sophie Lambert / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2022)
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