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An evaluation protocol for NIHDI conventions / Philippe Vandenbroeck / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2018)  

An evaluation protocol for NIHDI conventions [printed text] / Philippe Vandenbroeck, Author ; Wendy Christiaens , Author ; Marie Dauvrin , Author ; Rachel Wickert, Author ; Kim Becher, Author ; Erik Hendrickx, Author ; Jo Goossens, Author ; Liesbeth Jenné, Author ; Marijke Eyssen , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2018 . - 65 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 299C) . ISSN : D/2018/10.273/21 : € 0,00 Languages : English (eng) Descriptors: Classification WA 525 Health Administration and Organization - General works Indexation 2015-18 ; Ambulatory Care ; Chronic Disease ; Efficiency, Organizational ; Long-Term Care ; Multidisciplinary team (MDT) ; Organizational Innovation ; Patient Care Team ; Quality of Health Care ; R299 ; Rehabilitation Contents note: SCIENTIFIC REPORT 1 -- 1 INTRODUCTION 1 -- 1.1 CONVENTIONS AS A MODEL TO FINANCE/REIMBURSE CARE 1 -- 1.2 CONVENTIONS AS A MODEL TO FINANCE/REIMBURSE CARE 4 -- 1.3 CONVENTIONS AS AN AGREEMENT BETWEEN THE NIHDI AND CARE INSTITUTIONS 4 -- 1.3.1 The role of the Board of Medical Directors and the Insurance Committee 4 -- 1.3.2 Overview of the content of the agreement 6 -- 1.3.3 Duration of conventions .8 -- 1.3.4 Existing measures for quality assurance 8 -- 2 SCOPE 9 -- 2.1 CONVENTIONS ARE USED FOR REHABILITATION AND OTHER HEALTH-RELATED CONDITIONS .9 -- 2.2 CONVENTIONS TRANSFERRED TO THE COMMUNITIES 10 -- 2.3 CONCEPTUAL LEVELS 10 -- 3 RESEARCH OBJECTIVES 11 -- 4 A TYPOLOGY OF CONVENTIONS 11 -- 5 QUALITY EVALUATION IN HEALTH CARE: AN INTERNATIONAL PERSPECTIVE 12 -- 5.1 SHORT DESCRIPTION OF THE COUNTRIES INCLUDED IN THE INTERNATIONAL COMPARISON 12 -- 5.1.1 France 12 -- 5.1.2 Scotland 13 -- 5.1.3 The Netherlands 13 -- 5.2 ASSESSMENT OF QUALITY OF HEALTH CARE IN FOUR COUNTRIES: METHODOLOGY 13 -- 5.2.1 Scope of the literature search 13 -- 5.2.2 Search process 14 -- 5.2.3 Analysis 14 -- 5.2.4 Validation by country experts 15 -- 5.3 CROSS-COMPARISON OF THE QUALITY EVALUATION 15 -- 5.4 THE ORGANISATION OF CARE AND FINANCING OF FOUR EXAMPLES OF HEALTH CONDITIONS AND DISEASES 19 -- 5.4.1 In France 19 -- 5.4.2 In Scotland 20 -- 5.4.3 In the Netherlands 21 -- 6 TOWARDS A META-EVALUATION PROTOCOL 22 -- 6.1 APPROACH AND METHODOLOGY 22 -- 6.1.1 A soft systems-inspired approach 22 -- 6.1.2 Operationalisation of the approach 26 -- 6.2 FINDINGS 29 -- 6.2.1 Root definition of a rehabilitation convention 29 -- 6.2.2 VSM-based activity models 30 -- 6.2.3 Measures of performance 34 -- 6.2.4 Perceived strengths and weaknesses of conventions as a financing and operational instrument 34 -- 6.2.5 Perceived weaknesses of conventions contextualised in the VSM-based activity models 41 -- 6.2.6 Reframing of the research question 45 -- 6.3 OUTLINE OF A META-EVALUATION PROTOCOL 47 -- 6.3.1 Preliminary outline of a meta-evaluation protocol 47 -- 6.3.2 Validation in a stakeholder workshop 50 -- 6.3.3 Validation with the Board of Medical Directors 55 -- 6.3.4 Fine-tuning in collaboration with clinical professionals 56 -- 6.3.5 Final version of a meta-evaluation protocol 58 -- REFERENCE LIST 63 Link for e-copy: https://doi.org/10.57598/R299C Format of e-copy: PDF (1,2 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4365

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An evaluation protocol for NIHDI conventions / Philippe Vandenbroeck / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2018)  

An evaluation protocol for NIHDI conventions : Supplement [printed text] / Philippe Vandenbroeck, Author ; Wendy Christiaens , Author ; Marie Dauvrin , Author ; Rachel Wickert, Author ; Kim Becher, Author ; Erik Hendrickx, Author ; Jo Goossens, Author ; Liesbeth Jenné, Author ; Marijke Eyssen , Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2018 . - 109 p. : ill., ; A4. - (KCE Reports. Health Services Research (HSR); 299S) . ISSN : D/2018/10.273/22 : € 0,00 Languages : English (eng) Descriptors: Classification WA 525 Health Administration and Organization - General works Indexation 2015-18 ; Ambulatory Care ; Chronic Disease ; Efficiency, Organizational ; Long-Term Care ; Multidisciplinary team (MDT) ; Organizational Innovation ; Patient Care Team ; Quality of Health Care ; R299 ; Rehabilitation Contents note: PPENDIX REPORT 1 -- TABLE OF CONTENTS 1 -- LIST OF FIGURES 6 -- LIST OF TABLES 6 -- APPENDIX 1 LIST OF REHABILITATION CONVENTIONS 11 -- APPENDIX 2 DESCRIPTION OF THE QUALITY ASSESSMENT IN BELGIUM, FRANCE, SCOTLAND -- AND THE NETHERLANDS 13 -- APPENDIX 2.1 BELGIUM 13 -- APPENDIX 2.2 FRANCE 16 -- APPENDIX 2.3 SCOTLAND 19 -- APPENDIX 2.4 THE NETHERLANDS 23 -- APPENDIX 3 - THE ORGANISATION OF CARE AND FINANCING OF FOUR EXAMPLES OF HEALTH -- CONDITIONS AND DISEASES 27 -- 1 INTRODUCTION 27 -- 2 FRANCE 27 -- 2.1 DESCRIPTION OF THE FRENCH HEALTH CARE SYSTEM 27 -- 2.1.1 Governance and organisation of the health care system 27 -- 2.1.2 Chronic diseases 28 -- 2.1.3 Rehabilitation and intermediate care 30 -- 2.1.4 Quality and safety monitoring in the health care system 31 -- 2.2 DIABETES 32 -- 2.2.1 Supporting policies and governance 32 -- 2.2.2 Organization and funding of health care 32 -- 2.2.3 Care pathways 33 -- 2.2.4 Health networks 33 -- 2.2.5 Therapeutic education 34 -- 2.2.6 SOPHIA program for improving patient support 34 -- 2.2.7 ASALEE protocol in first line of care 34 -- 2.2.8 Patient participation 35 -- 2.2.9 Evaluation 35 -- 2.3 STROKE 35 -- 2.3.1 Supporting policies and governance 35 -- 2.3.2 Organisation and funding of health care 35 -- 2.3.3 Patient participation 35 -- 2.3.4 Evaluation 36 -- 2.4 HAEMOPHILIA 36 -- 2.4.1 Supporting policies and governance 36 -- 2.4.2 Organisation and funding of health care 36 -- 2.4.3 Patient-level care 38 -- 2.4.4 Patient participation 38 -- 2.4.5 Evaluation 38 -- 2.5 FEMALE GENITAL MUTILATIONS 38 -- 2.5.1 Supporting policies and governance 38 -- 2.5.2 Organisation and funding of health care 39 -- 2.5.3 Patient participation 39 -- 2.5.4 Evaluation 39 -- 2.6 SUMMARY TABLE 39 -- 3 SCOTLAND 40 -- 3.1 DESCRIPTION OF THE SCOTTISH HEALTH CARE SYSTEM 40 -- 3.1.1 Organisation and governance of the health care system 40 -- 3.1.2 Intermediate care sector 41 -- 3.1.3 Patient participation 42 -- 3.1.4 Quality objectives 42 -- 3.2 DIABETES 43 -- 3.2.1 Supporting policies and governance 43 -- 3.2.2 Organisation and funding of health care 43 -- 3.2.3 Patient-level care 44 -- 3.2.4 Patient participation 44 -- 3.2.5 Evaluation 44 -- 3.3 STROKE 45 -- 3.3.1 Supporting policies and governance 45 -- 3.3.2 Organisation and funding of health care 45 -- 3.3.3 Patient level of care 46 -- 3.3.4 Patient participation 49 -- 3.3.5 Evaluation 49 -- 3.4 HAEMOPHILIA 49 -- 3.4.1 Supporting policies and governance 49 -- 3.4.2 Organisation and funding of health care 50 -- 3.4.3 Patient participation 51 -- 3.4.4 Evaluation of the system 51 -- 3.5 FEMALE GENITAL MUTILATION 51 -- 3.5.1 Supporting policies and governance 51 -- 3.5.2 Organisation and funding of health care 52 -- 3.5.3 Patient participation 52 -- 3.5.4 Evaluation of the system 52 -- 3.6 SUMMARY TABLE 53 -- 4 THE NETHERLANDS 54 -- 4.1 DESCRIPTION OF THE DUTCH HEALTH CARE SYSTEM 54 -- 4.1.1 Dutch health care policy and financing 54 -- 4.1.2 Curative care 54 -- 4.1.3 Long-term care 55 -- 4.1.4 Dutch health care organization 56 -- 4.2 DIABETES IN THE NETHERLANDS 59 -- 4.2.1 Supporting policies and governance 59 -- 4.2.2 Organization and funding of health care 60 -- 4.2.3 Evaluation 61 -- 4.3 STROKE/CVA/CARDIOVASCULAR DISEASES AND RISK MANAGEMENT 62 -- 4.3.1 Organization and funding of health care 62 -- 4.3.2 Patient participation 65 -- 4.3.3 Evaluation 65 -- 4.4 HEMOPHILIA 65 -- 4.4.1 Supporting policies and governance 65 -- 4.4.2 Organization and funding of health care 66 -- 4.4.3 Evaluation 66 -- 4.5 FEMALE GENITAL MUTILATION 67 -- 4.5.1 Supporting policies and governance 67 -- 4.5.2 Notification code domestic violence (Meldcode intrafamiliaal geweld) 67 -- 4.5.3 Prevention FGM 67 -- 4.5.4 Example protocol medical care after FGM 67 -- 4.6 SUMMARY TABLE 68 -- 5 CROSS COMPARISON 69 -- 5.1 GENERAL COMMENTS 69 -- 5.1.1 Provision of a setting for the organization and provision of multidisciplinary rehabilitation and care 69 -- 5.1.2 Provision of space for innovative, future-oriented practices 69 -- 5.1.3 Simulation of specialization, concentration of expertise and networking 69 -- 5.1.4 Enhancing ease of financing 70 -- 5.1.5 Provision of low-threshold and affordable care to patients 70 -- 5.1.6 Factors supporting the development of ad hoc rehabilitation programs 70 -- 5.2 SUMMARY TABLE 71 -- APPENDIX 4 LIST OF PARTICIPANTS TO STAKEHOLDER WORKSHOP 75 -- APPENDIX 5 SUMMARY PRESENTATION USED AT THE STAKEHOLDER WORKSHOP 76 -- APPENDIX 6 COMMENTS TO A PRELIMINARY VERSION OF THE META-EVALUATION -- INSTRUMENT BY A REPRESENTATIVE OF A SUBSET OF MULTIDISCIPLINARY CARE -- CONVENTIONS 94 -- APPENDIX 6.1 FINE-TUNING IN COLLABORATION WITH A REPRESENTATIVE OF THE SUBSET OF ‘MULTIDISCIPLINARY CARE’ CONVENTIONS 94 -- REFERENCES 101 Link for e-copy: https://doi.org/10.57598/R299S Format of e-copy: PDF (4 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4366

Analyses de biologie clinique en médecine générale / An De Sutter / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2007)  

Analyses de biologie clinique en médecine générale [printed text] / An De Sutter, Author ; Ann Van den Bruel, Author ; Stephan Devriese , Author ; Françoise Mambourg , Author ; Véronique Van Gaever, Author ; Alain Verstraete, Author ; Huybrechts, Michel, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2007 . - viii, 148 p. : ill. ; 30 cm. - (KCE Reports B. Health Services Research (HSR); 59B) . 0 € Etude nr 2006-01 Languages : English (eng) French (fre) Descriptors: Classification QY 25 Laboratory manuals. Technique Indexation 2006-01 ; Clinical Laboratory Techniques ; Family Practice ; Quality of Health Care ; R59 Link for e-copy: https://doi.org/10.57598/R59B Format of e-copy: .PDF (1 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1647

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Assurance de qualité pour le cancer rectal - phase 3 / Els Goetghebeur / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2011)  

Assurance de qualité pour le cancer rectal - phase 3 : méthodes statistiques visant à comparer les centres sur base d'un ensemble d'indicateurs de qualité [printed text] / Els Goetghebeur, Author ; Ronan Van Rossem, Author ; Katrien Baert, Author ; Kurt Vanhoutte, Author ; Tom Boterberg, Author ; Pieter Demetter, Author ; Mark De Ridder, Author ; David Harrington, Author ; Marc Peeters, Author ; Guy Storme, Author ; Johanna Verhulst, Author ; Joan Vlayen , Author ; France Vrijens , Author ; Stijn Vansteedlandt, Author ; Wim Ceelen, Author . - Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre, 2011 . - XIII, 114 p. : ill. ; A4. - (KCE Reports B. Good Clinical Practice (GCP); 161B) . ISSN : D/2011/10.273/39 : € 0,00 Etude n° 2010-04 Languages : English (eng) French (fre) Descriptors: Indexation 2010-04 ; Benchmarking ; Quality Indicators, Health Care ; Quality of Health Care ; R161 ; Rectal Neoplasms ; Regression analysis Classification WI 610 Anus. Rectum -- Neoplams Abstract: Le Centre fédéral d'expertise des soins de santé (KCE) a étudié avec l'Université de Gand la meilleure manière de faire état de la qualité des soins du cancer du rectum. Les médecins du groupe PROCARE ont mis a disposition les données anonymes de 3 300 patients traités dans 79 hôpitaux belges. L'évaluation a notamment tenu compte du fait que tous les cancers n’en sont pas au même stade et de l’influence que cela peut avoir sur la comparaison des résultats entre hôpitaux. En outre des indicateurs globaux, synthétisant les nombreuses données disponibles, ont été développés. Les efforts qui ont été faits ces dernières années pour standardiser la chirurgie semblent avoir porté leurs fruits. En matière de diagnostic et d'examen des tissus il reste encore beaucoup de différences entre les hôpitaux. La méthode développée ici pour évaluer la qualité du cancer du rectum peut être appliquée à d'autres types de cancers. Contents note: LIST OF TABLES 3 -- LIST OF FIGURES 5 -- LIST OF ABBREVIATIONS 6 -- ABBREVIATED LIST OF AVAILABLE QCIS 7 -- 1 INTRODUCTION AND RESEARCH QUESTIONS 9 -- 1.1 BACKGROUND 9 -- 1.2 THE CURRENT PROJECT 9 -- 2 CONCEPTUAL FRAMEWORK AND METHODOLOGICAL APPROACH FOR -- THE ESTIMATION AND BENCH MARKING OF CENTER EFFECTS ON -- QUALITY INDEXES 11 -- 2.1 PATIENT MIX ADJUSTMENT FOR QUALITY OF CARE INDICATORS. 11 -- 2.1.1 The causal inference framework for center effects 11 -- 2.1.2 A motivated choice among different modeling approaches 12 -- 2.1.3 Limitations due to restricted variable access 13 -- 2.1.4 On the Instrumental Variables method 14 -- 2.1.5 Outcome regression methods and propensity score methods 15 -- 2.1.6 Scope of analysis 18 -- 2.2 LITERATURE SEARCH FOR PROGNOSTIC FACTORS OF RECTAL CANCER 20 -- 2.2.1 Methodological approach 20 -- 2.2.2 Results 20 -- 2.2.3 Discussion 21 -- 2.3 DIMENSIONS OF CARE AND THEIR AGGREGATION 22 -- 2.3.1 Goal 22 -- 2.3.2 Key approach 23 -- 2.3.3 Criteria for indexes 24 -- 2.3.4 Other issues in the construction of quality indicators and quality indexes 31 -- 2.4 REVIEW OF STATISTICAL METHODS FOR PROVIDER PROFILING 33 -- 2.4.1 Goals 33 -- 2.4.2 Methods for provider profiling in the literature 33 -- 2.4.3 Visualizing variation between centers 35 -- 2.4.4 Graphical presentation of center results 37 -- 2.5 PROPOSED APPROACH FOR PROCARE 40 -- 2.5.1 Choice of index 40 -- 2.5.2 Adjusting for patient specific factors 40 -- 2.5.3 Bench marking 40 -- 2.5.4 Visualization 40 -- 3 APPLICATION AND RESULTS ON THE PROCARE DATABASE 42 -- 3.1 INTRODUCTION 42 -- 3.2 METHODS 44 -- 3.2.1 Descriptive statistics 44 -- 3.2.2 Identification of relevant prognostic factors 45 -- 3.2.3 Estimation of unadjusted and case mix adjusted center effects 46 -- 3.3 DESCRIPTION OF THE STUDY COHORT 47 -- 3.3.1 Centers 47 -- 3.3.2 Prognostic factors 49 -- 3.3.3 Associations between prognostic factors 55 -- 3.3.4 Joint missingness patterns of prognostic factors 58 -- 3.3.5 Follow-up information 58 -- 3.4 DESCRIPTION AND ANALYSIS OF INDIVIDUAL QUALITY OF CARE INDICATORS 60 -- 3.4.1 The worked out case of Overall Survival QCI 1111 60 -- 3.4.2 Tabulated results for the QCIs 69 -- 3.5 SUMMARY POINTS 76 -- 4 AGGREGATED QUALITY INDEXES 78 -- 4.1 INTRODUCTION 78 -- 4.2 METHODS 78 -- 4.2.1 Evaluation of quality and reliability of the QCIs 78 -- 4.2.2 Number of dimensions needed 78 -- 4.2.3 Clinical importance and discriminating ability of selected QCIs per dimension 78 -- 4.2.4 Construction of the Quality Index 78 -- 4.2.5 Risk adjustment 79 -- 4.3 AN AGGREGATED OUTCOME QUALITY INDEX 79 -- 4.3.1 Quality and reliability of the QCIs 79 -- 4.3.2 Concurrent validity of the selected QCIs 79 -- 4.3.3 Clinical importance and discriminating ability of the selected QCIs per dimension 79 -- 4.3.4 Constructing the quality index (QI) 80 -- 4.3.5 Adjusting the outcome QI for patient characteristics 82 -- 4.4 AN AGGREGATED PROCESS QUALITY INDEX 85 -- 4.4.1 Quality and reliability of the QCIs 85 -- 4.4.2 Concurrent validity of selected QCIs 85 -- 4.4.3 Clinical importance and discriminating ability of selected QCIs per dimension 85 -- 4.4.4 Construction of the quality index (QI) 85 -- 4.5 AGGREGATED QUALITY INDEXES PER DOMAIN 90 -- 4.5.1 Overview of results 90 -- 4.5.2 Overview of variation per domain 98 -- 4.6 AN OVERALL COMPOSITE QUALITY INDEX 98 -- 5 MODEL BUILDING TO EXPLAIN EXCESS PROBABILITIES 101 -- 5.1 INTRODUCTION 101 -- 5.2 METHODOLOGY: FORWARD STEPWISE REGRESSION 101 -- 5.3 EXPLANATORY DESCRIPTIVES FOR EXTREME CENTER PERFORMANCE 102 -- 5.4 FORWARD STEPWISE REGRESSION 106 -- 6 DISCUSSION 108 -- 7 BIBLIOGRAPHY 112 Link for e-copy: https://doi.org/10.57598/R161B Format of e-copy: PDF (1,6 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2632

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Belgium: Health system summary, 2024 / Sophie Gerkens / Copenhagen [Denmark] : WHO Regional Office for Europe (2024)

Belgium: Health system summary, 2024 [printed text] / Sophie Gerkens , Author ; Sherry Merkur, Author . - Copenhagen [Denmark] : WHO Regional Office for Europe, 2024 . - 19 p. : ill., ; A4. ISBN : 978-92-890-5958-9 : € 0,00 Languages : English (eng) Descriptors: Classification W 84 Health services. Quality of health care (General) Indexation Belgium ; Efficiency, Organizational ; Health Services Accessibility ; Quality of Health Care Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=5042

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Barcode	Call number	Media type	Location	Section	Status
10273-03490	WA 84 / GER	Brochure	KCE	Library (10.124)	Available

Borstkankerzorg in centra met en zonder erkenning voor borstkanker – Is er een verschil? / Roos Leroy / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2023)  

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Do quality improvements in primary care reduce secondary care costs? / Stephen Martin / London [United Kingdom] : The Health Foundation (2010)  

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EBP Netwerk / Koen Vriesacker / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2019)  

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Economic evaluation in cancer care / E. van der Schueren in European journal of cancer, 36(2000)1 ([01/01/2000])  

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