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Le financement des soins infirmiers à domicile en Belgique / Walter Sermeus / Brussels [Belgium] : KCE = Federaal Kenniscentrum voor de Gezondheidszorg = Centre Fédéral d'Expertise des Soins de Santé = Belgian Health Care Knowledge Centre (2010)
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Etude n° 2008-35
Languages : English (eng) French (fre)
Descriptors: Classification
WX 200 Clinical Departments and Units -- General Works
Indexation
2008-35 ; Economics, Hospital ; Financing, Government ; Financing, Organized ; Home Nursing ; Nursing Care ; R122Abstract: En collaboration avec la K.U.Leuven et l’ULB, le Centre Fédéral d’expertise des soins de santé (KCE) a examiné si le financement actuel des soins infirmiers à domicile en Belgique avait besoin d’être adapté ou même d’être revu de façon fondamentale. L’étude s’est intéressée exclusivement aux soins infirmiers à domicile, et non à la prise en charge globale des patients à domicile. Une réforme du financement postule une réflexion globale sur les rôles attendus de chaque type de services de santé. Pour cela, une meilleure coordination entre les niveaux de compétence politique est nécessaire. Le mode de financement mixte actuellement en vigueur peut être maintenu à condition d’être optimalisé. La nomenclature devrait être actualisée et une distinction plus nette entre soins post-aigus et soins chroniques est souhaitable. De même, la mesure de la dépendance des patients et la qualité des soins devraient jouer un rôle plus accentué dans le financement. Contents note: Table of contents -- GLOSSARY 3 -- 1 INTRODUCTION 4 -- 1.1 SCOPE OF THE STUDY 4 -- 1.1.1 RESEARCH QUESTIONS 4 -- 1.1.2 Methods 5 -- 1.1.3 Structure of the report 6 -- 2 HOME NURSING IN BELGIUM 7 -- 2.1 THE BELGIAN HEALTHCARE SYSTEM: OVERVIEW 7 -- 2.2 DEVELOPMENTS RELEVANT FOR BELGIAN HOME NURSING 8 -- 2.3 THE NATURE OF HOME NURSING. 11 -- 2.4 THE ORGANISATION OF HOME NURSING IN BELGIUM 11 -- 2.4.1 Self-employed or employee nurses 11 -- 2.4.2 Qualification levels 12 -- 2.4.3 New organisational forms including nursing 13 -- 2.5 THE FINANCING OF HOME NURSING IN BELGIUM 14 -- 2.5.1 Healthcare financing concepts 14 -- 2.5.2 Historical background 16 -- 2.5.3 Current situation 17 -- 2.5.4 Types of home nursing activities financed 24 -- 2.5.5 Discussion 25 -- 3 CROSS-NATIONAL COMPARISON 28 -- 3.1 INTRODUCTION 28 -- 3.2 RESULTS 28 -- 3.2.1 The financing of home nursing 28 -- 3.2.2 The organisation of home nursing 29 -- 4 DEPENDENCY TOOLS FOR CASE-MIX FINANCING IN HOME NURSING 33 -- 4.1 INTRODUCTION 33 -- 4.2 RESULTS 33 -- 4.2.1 Nursing dependency scales 33 -- 5 STAKEHOLDER DIALOGUE 44 -- 5.1 INTRODUCTION 44 -- 5.2 THEMATIC ANALYSIS 44 -- 5.2.1 Theme 1: The current financing system 45 -- 5.2.2 Theme 2: Arguments for reforms 48 -- 5.2.3 Theme 3: Nursing related topics 49 -- 5.2.4 Theme 4: Assessment and registration instruments 51 -- 5.3 SUMMARY. 53 -- 6 OVERALL DISCUSSION 55 -- 6.1 SCOPE AND LIMITATIONS OF THE STUDY 55 -- 6.2 THE FINANCING SYSTEM FOR HOME NURSING 56 -- 6.2.1 Political factors 56 -- 6.2.2 Economical factors 57 -- 6.2.3 Social Factors 58 -- 6.2.4 Technological Factors 58 -- 6.3 BUILDING BLOCKS OF A FINANCING SYSTEM FOR HOME NURSING 59 -- 6.3.1 A mixed financing model 59 -- 6.3.2 Financing nursing interventions 60 -- 6.3.3 Financing per number of patients. 60 -- 6.3.4 Financing according to patient needs 61 -- 6.3.5 Financing and nurses characteristics 63 -- 6.3.6 Adaptation of the current funding system, the readjustment or the calculation of new -- tariffs 64 -- 6.3.7 The organisation 65 -- 6.3.8 The results/ performance 65 -- 7 REFERENCES 67 -- 8 APPENDICES 71 Link for e-copy: https://doi.org/10.57598/R122B Format of e-copy: PDF (1,019 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1845 Copies(0)
Status No copy
ISSN : D/2010/10.273/05 : 0 €
Studie n° 2008-35
Languages : Dutch (dut) English (eng)
Descriptors: Classification
WX 200 Clinical Departments and Units -- General Works
Indexation
2008-35 ; Economics, Hospital ; Financing, Government ; Financing, Organized ; Home Nursing ; Nursing Care ; R122Abstract: Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) onderzocht, in samenwerking met K.U.Leuven en de ULB, of de huidige financiering van de thuisverpleging in België moet aangepast of zelfs fundamenteel moet hervormd worden. De studie behandelt enkel het vraagstuk van thuisverpleging, niet het grotere verhaal van de thuiszorg. De financiering aanpassen vraagt een globale reflectie over de rollen van verschillende gezondheidszorgfuncties. Daarbij is er meer coördinatie tussen de verschillende politieke bevoegdheidsniveaus nodig. De huidige gemengde financiering kan worden voortgezet als ze wordt geoptimaliseerd. De nomenclatuur zou best worden geactualiseerd en er zou een scherper onderscheid moeten worden gemaakt tussen postacute en chronische zorg. Ook het meten van de zorgafhankelijkheid van de patiënt en de kwaliteit van zorg zouden bij de financiering een meer prominente rol moeten spelen. Contents note: Table of contents -- GLOSSARY 3 -- 1 INTRODUCTION 4 -- 1.1 SCOPE OF THE STUDY 4 -- 1.1.1 RESEARCH QUESTIONS 4 -- 1.1.2 Methods 5 -- 1.1.3 Structure of the report 6 -- 2 HOME NURSING IN BELGIUM 7 -- 2.1 THE BELGIAN HEALTHCARE SYSTEM: OVERVIEW 7 -- 2.2 DEVELOPMENTS RELEVANT FOR BELGIAN HOME NURSING 8 -- 2.3 THE NATURE OF HOME NURSING. 11 -- 2.4 THE ORGANISATION OF HOME NURSING IN BELGIUM 11 -- 2.4.1 Self-employed or employee nurses 11 -- 2.4.2 Qualification levels 12 -- 2.4.3 New organisational forms including nursing 13 -- 2.5 THE FINANCING OF HOME NURSING IN BELGIUM 14 -- 2.5.1 Healthcare financing concepts 14 -- 2.5.2 Historical background 16 -- 2.5.3 Current situation 17 -- 2.5.4 Types of home nursing activities financed 24 -- 2.5.5 Discussion 25 -- 3 CROSS-NATIONAL COMPARISON 28 -- 3.1 INTRODUCTION 28 -- 3.2 RESULTS 28 -- 3.2.1 The financing of home nursing 28 -- 3.2.2 The organisation of home nursing 29 -- 4 DEPENDENCY TOOLS FOR CASE-MIX FINANCING IN HOME NURSING 33 -- 4.1 INTRODUCTION 33 -- 4.2 RESULTS 33 -- 4.2.1 Nursing dependency scales 33 -- 5 STAKEHOLDER DIALOGUE 44 -- 5.1 INTRODUCTION 44 -- 5.2 THEMATIC ANALYSIS 44 -- 5.2.1 Theme 1: The current financing system 45 -- 5.2.2 Theme 2: Arguments for reforms 48 -- 5.2.3 Theme 3: Nursing related topics 49 -- 5.2.4 Theme 4: Assessment and registration instruments 51 -- 5.3 SUMMARY. 53 -- 6 OVERALL DISCUSSION 55 -- 6.1 SCOPE AND LIMITATIONS OF THE STUDY 55 -- 6.2 THE FINANCING SYSTEM FOR HOME NURSING 56 -- 6.2.1 Political factors 56 -- 6.2.2 Economical factors 57 -- 6.2.3 Social Factors 58 -- 6.2.4 Technological Factors 58 -- 6.3 BUILDING BLOCKS OF A FINANCING SYSTEM FOR HOME NURSING 59 -- 6.3.1 A mixed financing model 59 -- 6.3.2 Financing nursing interventions 60 -- 6.3.3 Financing per number of patients. 60 -- 6.3.4 Financing according to patient needs 61 -- 6.3.5 Financing and nurses characteristics 63 -- 6.3.6 Adaptation of the current funding system, the readjustment or the calculation of new -- tariffs 64 -- 6.3.7 The organisation 65 -- 6.3.8 The results/ performance 65 -- 7 REFERENCES 67 -- 8 APPENDICES 71 Link for e-copy: https://doi.org/10.57598/R122A Format of e-copy: PDF (1,019 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1846 Copies(0)
Status No copy
0 €
Study n° 2008-35
Languages : English (eng)
Descriptors: Classification
WX 200 Clinical Departments and Units -- General Works
Indexation
2008-35 ; Economics, Hospital ; Financing, Government ; Financing, Organized ; Home Nursing ; Nursing Care ; R122Abstract: The main objective of this study is to provide knowledge to assess to what extent an alternative or adapted financing scheme for home nursing in Belgium is needed and possible. An important question is whether the financing principles can be based on a patient case-mix. This study is limited to homecare nursing as currently reimbursed at the Belgian federal level through the National Institute for Health and Disability Insurance (NIHDI). Home help services, social services, general practitioners, occupational therapists, physiotherapists, as well as community nursing activities such as preventive mother and child care, psychiatric care, midwifery, school health nursing and occupational nursing are beyond the scope of this study. Financing is studied from the provider perspective. Patients accessibility and equity are not addressed. This report describes the financing of home nursing in Belgium as in 4 selected European countries. It also discusses measures of patient dependency in Activities of Daily Living, currently used for case-mix financing. Finally, it reports Belgian stakeholder opinions on issues related to the future financing of home nursing in Belgium. Contents note: Table of contents -- GLOSSARY 3 -- 1 INTRODUCTION 4 -- 1.1 SCOPE OF THE STUDY 4 -- 1.1.1 RESEARCH QUESTIONS 4 -- 1.1.2 Methods 5 -- 1.1.3 Structure of the report 6 -- 2 HOME NURSING IN BELGIUM 7 -- 2.1 THE BELGIAN HEALTHCARE SYSTEM: OVERVIEW 7 -- 2.2 DEVELOPMENTS RELEVANT FOR BELGIAN HOME NURSING 8 -- 2.3 THE NATURE OF HOME NURSING. 11 -- 2.4 THE ORGANISATION OF HOME NURSING IN BELGIUM 11 -- 2.4.1 Self-employed or employee nurses 11 -- 2.4.2 Qualification levels 12 -- 2.4.3 New organisational forms including nursing 13 -- 2.5 THE FINANCING OF HOME NURSING IN BELGIUM 14 -- 2.5.1 Healthcare financing concepts 14 -- 2.5.2 Historical background 16 -- 2.5.3 Current situation 17 -- 2.5.4 Types of home nursing activities financed 24 -- 2.5.5 Discussion 25 -- 3 CROSS-NATIONAL COMPARISON 28 -- 3.1 INTRODUCTION 28 -- 3.2 RESULTS 28 -- 3.2.1 The financing of home nursing 28 -- 3.2.2 The organisation of home nursing 29 -- 4 DEPENDENCY TOOLS FOR CASE-MIX FINANCING IN HOME NURSING 33 -- 4.1 INTRODUCTION 33 -- 4.2 RESULTS 33 -- 4.2.1 Nursing dependency scales 33 -- 5 STAKEHOLDER DIALOGUE 44 -- 5.1 INTRODUCTION 44 -- 5.2 THEMATIC ANALYSIS 44 -- 5.2.1 Theme 1: The current financing system 45 -- 5.2.2 Theme 2: Arguments for reforms 48 -- 5.2.3 Theme 3: Nursing related topics 49 -- 5.2.4 Theme 4: Assessment and registration instruments 51 -- 5.3 SUMMARY. 53 -- 6 OVERALL DISCUSSION 55 -- 6.1 SCOPE AND LIMITATIONS OF THE STUDY 55 -- 6.2 THE FINANCING SYSTEM FOR HOME NURSING 56 -- 6.2.1 Political factors 56 -- 6.2.2 Economical factors 57 -- 6.2.3 Social Factors 58 -- 6.2.4 Technological Factors 58 -- 6.3 BUILDING BLOCKS OF A FINANCING SYSTEM FOR HOME NURSING 59 -- 6.3.1 A mixed financing model 59 -- 6.3.2 Financing nursing interventions 60 -- 6.3.3 Financing per number of patients. 60 -- 6.3.4 Financing according to patient needs 61 -- 6.3.5 Financing and nurses characteristics 63 -- 6.3.6 Adaptation of the current funding system, the readjustment or the calculation of new -- tariffs 64 -- 6.3.7 The organisation 65 -- 6.3.8 The results/ performance 65 -- 7 REFERENCES 67 -- 8 APPENDICES 71 Link for e-copy: https://doi.org/10.57598/R122C Format of e-copy: PDF (1,019 MB) Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=1847 Copies(0)
Status No copy
ISBN : 2-87812-142-2 : 29 €
Languages : French (fre)
Descriptors: Classification
WY 115 Home care services
Indexation
Home Care Services, Hospital-Based ; Home NursingRecord link: https://kce.docressources.info/index.php?lvl=notice_display&id=506 Hold
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Barcode Call number Media type Location Section Status 10273-00357 WY 115/RAF Report KCE Library (10.124) Available
ISBN : 978-90-5550-447-3 : € 25,00
Languages : Dutch (nla)
Descriptors: Classification
WY 115 Home care services
Indexation
Health Care ; Health Policy ; Home Care Services, Hospital-Based ; Home Nursing ; Social policy ; VlaanderenAbstract: De vraag ‘Is de thuiszorg onderontwikkeld?’ was het uitgangspunt van dit onderzoek in opdracht van de Vlaamse Federatie van Diensten voor Thuisverpleging. Een antwoord was al gegeven in tal van partiële analyses die wij in het verleden maakten en waar wij vooral wezen op de vele mogelijkheden voor de verdere uitbouw van de thuiszorg. In deze studie actualiseren wij dit antwoord op de vraag, en zijn onderliggende vraag naar verdere ontwikkelingsmogelijkheden. De thuisverpleging is niet los te zien van de ontwikkeling van andere thuiszorgdiensten, die wij naast de thuisverpleging mee in beeld brengen. Ook de institutionele zorg, het alternatief van thuiszorg, is in detail bekeken voor de ouderenzorg.
Deze verkenning van de evidentie gebeurde op basis van bestaande informatiebronnen over de activiteiten in de sector van de thuisverpleging en thuiszorg, maar ook op basis van microdatabanken als de individuele gegevens beschikbaar binnen de ziekteverzekering en de drie golven van de gezondheidsenquête. Deze bronnen lieten toe zowel vraag als aanbod naar de thuisverpleging beter te begrijpen, en ze te situeren in een subregionaal, regionaal én internationaal perspectief. Het rapport concludeert dat de thuiszorg en de thuisverpleging, die een behoorlijke leeftijd hebben bereikt, uiteraard niet meer onderontwikkeld zijn in onze goed uitgebouwde verzorgingsstaat. Er zijn echter nog tal van verdere ontwikkelingsmogelijkheden in onze vergrijzende samenleving, die zij prioritair ook zouden moeten krijgen.Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2023 Hold
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Barcode Call number Media type Location Section Status 10273-02042 WY 115 / PAC Report KCE Library (10.124) Available Terminal patients in Belgian nursing homes / Simoens, Steven in European Journal of Health Economics (The), 14(2013)3 ([06/01/2013])
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