Prof. Dr. Alain De Wever (ULB) PLAN PL AN Belgium I. II. Cost of - - PowerPoint PPT Presentation
Prof. Dr. Alain De Wever (ULB) PLAN PL AN Belgium I. II. Cost of health III. Financial resources IV. Health organizations V. Evolution of the healthcare in the world VI. Healthcare environment in Belgium VII. Conclusion 11,000,000 INHABITANTS
2009 2009 2012 2012 Budget t 2013 Médecins
7.265.430 7.538.422 Infirmières 984.311 1.177.618 1.280.262 Dentistes 733.995 804.462 841.457 Pharma 4.120.388 4.366.572 4.250.645 Kinés 549.049 624.859 657.250 BMF 4.505.495 5.180.920 5.509.247 Forfaits 195.657 237.478 260.151 Dialyse 359.719 404.042 434.274 MRS 2.062.415 2.483.905 2.594.303 MAF 304.212 328.002 372.949 TOTAL TOTAL 22.421.800 22.421.800 24.077.384 24.077.384 26.676.58 26.676.586
} Decrease of the growth in the healthcare expenses } Ageing population } Considerable therapeutic means } Decrease of the uncertainty in diagnosis and
} Decrease of the expenses for hospitalized
} The hospital keeps too many hospitalized
} Decrease of the number of acute beds per
} The development of alternatives at home have
} There is a need to develop skills (training) and tools
}
KCE
KCE
} To improve care coordination, it is recommended
} The role and responsibilities of all professionals
} Networks with other specialized services, including
} In case of emergency/acute episode response, the
KCE E
} HAH initiatives can be seen as a way of providing care in
} Current HAH initiatives should be submitted to an
} The fact that current HAH initiatives does not fall under
} Lack of professionals
} Lack of recycling in primary care
} Need for specific skills
} Need for financial incentives
} Need for a list of primary healthcare specialists
} Case manager
} Necessary to avoid overlapping with existing
} Multidisciplinary teams
Ø Need
} The FFS payment system needs to be adapted to
} Financing mechanisms between the different
} The financing of HAH activities in Belgium will
} According to previous Belgian reports, the
for pre/post care and acute care, a DRG system for the whole episode of care based on real cost (which implies data collection and the determination of homogene groups in terms of resources consumption) for the remuneration of some specialized services or expensive pharmaceutical and medical devices, a fee-for- service system with adequate tariffs (KCE)
} Home
} Nursing home
} Hospital
} No financial contribution by the patient } Forfait /home/nursing home
} Holidays (1 month) } Hospitals } Medical fees } Nursing fees
} Home/Nursing home
} GP } Nurse } Psychologists –physiotherapist } Familial support
Specialized nurses Psychologist
GP Nurses
} Access
} Choice
} Humanity
} the major role of the authorities for launching and
} the development of quality indicators in
} the involvement of the profession (scientific
} adequate IT developments
KCE
} a training of the professionals to take new roles
} an adequate financing (or reorientation of the
KCE