HEALTH CARE STANDARDS IN BELGIUM CEN TC 251 111200

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HEALTH CARE STANDARDS IN BELGIUMCEN TC 251
11-12-00

• F.H. ROGER FRANCE, M.D., M.S., Ph.D.
• Role - Head, Belgian delegation, CEN TC 251
• - Chairman, Belgian Mirror Group
• - President of the Federal Commission
   Norms for Health Telematics 

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POPULATION AND HEALTH CARE PERSONNEL IN BELGIUM

• Belgium 10,2 million inhabitants (16,6 gt 65
  year)
• 30,528 sq meters
• Health Care Personnel (1998)
• Physicians 37,097 (40 GPs, 60 specialists)
• Pharmacists 14,772
• Dentists 7,104
• Three regions
• Flanders 5,9 million inhabitants
• Wallony 3,4 million
• Brussels 0,9 million

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HEALTH CARE SERVICES IN BELGIUM

• Preventive care regional budget
• Curative care federal budget
•  Social Security System 
• Ministry of Public Health and Social Affairs
• - hospital payment by day of stay
• - accreditation of hospitals (180 acute care)
• - accreditation of physicians
• INAMI/RIZIV
• - payment by act
• - drugs reimbursement
• - freedom of choice of the patient

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BELGIUM IT POLICY

• Standards for health care financing system
• - MPH general statistics, planning
• - INAMI/RIZIV codes, thesaurus, for all
  procedures
• - Minimal Record Summaries (inpatients and day
  cases)
• Clinical (ICD-9-CM code) (1.7 MRS/year)
• Nursing
• Psychiatric (DSM IV)
• Standards for the global eHealth record (GPs)
• - in progress ( 70 of GPs have computers)
• - financial incentive (patients age 65 and
  over)

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BELGIUM IT POLICY

• Standards for pharmaceutical prescriptions
• - bar codes and SIS card (mandatory in all
  pharmacies)
• Large freedom and heterogeneity in
• - HIS and DB choices
• - network developments

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BELGIUM IT POLICY

• Patient/citizen role
• - 20 of population uses Internet
• - no policy yet to empower citizens to use
  eHealth information access