Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing:
Belgium has a good record in delivering accessible care, but adaptation to population ageing will be complicated by the fragmentation of responsibilities in the healthcare system and a strong reliance on government regulations. The organisation of the system could be rationalised by giving sickness...
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Paris
OECD Publishing
2013
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| Schriftenreihe: | OECD Economics Department Working Papers
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| Schlagworte: | |
| Online-Zugang: | kostenfrei |
| Zusammenfassung: | Belgium has a good record in delivering accessible care, but adaptation to population ageing will be complicated by the fragmentation of responsibilities in the healthcare system and a strong reliance on government regulations. The organisation of the system could be rationalised by giving sickness funds a more active role as promoters of cost-efficiency, better aligning the incentives of the different levels of government and focussing on medium-term budgeting. At the level of care providers, better information flows and incentive structures could facilitate addressing practice and efficiency variations and supplier-induced demand. This notably involves completing the shift to pathology-based budgets in hospitals, more capitation in the remuneration of doctors and measures to tackle the high spending on drugs. Once incentives for cost-efficiency are in place, a shift towards a more demand-driven system could be encouraged by phasing out over-prescriptive hospital regulations. In addition, relative remunerations of doctors should be revised regularly to ensure an adequate supply per specialty. In long-term care, home care, which is generally cost-efficient, could be further encouraged by giving more autonomy to patients to organise their care. This Working Paper relates to the 2013 OECD Economic Survey of Belgium (www.oecd.org/eco/surveys/belgium) |
| Beschreibung: | 1 Online-Ressource (35 Seiten) 21 x 29.7cm |
| DOI: | 10.1787/5k44ssnfdnr7-en |
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| spelling | Sorbe, Stéphane Verfasser aut Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing Stéphane Sorbe = Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane Sorbe Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population Paris OECD Publishing 2013 1 Online-Ressource (35 Seiten) 21 x 29.7cm txt rdacontent c rdamedia cr rdacarrier OECD Economics Department Working Papers Belgium has a good record in delivering accessible care, but adaptation to population ageing will be complicated by the fragmentation of responsibilities in the healthcare system and a strong reliance on government regulations. The organisation of the system could be rationalised by giving sickness funds a more active role as promoters of cost-efficiency, better aligning the incentives of the different levels of government and focussing on medium-term budgeting. At the level of care providers, better information flows and incentive structures could facilitate addressing practice and efficiency variations and supplier-induced demand. This notably involves completing the shift to pathology-based budgets in hospitals, more capitation in the remuneration of doctors and measures to tackle the high spending on drugs. Once incentives for cost-efficiency are in place, a shift towards a more demand-driven system could be encouraged by phasing out over-prescriptive hospital regulations. In addition, relative remunerations of doctors should be revised regularly to ensure an adequate supply per specialty. In long-term care, home care, which is generally cost-efficient, could be further encouraged by giving more autonomy to patients to organise their care. This Working Paper relates to the 2013 OECD Economic Survey of Belgium (www.oecd.org/eco/surveys/belgium) Social Issues/Migration/Health Economics Belgium https://doi.org/10.1787/5k44ssnfdnr7-en Verlag kostenfrei Volltext |
| spellingShingle | Sorbe, Stéphane Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing Social Issues/Migration/Health Economics Belgium |
| title | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing |
| title_alt | Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population |
| title_auth | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing |
| title_exact_search | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing |
| title_exact_search_txtP | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing |
| title_full | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing Stéphane Sorbe = Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane Sorbe |
| title_fullStr | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing Stéphane Sorbe = Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane Sorbe |
| title_full_unstemmed | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing Stéphane Sorbe = Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane Sorbe |
| title_short | Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing |
| title_sort | belgium enhancing the cost efficiency and flexibility of the health sector to adjust to population ageing |
| topic | Social Issues/Migration/Health Economics Belgium |
| topic_facet | Social Issues/Migration/Health Economics Belgium |
| url | https://doi.org/10.1787/5k44ssnfdnr7-en |
| work_keys_str_mv | AT sorbestephane belgiumenhancingthecostefficiencyandflexibilityofthehealthsectortoadjusttopopulationageing AT sorbestephane belgiqueameliorerlefficienceetlaflexibilitedusecteurdelasantepoursadapterauvieillissementdelapopulation |