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: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Paris
OECD Publishing
2013
|
| Schriftenreihe: | OECD Economics Department Working Papers
no.1066 |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| 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 p.) 21 x 29.7cm. |
| DOI: | 10.1787/5k44ssnfdnr7-en |
Internformat
MARC
| LEADER | 00000cam a22000002 4500 | ||
|---|---|---|---|
| 001 | ZDB-13-SOC-061307548 | ||
| 003 | DE-627-1 | ||
| 005 | 20231204121143.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 210204s2013 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1787/5k44ssnfdnr7-en |2 doi | |
| 035 | |a (DE-627-1)061307548 | ||
| 035 | |a (DE-599)KEP061307548 | ||
| 035 | |a (FR-PaOEC)5k44ssnfdnr7-en | ||
| 035 | |a (EBP)061307548 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a I11 |2 jelc | ||
| 084 | |a I13 |2 jelc | ||
| 084 | |a I18 |2 jelc | ||
| 084 | |a H51 |2 jelc | ||
| 100 | 1 | |a Sorbe, Stéphane |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing |c Stéphane, Sorbe = Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane, Sorbe |
| 246 | 3 | 3 | |a Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population |
| 264 | 1 | |a Paris |b OECD Publishing |c 2013 | |
| 300 | |a 1 Online-Ressource (35 p.) |c 21 x 29.7cm. | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 490 | 0 | |a OECD Economics Department Working Papers |v no.1066 | |
| 520 | |a 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). | ||
| 650 | 4 | |a Social Issues/Migration/Health | |
| 650 | 4 | |a Economics | |
| 650 | 4 | |a Belgium | |
| 856 | 4 | 0 | |l FWS01 |p ZDB-13-SOC |q FWS_PDA_SOC |u https://doi.org/10.1787/5k44ssnfdnr7-en |3 Volltext |
| 912 | |a ZDB-13-SOC | ||
| 912 | |a ZDB-13-SOC | ||
| 951 | |a BO | ||
| 912 | |a ZDB-13-SOC | ||
| 049 | |a DE-863 | ||
Datensatz im Suchindex
| DE-BY-FWS_katkey | ZDB-13-SOC-061307548 |
|---|---|
| _version_ | 1816797334572367872 |
| adam_text | |
| any_adam_object | |
| author | Sorbe, Stéphane |
| author_facet | Sorbe, Stéphane |
| author_role | aut |
| author_sort | Sorbe, Stéphane |
| author_variant | s s ss |
| building | Verbundindex |
| bvnumber | localFWS |
| collection | ZDB-13-SOC |
| ctrlnum | (DE-627-1)061307548 (DE-599)KEP061307548 (FR-PaOEC)5k44ssnfdnr7-en (EBP)061307548 |
| discipline | Wirtschaftswissenschaften |
| doi_str_mv | 10.1787/5k44ssnfdnr7-en |
| format | Electronic eBook |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>02940cam a22004212 4500</leader><controlfield tag="001">ZDB-13-SOC-061307548</controlfield><controlfield tag="003">DE-627-1</controlfield><controlfield tag="005">20231204121143.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">210204s2013 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1787/5k44ssnfdnr7-en</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627-1)061307548</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)KEP061307548</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(FR-PaOEC)5k44ssnfdnr7-en</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(EBP)061307548</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rda</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">I11</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">I13</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">I18</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">H51</subfield><subfield code="2">jelc</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Sorbe, Stéphane</subfield><subfield code="e">VerfasserIn</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing</subfield><subfield code="c">Stéphane, Sorbe = Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane, Sorbe</subfield></datafield><datafield tag="246" ind1="3" ind2="3"><subfield code="a">Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Paris</subfield><subfield code="b">OECD Publishing</subfield><subfield code="c">2013</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">1 Online-Ressource (35 p.)</subfield><subfield code="c">21 x 29.7cm.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="0" ind2=" "><subfield code="a">OECD Economics Department Working Papers</subfield><subfield code="v">no.1066</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">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).</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Social Issues/Migration/Health</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Economics</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Belgium</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="l">FWS01</subfield><subfield code="p">ZDB-13-SOC</subfield><subfield code="q">FWS_PDA_SOC</subfield><subfield code="u">https://doi.org/10.1787/5k44ssnfdnr7-en</subfield><subfield code="3">Volltext</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">BO</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">ZDB-13-SOC</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-863</subfield></datafield></record></collection> |
| id | ZDB-13-SOC-061307548 |
| illustrated | Not Illustrated |
| indexdate | 2024-11-26T14:55:56Z |
| institution | BVB |
| language | English |
| open_access_boolean | |
| owner | DE-863 DE-BY-FWS |
| owner_facet | DE-863 DE-BY-FWS |
| physical | 1 Online-Ressource (35 p.) 21 x 29.7cm. |
| psigel | ZDB-13-SOC |
| publishDate | 2013 |
| publishDateSearch | 2013 |
| publishDateSort | 2013 |
| publisher | OECD Publishing |
| record_format | marc |
| series2 | OECD Economics Department Working Papers |
| spelling | Sorbe, Stéphane VerfasserIn 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 p.) 21 x 29.7cm. Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier OECD Economics Department Working Papers no.1066 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 FWS01 ZDB-13-SOC FWS_PDA_SOC https://doi.org/10.1787/5k44ssnfdnr7-en 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_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 |