Together we change: An ambitious blueprint for primary healthcare in Flanders

Schellevis, François G.; Groenewegen, Peter

doi:10.3109/13814788.2015.1092517

Cited by 4 publications

(2 citation statements)

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“…For the payment of general practitioners, there is a plan for a shift from primarily fee-for-service to a mixed payment: 60% capitation, 30% fee-for-service and 10% ‘other payments’ (interprofessional cooperation, quality, etc). 8 Belgium can also take advantage of its almost 40 years of experience with an integrated interprofessional needs-based capitation system for payment of interprofessional primary care teams in “Community Health Centers” and “Medical Homes” with nurses, family physicians, physiotherapists and many other disciplines. Importantly, the assessment of this system, taking care of 0.5 million citizens, indicated that this integrated approach increases accessibility and continuity, enhances prevention and demonstrated better performance (eg, in antibiotic prescription and other quality indicators).…”

Section: Health System Challenges At the Macro-levelmentioning

confidence: 99%

Belgium’s Healthcare System: The Way Forward to Address the Challenges of the 21st Century Comment on "Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study"

Maeseneer

Galle

2022

Int J Health Policy Manag

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In this paper we have tried, starting from the results of an analysis of the functioning of integrated care in the Belgian Health System by Martens et al, to design a strategy that could contribute to better addressing the challenges of the 21st century in Belgium. We proposed health system changes at the macro-, meso- and micro-level. We focused on health policy development and organization of care, emphasizing the importance of a shift from a hospital-centric towards a primary care based approach. Special attention was paid to the need for institutional reforms, in order to facilitate the further development of interprofessional integrated care, that focuses on the achievement of the life-goals of a person.

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