Optimalisatie van de werkingsprocessen van het Bijzonder ... - KCE

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114 Special Solidarity Fund KCE Reports 133 Figure 20: Number of demands (bottom panels) and number of patients (top panels) of accepted demands in function of the ICD-9-CM diagnosis by year (decision date).
KCE Reports 133 Special Solidarity Fund 115 9.4 SEGMENTATION CRITERIA OF THE SAMPLE SOCIAL SERVICES To build our theoretical purposal sample, we used the following segmentation (stratification) criteria were: • The number of applications introduced (‘small’ - with less than 18 prescriptions versus ‘big’ with more than 18 applications): the threshold of the number of applications was set according to the percentile 50 of the distribution of the applications >=10 • The setting: university versus non-university hospital: As, in general, reference centers for particular diseases and higher specialization levels are linked to a university hospital, we suppose that there could be a difference in the appeal to and knowledge of the SSF. The type of patients, the relationship with patients and complexity of the pathologies could also differ between the settings. • The native language of the hospital: French or Dutch-speaking We did not search to reach theoretical saturation but to approach it we have foreseen to interview 1 representative of at least 2 social services per segment, i.e. 16 persons. Considering our sample grid here under, we tried to complete it gradually based on the list of the potential participants. We therefore recruited social services following the NIHDI data on the prescribing hospital. These were ascendingly sorted based of the number of applications their patients have introduced during the 5 referral years (>=10) and the percentile 50 was calculated. Then they were contacted beginning from the extremes of the list to plan an appointment for the interview until the sampling grid was completed. We noticed that no French- or Flemish-speaking hospital included in the database fitted in the segment university hospital / small applicant. As a consequence, both segments could not be covered, implying that the number of theoretical interviewed persons (16) decreased to 12. Because of the distribution of the number of applications of the available sample (a small number of hospitals presents a large number of applications), the significance of the threshold determined by the percentile 50 will not clearly distinguish the two groups (large and small number of applications). Starting from the extremes we limit the number of social services near to the 50 percentile threshold. We asked to each service to refer to a person as responsible for the application of interventions asked to the SSF. Table 17: Segmentation 0 Theoretical sample Expected sample Realised sample Small applicants: University setting French- 2 10 to 17 speaking applications Flemish- 2 between 2004 and speaking 2008 Non university French- 2 2 2 setting speakingFlemishspeaking 2 2 2 Big applicants University setting French- 2 2 2 18 applications or speaking more between Flemish- 2 2 2 2004 and 2008 speaking Non university French- 2 2 2 setting speakingFlemishspeaking 2 2 2 TOTAL 16 12 12
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Optimalisatie van de werkingsprocessen van het Bijzonder ... - KCE

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