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

20 Special Solidarity Fund KCE Reports 133
4.1.2.3 Sampling
The sampling process for the internal SSF stakeholders was developed as follow:
• The leading medical official of the SSF: Dr. Gendreike was interviewed in
order to obtain a global view on the functioning of the SSF. During this
interview, 3 additional interviewees were identified and indicated to allow
further and more detailed data collection.
• The following employees of the NIHDI/SSF were interviewed seen their
daily involvement in specific SSF topics:
o Ms. Van Campenhout and Mr. Noel, both responsible for the
administrative preparation and follow up of SSF files
o Mr. Vigneul, responsible for the budget follow up within the NIHDI
The selection of the members of the College of Medical Directors was based on the
following logic. In Belgium there are 7 health insurance funds 8 . The five health insurance
funds, representing the biggest share of the population were included in the sample. As
within the socialist health insurance fund, two different persons (one Dutch-speaking
and one French-speaking) are involved in the College of Medical Directors, we decided
to include both of them in the interview process. The other health insurance funds have
a single person handling the SSF applications in the College of Medical Directors. As a
consequence we executed 6 interviews with representatives of 5 health insurance funds.
4.1.2.4 Data collection
Tool
For the employees of the NIHDI/SSF no interview guideline was developed as the
purpose of the interview was to let them explain in an open way the functioning of the
SSF, giving them the opportunity to go into details for their specific subtasks and/or
responsibilities.
For the members of the College of Medical Directors, we used a semi-structured
interview guideline, consisting of a number of orienting generic questions and a number
of sub-questions in order to clarify or expand the view of the interviewee. The semistructured
interview guideline was translated in the native language of the interviewees
(Dutch/French) and is included as annex 9.6.
Interview processing
The interviews were conducted by one person, in the native language of the
interviewee.
Topics of the interview for the NIHDI/SSF employees
The emphasis of this open interview was to obtain a clear view on the internal
organization of the SSF, the procedures followed, the criteria used, the main
stakeholders involved in the process and the evolution of the activities as a result of
changes in the legal context or changes in the compulsory health system.
8 Landsbond der Christelijke Mutualiteiten/Alliance Nationale des Mutualités Chrétiennes; Landsbond van
de Neutrale Ziekenfondsen/Union Nationale des Mutualités Neutres; Nationaal Verbond van
Socialistische Mutualiteiten/Union Nationale des Mutualités Socialistes; Landsbond van Liberale
Mutualiteiten/Union Nationale des Mutualités Libérales ; Landsbond van de Onafhankelijke
Ziekenfondsen/Union Nationale des Mutualités Libres ; Hulpkas voor Ziekte- en
Invaliditeitsverzekering/Caisse Auxilliaire d’Assurance Maladie-Invalidité; Kas der Geneeskundige
Verzorging van de NMBS Holding/Caisse des Soins de santé de la SNCB Holding