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The report is available in English with a French summary - KCE

The report is available in English with a French summary - KCE

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96 Musculoskeletal & Neurological Rehabilitation <strong>KCE</strong> <strong>report</strong>s 57<br />

5.1.8.7 Conclusion<br />

Th<strong>is</strong> type of rehabilitation agreement <strong>is</strong> different from the conventions 9.50 and 7.71. A<br />

fixed yearly price <strong>is</strong> paid for multid<strong>is</strong>cipl<strong>in</strong>ary follow up of a very specific group of<br />

patients, mostly <strong>in</strong> the chronic phase. Th<strong>is</strong> type of convention can be cumulated <strong>with</strong><br />

fees for sessions of rehabilitation treatment.<br />

<strong>The</strong> same type of convention also ex<strong>is</strong>ts for chronic fatigue syndrome, cerebral palsy<br />

and sp<strong>in</strong>a bifida and chronic pa<strong>in</strong>.<br />

5.1.9 Evolution of the expenditures <strong>in</strong> musculoskeletal and neurological<br />

rehabilitation<br />

<strong>The</strong> expenditures for musculoskeletal and neurological rehabilitation are ma<strong>in</strong>ly<br />

composed of the follow<strong>in</strong>g components:<br />

• Rehabilitation activities:<br />

K-nomenclature: rehabilitation activities performed <strong>in</strong><br />

departments of physical medic<strong>in</strong>e and rehabilitation<br />

Rehabilitation activities performed <strong>in</strong> centres <strong>with</strong> a<br />

convention 9.50<br />

Rehabilitation activities performed <strong>in</strong> centres <strong>with</strong> a<br />

convention 7.71<br />

• Expenditures for transport convention<br />

• Expenditures for reference centres (NMRC: convention 7892)<br />

• Expenditures for mono d<strong>is</strong>cipl<strong>in</strong>ary physical therapy (M-nomenclature)<br />

and speech therapy (R-nomenclature)<br />

• Expenditures for hospital<strong>is</strong>ation, limited to Sp-beds (S2 and S3).<br />

Before analyz<strong>in</strong>g the trends <strong>in</strong> the expenditure evolution for musculoskeletal and<br />

neurological rehabilitation, a general overview of the Belgian healthcare budget <strong>is</strong> given.<br />

Th<strong>is</strong> permits to look at the detailed expenditures from an accurate perspective.

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