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104 Musculoskeletal & Neurological Rehabilitation KCE reports 57
even though prevention for road traffic and working accidents improves, the need for
rehabilitation seems to increase.
Part of the growth in expenditures is due to inflation. However, comparing the growth
in the expenditures for rehabilitation to the overall growth in RIZIV/INAMI
expenditures in Figure 5.28, it is clear that the growth in rehabilitation expenditures is
larger than the overall growth in RIZIV/INAMI expenditures.
5.1.9.2 Relation between subsectors and in- versus outpatients
An analysis of the treatments, given to in- and outpatients in the different systems
(based on the RIZIV-INAMI data from 2000-2004) gives following results:
Figure 5.33: Overview of treatments for in- and outpatients (cumulative for
years 2000 to 2004)
Treatments Inpatient Outpatient
K-nomenclature 3.303.654 63% 1.920.117 37%
Convention 9.50 249.351 22% 897.667 78%
Convention 7.71 312.134 62% 188.805 38%
Source: RIZIV/INAMI 2006
The proportion of treatment sessions, given to inpatient / outpatient is different for all
systems:
• In the 9.50 convention the majority of the treatments focuses on
outpatients
• In K nomenclature and 7.71 convention the majority of the treatments
focuses on inpatients
The fact that in the 9.50 population there are substantially more outpatients, might be
explained as follows:
• The transport convention is mostly linked to the convention system
(mostly 9.50).
• It often happens that if a patient is a candidate for reimbursement of
the expenditures for transport (only for wheelchair bound patients),
he is “switched” from K to 9.50 when he is discharged from hospital
and starting ambulatory rehabilitation. (This mechanism is impossible
since the “new” 9.50 convention (cf. chapter 1.6), starting August 1st
2006.)
• Some centres with a 7.71 convention also have a transport convention.
As they usually deal with severely impaired patients in an early postacute
phase, the majority of the patients is hospitalised. In the
ambulatory phase they can be referred to a regional 9.50 centre, closer
to the patients home.
• Some other 7.71 centres deal with chronic patients (mostly MS) and
then thus often treat ambulatory patients
5.1.9.3 Expenditures of the “transport convention”
A specific expenditure that has to be added for the musculoskeletal and neurological
rehabilitation sector is the expenditures of the “transport convention”. This allows
wheelchair bound patients to travel with reimbursement between their home and the
rehabilitation centre. Several centres with a convention 9.50/7.71 have this transport
agreement with RIZIV/INAMI.
The total fees (Source: RIZIV/INAMI 2006) account for the following cumulated (2000-
2004) expenditures: