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KCE reports 57 Musculoskeletal & Neurological Rehabilitation 107
Figure 5.36: S-beds per type
2003 2004 2005
S310 CARDIO-PULMONAIRES 426 463 449
S311 AFFECTIONS NEUROLOGIQUES 1219 1240 1304
S312 AFFECTIONS LOCOMOTRICES 1776 1856 1915
S313 AFFECTIONS CHRONIQUES 1084 1052 1021
S314 Service de soins palliatifs 369 373 385
S315 PSYCHO-GERIATRIE 1027 1029 1014
Total 5899 6013 6088
Source r: FOD Volksgezondheid/SPF Santé Publique 2006
Figure 5.36 shows that the proportion of S2/S3 to the total number of Sp-beds is
approximately half of the total number of beds for the different years.
Figure 5.37: Total expenditures for Sp-beds
2003 2004 2005
€ € €
Total hospital expenditures 10.190.433.459 10.645.257.850 10.516.129.503
Sp-beds expenditures 290.319.961 299.240.812 303.088.961
% of Sp-beds expenditures in total 2,85% 2,81% 2,88%
Average expenditure (day price) 217
204
212
Minimum expenditure (day price) 60
47
47
Maximum expenditure (day price) 911
473
683
Source: FOD Volksgezondheid/SPF Santé Publique 2006
The total expenditures of S-beds increase with 4% in 3 years. This is in line with the
overall expenditure growth of hospital financing, where we notice a 3% growth in 3
years (Figure 5.37). Earlier data (2000-2002) are not comparable to later years, due to a
change in the reimbursement scheme (ex-post to à priori).
The norms for specialist beds (cf. regulation on specialist beds s ) stipulate that with an
80% occupancy ratio, the hospital has to provide additional therapeutic personnel. This
does not cover other interventions financed by RIZIV/INAMI or other third parties.
• For every 30 S2/S3 beds, with 80% occupancy: 2 FTE occupational
therapist, speech therapist or paramedical with relevant rehabilitation
experience; availability of a psychologist
The requirements include minimal staffing for nurses and physicians. The day price t is
composed of different elements (infrastructure, nurses, etc.).
5.1.9.6 Proportion cases/expenditures in the different subsectors
We notice in Figure 5.38 that the proportion of cases to the total expenditures is
different for each sub sector (due to different pricing of the treatments).
r There are two different databases for the inventory of S2/S3 beds. The first database gives an overview of the
total number of beds at a certain point in time (e.g. figure 4), the second source calculates a year-to-date
average of the total number of beds and takes into account the variation per institution in this given year (e.g.
figure 30). These databases diverge for the indicator “total number of beds” given their different calculation.
s Koningklijk Besluit / Arrêté Royale – 21 October 1998
t FPS Public Health 2006