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

KCE reports 57 Musculoskeletal & Neurological Rehabilitation 117
Because of time constraints our questionnaire was not validated for use in practice and
because it was not our objective to compose an exhaustive list of possible rehabilitation
programmes, only a limited set of practitioners was selected. The questionnaire was
sent to six practitioners of the Dutch speaking part of Belgium and six practitioners of
the French speaking part of Belgium. Of the Dutch speaking practitioners 1 works in a
rehabilitation organisation with convention 7.71, 3 work in a rehabilitation organisation
with convention 9.50, 2 work in a rehabilitation department without any convention. Of
the French speaking practitioners 1 works in a rehabilitation organisation with
convention 7.71, 2 work in a rehabilitation organisation with convention 9.50, 1 works
in a rehabilitation organisation with conventions 7.71 and K-nomenclature, 1 works in a
rehabilitation department without any convention. The response rate was 75% (9/12).
One of the twelve practitioners preferred not to participate because of the fact that
he/she had not enough experience in the several domains. Two others did not respond
at all.
The results of the closed answer part of the questionnaire are represented in graphs.
Of the open answer part of the questionnaires a synthesis of the propositions was
made.
6.3 RESULTS
6.3.1 Actual rehabilitation programmes
6.3.1.1 Notifications
There are differences in duration of sessions. For example a session under K30 goes on
for 60 minutes and a session under K60 goes on for 120 minutes. In the graphs, we only
took into account the number of sessions and not the duration of the sessions because
the duration of sessions is not asked in the questionnaire. This is a shortcoming of our
questionnaire because only K-nomenclature includes a strict identification of duration of
sessions, within the conventions 7.71 the duration of sessions can vary from 2 to 6
hours, within the 9.50 conventions there is not at all a definition of duration of sessions
included.
There can be differences in the “composition” of the team responsible for the
treatment in the different systems as discussed in chapter 5. A team usually includes a
physician specialised in rehabilitation medicine, a physical therapist, an occupational
therapist, a speech therapist, a psychologist and a social worker.
The conditions for the payment modalities can differ. For example a polytrauma patient
can be treated under K60 or Convention 7.71 but not under Convention 9.50.
For a detailed description of the duration of sessions, the composition of the team and
the conditions for certain payment modalities, we refer to chapter 5.
To understand the graphs it is important to know that every rehabilitation programme
is defined by 2 digits and 1 letter. For example: ‘11a’:
• The first digit = the reference to the pathology (1= Lower Extremity
Amputation; 2= Stroke; 3= Multiple Sclerosis; 4= Spinal Cord Injury;
5= Total Hip Replacement);
• The second digit = the reference to a rehabilitation organisation, these
organisations are kept anonymous;
• The letter = the differentiation of optional programmes in one
rehabilitation organisation, for example: a = one optional programme;
b = a second optional programme, as proposed by the specialist of the
concerned rehabilitation organisation.
A rehabilitation process consists of several phases. The distinction between the phases
is based on a difference in treatment packages. Examples of phases are:
• An inpatient rehabilitation in an acute care service or in a Sp-service;