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2 Musculoskeletal & Neurological Rehabilitation KCE reports 57 3.5.2 Inpatient classifications..................................................................................................................35 3.5.3 Outpatient classifications..............................................................................................................37 3.5.4 Discussion........................................................................................................................................38 3.6 FRAMEWORK FOR SELECTION OF THERAPY.................................................................................................39 3.6.1 Introduction.....................................................................................................................................39 3.6.2 International Classification of Functioning, Disability and Health ........................................40 3.6.3 The 3-hour rule ..............................................................................................................................40 3.6.4 Discussion........................................................................................................................................40 3.7 ACCREDITATION OF PROFESSIONALS AND SERVICES..................................................................................40 3.7.1 Commission on Accreditation of Rehabilitation Facilities (CARF)......................................40 3.7.2 Accreditation systems in Belgium...............................................................................................41 3.7.3 Discussion........................................................................................................................................41 3.8 CONCLUSION ................................................................................................................................................41 4 REGISTERED DATA AND PATIENT PROFILES ...................................................... 44 4.1 BACKGROUND...............................................................................................................................................44 4.2 A QUICK SCAN OF AVAILABLE LITERATURE..................................................................................................44 4.2.1 Methods............................................................................................................................................44 4.2.2 Minimum nursing data and rehabilitation: the literature........................................................45 4.3 THE BELGIAN NURSING MINIMUM DATA SETS............................................................................................46 4.3.1 Background......................................................................................................................................46 4.3.2 Fingerprints of rehabilitation departments ...............................................................................46 4.3.3 Revision of the Belgian Nursing Minimum Data Set ...............................................................49 4.4 INTERNATIONALLY ACCEPTED REHABILITATION SCALES USED FOR ORGANISATIONAL AND FINANCING PURPOSES........................................................................................................................................................50 4.5 CONCLUSIONS ...............................................................................................................................................53 5 DESCRIPTION OF THE CURRENT ORGANISATION AND FINANCING OF MUSCULOSKELETAL AND NEUROLOGICAL REHABILITATION IN BELGIUM ........ 55 5.1 DESCRIPTION OF THE BELGIAN FINANCING SYSTEM FOR MUSCULOSKELETAL AND NEUROLOGICAL REHABILITATION ............................................................................................................................................55 5.1.1 Introduction.....................................................................................................................................55 5.1.2 Financing of rehabilitation in Belgium.........................................................................................59 5.1.3 Payment systems for musculoskeletal and neurological rehabilitation activities ..............63 5.1.4 Inventory of different rehabilitation services............................................................................66 5.1.5 Convention 9.50: Type convention – Institutions for ‘locomotor’ rehabilitation ............74 5.1.6 Convention 7.71: Specific and type conventions – Institutions for motor rehabilitation79 5.1.7 K-Nomenclature.............................................................................................................................87 5.1.8 Neuromuscular Reference Centre (NMRC)............................................................................93 5.1.9 Evolution of the expenditures in musculoskeletal and neurological rehabilitation ..........96 5.1.10 Comparative analysis of the expenditures in the different systems ..................................106 5.1.11 Comparative analysis of the current financing system .........................................................107
KCE Reports 57 Musculoskeletal & Neurological Rehabilitation 3 5.1.12 Conclusion.....................................................................................................................................110 6 SURVEY CONCERNING CLINICAL PRACTICE IN BELGIUM (FIVE CASES)........ 114 6.1 INTRODUCTION ..........................................................................................................................................114 6.2 METHODOLOGY..........................................................................................................................................114 6.3 RESULTS........................................................................................................................................................115 6.3.1 Actual rehabilitation programmes ............................................................................................115 6.3.2 Optimised rehabilitation programmes.....................................................................................126 6.4 CONCLUSION ..............................................................................................................................................129 7 CLINICAL PATHWAYS FOR REHABILITATION .................................................. 130 7.1 INTRODUCTION ..........................................................................................................................................130 7.2 LOWER EXTREMITY AMPUTATION (LEA) ..................................................................................................131 7.2.1 Methodology .................................................................................................................................131 7.2.2 Results ............................................................................................................................................132 7.2.3 Conclusion.....................................................................................................................................134 7.3 MULTIPLE SCLEROSIS (MS) ..........................................................................................................................134 7.3.1 Methodology .................................................................................................................................134 7.3.2 Results ............................................................................................................................................135 7.3.3 Conclusion.....................................................................................................................................136 7.4 SPINAL CORD INJURY (SCI) ........................................................................................................................137 7.4.1 Methodology .................................................................................................................................137 7.4.2 Results ............................................................................................................................................138 7.4.3 Conclusion.....................................................................................................................................139 7.5 TOTAL HIP REPLACEMENT (THR) ..............................................................................................................140 7.5.1 Methodology .................................................................................................................................140 7.5.2 Results ............................................................................................................................................140 7.5.3 Conclusion.....................................................................................................................................144 7.6 STROKE.........................................................................................................................................................144 7.6.1 Methodology .................................................................................................................................144 7.6.2 Results ............................................................................................................................................144 7.6.3 Conclusion.....................................................................................................................................147 8 INTERNATIONAL COMPARISON ....................................................................... 149 8.1 GENERAL INTRODUCTION .........................................................................................................................149 8.1.1 Research questions in this part of the study ..........................................................................149 8.2 METHODS.....................................................................................................................................................149 8.2.1 Selection of the countries...........................................................................................................149 8.2.2 Peer-reviewed journals ...............................................................................................................149 8.2.3 Comments .....................................................................................................................................150 8.2.4 Other information sources ........................................................................................................150 8.3 THE NETHERLANDS.....................................................................................................................................151
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Dépôt légal : D/2007/10.273/19
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35. Etude relative aux coûts poten
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