The report is available in English with a French summary - KCE
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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72 Musculoskeletal & Neurological Rehabilitation <strong>KCE</strong> <strong>report</strong>s 57<br />
<strong>The</strong> follow<strong>in</strong>g <strong>in</strong>formation <strong>is</strong> <strong>in</strong>cluded <strong>in</strong> the table:<br />
Remarks:<br />
• Number of S2 and S3 beds <strong>in</strong> every prov<strong>in</strong>ce and the Brussels region –<br />
tak<strong>in</strong>g <strong>in</strong>to account the repartition of these beds over several<br />
<strong>in</strong>stitutions. For example: In West-Vlaanderen there are 317 S2 beds<br />
and 115 S3 beds. <strong>The</strong> 317 S2 beds are spread over 8 <strong>in</strong>stitutions. <strong>The</strong><br />
115 S3 beds are spread over 4 <strong>in</strong>stitutions<br />
• Population (number of <strong>in</strong>habitants) of every prov<strong>in</strong>ce and the Brussels<br />
region<br />
• Ratio Number of beds / 100.000 <strong>in</strong>habitants. For example: <strong>in</strong> West-<br />
Vlaanderen there are 27.8 S2 beds / 100.000 <strong>in</strong>habitants and 10.1 S3<br />
beds / 100 000 <strong>in</strong>habitants.<br />
• <strong>The</strong> number of S2 and S3 beds does not always represent general<br />
rehabilitation capacity because some centres are focus<strong>in</strong>g on one<br />
specific pathology. For example the 134 S3 beds <strong>in</strong> Vlaams-Brabant are<br />
ma<strong>in</strong>ly for multiple scleros<strong>is</strong> patients and do not represent general<br />
neurological rehabilitation.<br />
• <strong>The</strong> differentiation between “musculoskeletal” and “neurological” <strong>is</strong><br />
not always very clear. Many neurological patients also present<br />
musculoskeletal problems. For example stroke patients can also be<br />
admitted <strong>in</strong> musculoskeletal beds.<br />
• Rehabilitation activities for <strong>in</strong>patients are not only l<strong>in</strong>ked to S2 and S3<br />
beds. Many musculoskeletal and neurological rehabilitation activities<br />
take place <strong>in</strong> G (geriatric) beds, K (neuropsychiatry beds for children)<br />
beds, S5 (bed for chronic d<strong>is</strong>eases), C (surgical beds), D (<strong>in</strong>ternal<br />
medic<strong>in</strong>e beds), ….<br />
Nevertheless, the follow<strong>in</strong>g conclusions can be drawn:<br />
• <strong>The</strong> number of <strong>in</strong>stitutions <strong>with</strong> S2 beds <strong>is</strong> higher than the number of<br />
<strong>in</strong>stitutions <strong>with</strong> S3 beds. As a consequence geographical coverage <strong>is</strong><br />
higher for musculoskeletal rehabilitation than for neurological<br />
rehabilitation (average d<strong>is</strong>tance to a S2 centre <strong>is</strong> smaller than the<br />
average d<strong>is</strong>tance to a S3 centre for the patients). Th<strong>is</strong> remark <strong>is</strong><br />
applicable on all the prov<strong>in</strong>ces and the Brussels region. Th<strong>is</strong> seems<br />
logical though as most of the neurological d<strong>is</strong>orders can also be<br />
treated <strong>in</strong> musculoskeletal beds.<br />
• At the national level there are 19 S2 beds / 100 000 <strong>in</strong>habitants and<br />
12.4 S3 beds / 100 000 <strong>in</strong>habitants mean<strong>in</strong>g that musculoskeletal<br />
rehabilitation <strong>is</strong> more important <strong>in</strong> terms of <strong>in</strong>frastructure (beds) than<br />
neurological rehabilitation.<br />
o <strong>The</strong> ratio “number of S2 beds / 100 000 <strong>in</strong>habitants” varies<br />
from 10,1 <strong>in</strong> Oost-Vlaanderen to 31.7 <strong>in</strong> Luxembourg.<br />
o <strong>The</strong> ratio “number of S3 beds / 100.000 <strong>in</strong>habitants” varies<br />
from 0 <strong>in</strong> Luxembourg to 26.5 <strong>in</strong> Vlaams-Brabant<br />
• In Wallonia, the two prov<strong>in</strong>ces <strong>with</strong> the highest number of <strong>in</strong>habitants<br />
(Liège and Ha<strong>in</strong>aut) are characterized by a medium ratio of “number of<br />
S2 beds/100 000 <strong>in</strong>habitants” and a high ratio “number of S3 beds/100<br />
000 <strong>in</strong>habitants”.<br />
o <strong>The</strong> ratio “number of S2 beds/100 000 <strong>in</strong>habitants <strong>is</strong> 18.7 <strong>in</strong><br />
Ha<strong>in</strong>aut and 17.5 <strong>in</strong> Liège (national average 19.2)<br />
o <strong>The</strong> ratio “number of S3 beds / 100 000 <strong>in</strong>habitants <strong>is</strong> 13.4<br />
<strong>in</strong> Ha<strong>in</strong>aut and 20.9 <strong>in</strong> Liège (national average 12.4)<br />
Based on th<strong>is</strong> <strong>in</strong>formation, it seems that neurological rehabilitation <strong>in</strong> the Walloon<br />
region <strong>is</strong> concentrated <strong>in</strong> the prov<strong>in</strong>ces Liège and Ha<strong>in</strong>aut..