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

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<strong>KCE</strong> <strong>report</strong>s 57 Musculoskeletal & Neurological Rehabilitation 73<br />

5.1.4.5 Conclusion<br />

• In Wallonia, the three prov<strong>in</strong>ces <strong>with</strong> the lowest number of <strong>in</strong>habitants<br />

(Namur, Luxembourg, Brabant wallon) are characterized by a low ratio<br />

concern<strong>in</strong>g “number of S3 beds/100 0000 <strong>in</strong>habitants”<br />

o <strong>The</strong> ratio “number of S3 beds/100 000 <strong>in</strong>habitants <strong>is</strong> 4.4 <strong>in</strong><br />

Namur, 0 <strong>in</strong> Luxembourg and 7.4 <strong>in</strong> Brabant wallon<br />

(national average 12.4)<br />

o <strong>The</strong> ratio “total number S2 + S3 beds/100 000 <strong>in</strong>habitants”<br />

<strong>is</strong> only low <strong>in</strong> Namur.<br />

Comb<strong>in</strong><strong>in</strong>g th<strong>is</strong> <strong>in</strong>formation <strong>with</strong> the results of the previous paragraph (number of 9.50<br />

and 7.71 conventions) we conclude that<br />

o <strong>The</strong> low number of 9.50 and 7.71 conventions <strong>in</strong><br />

Luxembourg does not correlate <strong>with</strong> the <strong>in</strong>frastructure of<br />

S2 beds (musculoskeletal rehabilitation).<br />

o <strong>The</strong> low number of 9.50 and 7.71 conventions and the low<br />

ratio of S3 beds/100 000 <strong>in</strong>habitants confirms the<br />

concentration of neurological rehabilitation <strong>in</strong> the other<br />

prov<strong>in</strong>ces Liège and Ha<strong>in</strong>aut. Especially <strong>in</strong> Luxembourg and<br />

Namur, that cover a much larger area than Brabant wallon,<br />

it might be a long d<strong>is</strong>tance to travel to obta<strong>in</strong> appropriate<br />

neurological rehabilitation.<br />

• In Flanders all prov<strong>in</strong>ces (except Oost-Vlaanderen) are characterized<br />

<strong>with</strong> one ratio above and one ratio below the national average (S2 or<br />

S3 beds/10 000 <strong>in</strong>habitants).<br />

o Oost-Vlaanderen <strong>is</strong> characterized by a ratio of 10.1 S2<br />

beds/100 000 <strong>in</strong>habitants and 3.6 S3 beds / 100.000<br />

<strong>in</strong>habitants. Both <strong>in</strong>dicators are below the national average.<br />

Based on the <strong>in</strong>formation of the previous paragraph (six<br />

9.50 conventions and one 7.71 convention), we did not<br />

expect th<strong>is</strong> result. A partial explanation <strong>is</strong> the fact that only<br />

20 beds of the rehabilitation centre of the University<br />

hospital of Ghent are <strong>in</strong>cluded <strong>in</strong> the overview as S2 beds.<br />

Comb<strong>in</strong><strong>in</strong>g th<strong>is</strong> <strong>in</strong>formation <strong>with</strong> the results of the previous paragraph (number of 9.50<br />

and 7.71 conventions) we conclude that<br />

o “West-Vlaanderen, that was character<strong>is</strong>ed by a high number<br />

of 9.50/7.71 conventions, has an S2 ratio of 27.8 which <strong>is</strong><br />

above the national average of 19 and a S3 ratio below the<br />

national average of 12.4.<br />

o Oost-Vlaanderen has a low ratio total number S2 + S3<br />

beds/100 000 <strong>in</strong>habitants but an average number of 9.50 and<br />

7.71 conventions.<br />

• In the Brussels region, the ratio number of S2 beds/100 000 <strong>in</strong>habitants<br />

<strong>is</strong> 27.3 and the ratio number of S3 beds / 100 000 <strong>in</strong>habitants <strong>is</strong> 16.<br />

Both ratios are above the national average. Comb<strong>in</strong><strong>in</strong>g th<strong>is</strong> <strong>in</strong>formation<br />

<strong>with</strong> the results of the previous paragraph (number of 9.50<br />

conventions/7.71 conventions) we conclude that both musculoskeletal<br />

and neurological rehabilitation beds are abundantly represented <strong>in</strong> the<br />

Brussels region.<br />

<strong>The</strong> geographical d<strong>is</strong>tribution of 9.50 and 7.71 conventions and S2-S3 beds <strong>is</strong> relatively<br />

homogeneous <strong>in</strong> Belgium. Only the prov<strong>in</strong>ces of Luxembourg and Namur tend to show<br />

a relatively low supply of neurological rehabilitation services, whereas there <strong>is</strong> a<br />

relatively high supply of rehabilitation services <strong>in</strong> the Brussels region and West-<br />

Vlaanderen.

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