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78 Musculoskeletal & Neurological Rehabilitation KCE reports 57 5.1.5.4 Detailed overview expenditures evolution convention 9.50 9.000.000 8.000.000 7.000.000 6.000.000 5.000.000 4.000.000 3.000.000 2.000.000 1.000.000 0 Figure 5.13: Expenditures evolution of the convention 9.50 between 2000 and 2004 in Euro. € 2000 2001 2002 2003 2004 Source: RIZIV/INAMI 2006
KCE reports 57 Musculoskeletal & Neurological Rehabilitation 79 3.000.000 2.500.000 2.000.000 1.500.000 1.000.000 500.000 - -500.000 Figure 5.14: Detailed expenditures growth of the convention 9.50 between 2000 and 2004 in Euro. Source: RIZIV/INAMI 2006 We notice that in absolute terms (€), A2 pathology (para- and tetraplegia/brain injury) is responsible for the largest part of the growth. Other pathology groups have a rather marginal influence on the expenditures growth in the 9.50 conventions; they also represent a limited number of cases in the 9.50 convention. 5.1.5.5 Conclusion Convention 9.50 This convention can be applied in 46 Belgian rehabilitation organisations for a limited list of acute or chronic neurological and musculoskeletal disorders. The fee (per item-ofservice) is different for a number of different groups of pathologies. The largest group of patients, at least before the changes to the “new convention 9.50”, is A2 pathology (para- and tetraplegia/brain injury). Possibly a lot of patients in this group are stroke patients, however, no further diagnostic details are available. Art 5 par. 3 is registered frequently (27% of cases), which means that many patients are chronic patients. This is probably linked to the transport convention and the relatively important group of outpatients in the 9.50 conventions. In practice this rather small fee is often cumulated with mono-disciplinary K or M-nomenclature. The system recently (August 2006) changed to the “new convention 9.50”, so new evolutions are to be followed up. 5.1.6 Convention 7.71: Specific and type conventions – Institutions for motor rehabilitation 5.1.6.1 Cost models 7.71 conventions € Art. 5 § 3 A2 A2bis A4 B3 B4 Total The cost model analysis was done based on the different conventions 7.71 that exist between the RIZIV/INAMI and the seven 7.71 centres. 2004 2003 2002 2001
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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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