Etat des lieux de l'homéopathie en Belgique - KCE

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90 Homeopathy KCE Reports 154 Key messages • Unio Homeopathica Belgica (UHB) represents the physician-homeopaths, whereas the Liga Homeopathica Classica (LHC) represents all classical homeopaths (with and without a medical certificate) • Professional unions disagree on the necessity of a medical knowledge to practice homeopathy • Both professional unions share the same vision on homeopathy: the Unitarian of classical homeopathy, based on the principles of the founder, Hahnemann. The UHB supports several research projects concerning homeopathy and its use in Belgium. 5.5 PATIENTS’ ASSOCIATION 5.5.1 Objectives 5.5.2 Methods This chapter describes the patients’ associations in Belgium. The information about the patients’ association is gathered during a meeting at the KCE and through contacts by phone. 5.5.3 Results There is one patients’ association in Belgium, Pro Homeopathica (former name “De Vrienden van de Homeopathie/Les amis de l’Homéopathie) (http://www.amivrihomeo.be/index.php). It was founded in 1972 and aims to inform his members and the general public about the value of homeopathy, by organising lectures and publicising a bulletin (four issues per year). Nowadays a changeover in the board has lead to a decreased activity but still between 500 and 700 patients are member of this association. No accurate data about the number of members was available. Some concerns about the accessibility to homeopathy were suggested by the representative of the association: • the demographic spread of the homeopaths: the mean average of the homeopaths, member of UHB, is 54 years (study performed by UHB) and there is a tendency noticed in a decreasing number of young physicians who are willing to study homeopathy. • the offer of homeopathic products: this is restricted to the list of products reimbursed by the complementary insurance, established by the sickness funds and by the offer of the pharmaceutical companies. In some cases the patients experiences some difficulties to obtain the homeopathic product he needs. The patients’ association is member of the European Federation of Homeopathic Patients’ Association (EFHPA) 116 .
KCE Reports 154 Homeopathy 91 5.5.4 Conclusion The patients’ organisations, Pro Homeopathica, represents the vision of the patients on homeopathy. Main goal of this association is to inform the general public about homeopathy. Key Messages • One patients’ organisation, Pro Homeopathica, gathers patients who are satisfied of their homeopathic treatment • Pro Homeopathica aims to inform the general public about homeopathy 5.6 REIMBURSEMENT POLICY CONCERNING HOMEOPATHY 5.6.1 Introduction 5.6.2 Methods This chapter aims to describe reimbursement policies of sickness funds for homeopathy. The information about the reimbursement policy is gathered during meetings at the KCE and contacts by phone. The results and the ideas for discussion came out of this stakeholder involvement. We limited ourselves to the reimbursement policies of the 5 biggest sickness funds in Belgium. 5.6.3 Results 5.6.3.1 Reimbursement policy for ambulatory treatments The four non-conventional medicines (osteopathy, chiropractic, acupuncture and homeopathy) are not covered by the compulsory health insurance. Most of the sickness funds provide a partial reimbursement of these non-conventional medicines under the coverage of the complementary health insurance. All sickness funds have a national department, the national alliance, which can set up the criteria for reimbursement. Still, the local departments are also free the set up their own criteria, resulting in local differences in criteria within a sickness fund. This partial reimbursement is restricted to an average of 10 Euros per session, with a ceiling for the number of sessions per calendar year (maximum 5 sessions of nonconventional medicine per calendar year). These 5 sessions comprise the four nonconventional medicines. For example: the reimbursement of 5 sessions nonconventional medicines can be used for 3 acupuncture sessions and 2 treatments by an osteopath. The representatives of the sickness funds mentioned the increase of reimbursements of non-conventional medicines, in particular an increased number of patients who consult an non-conventional therapist and an increased number of nonconventional therapists (particularly osteopathy and homeopathy). In addition to reimbursement by the sickness funds, patients can also claim reimbursement through outpatient costs insurance. These policies cover up to 80% of outpatient medical costs, including the non-conventional medicines. Such services must have been prescribed by a doctor. Only consultations done by qualified practitioners are reimbursed. 5.6.3.2 Reimbursement policy for hospital-related treatments Some insurance companies reimburse 40 to 50% of the fees under the coverage of a hospitalisation insurance. Main criteria are: a direct link with the raison for hospitalisation, the treatments have to be performed under medical prescription and by qualified therapists.
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Etat des lieux de l'homéopathie en Belgique - KCE

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