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2 Orthodontics KCE Reports 77 3.2.1 Searched databases......................................................................................................60 3.2.2 Search terms.................................................................................................................60 3.2.3 Selection of studies......................................................................................................61 3.3 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN FRANCE..................61 3.3.1 Health insurance in general.......................................................................................61 3.3.2 Organization of orthodontic practitioners in France..........................................62 3.3.3 Dental and orthodontic health basket....................................................................63 3.3.4 Fee-for-service for orthodontic acts.......................................................................63 3.3.5 Overview of Public Insurance expenditures on dentistry and/or orthodontics ..........................................................................................................................................64 3.3.6 Conclusions on the international comparative study based on the literature study for France. ..........................................................................................................64 3.4 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN GERMANY..............65 3.4.1 Health insurance in general.......................................................................................65 3.4.2 Organization of orthodontic practitioners in Germany.....................................66 3.4.3 Dental and orthodontic health basket....................................................................66 3.4.4 Fee-for-service for orthodontic acts.......................................................................67 3.4.5 Overview of Public Insurance expenditures on dentistry and/or orthodontics ..........................................................................................................................................67 3.4.6 Conclusions on the international comparative study based on the literature study for Germany. .....................................................................................................68 3.5 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN THE UNITED KINGDOM.........................................................................................................................................68 3.5.1 Health insurance in general.......................................................................................68 3.5.2 Organization of orthodontic practitioners in the United Kingdom ................69 3.5.3 Dental and orthodontic health basket....................................................................70 3.5.4 Fee-for-service for orthodontic acts.......................................................................72 3.5.5 Conclusions on the international comparative study based on the literature study for the UK..........................................................................................................72 3.6 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN THE NETHERLANDS ...........................................................................................................................................................72 3.6.1 Health insurance in general.......................................................................................72 3.6.2 Organization of orthodontic practitioners in the Netherlands........................73 3.6.3 Dental and orthodontic health basket....................................................................75 3.6.4 Fee-for-service for orthodontic acts.......................................................................75 3.6.5 Overview of Public/Private Insurance expenditures on orthodontics............76 3.6.6 Conclusions on the international comparative study based on the literature study for the Netherlands. ........................................................................................76 3.7 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN THE UNITED STATES OF AMERICA .....................................................................................................................................77 3.7.1 Health insurance in general.......................................................................................77 3.7.2 Organization of orthodontic practitioners in the USA ......................................78 3.7.3 Dental and orthodontic health basket....................................................................79 3.7.4 Fee-for-service for orthodontic acts.......................................................................80 3.7.5 Conclusions on the international comparative study based on the literature study for the USA........................................................................................................80 3.8 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN SWEDEN.................80 3.8.1 Swedish health care in general .................................................................................80 3.8.2 Organization of orthodontic practitioners in Sweden........................................81 3.8.3 Dental and orthodontic health basket....................................................................82 3.8.4 Fee-for-service for orthodontic acts.......................................................................83 3.8.5 Overview of Public Insurance expenditures on dentistry and/or orthodontics ..........................................................................................................................................83
KCE Reports 77 Orthodontics 3 3.8.6 Conclusions on the international comparative study based on the literature study for Sweden. ........................................................................................................84 3.9 ORGANIZATION AND FINANCING OF ORTHODONTIC TREATMENT IN SWITZERLAND ......84 3.9.1 Health insurance in general.......................................................................................84 3.9.2 Organization of orthodontic practitioners in Switzerland.................................85 3.9.3 Dental and orthodontic health basket....................................................................86 3.9.4 Fee-for-service for orthodontic acts.......................................................................86 3.9.5 Overview of Public Insurance expenditures on dentistry and/or orthodontics ..........................................................................................................................................88 3.9.6 Conclusions on the international comparative study based on the literature study for Switzerland. .................................................................................................88 3.10 ORTHODONTICS ORGANISATION AND FINANCING: COMPARISON FOR 8 COUNTRIES, BASED ON A QUESTIONNAIRE........................................................................................................88 3.10.1 Introduction ..................................................................................................................88 3.10.2 Methodology.................................................................................................................89 3.10.3 Results and conclusions..............................................................................................89 3.11 SUMMARY TABLE ON INTERNATIONAL COMPARISON..............................................................109 3.12 STRENGTHS AND WEAKNESSES TABLE FOR BELGIUM ...............................................................110 4 Belgian situation: organisation, regulation and density of practitioners...111 4.1 INTRODUCTION ............................................................................................................................111 4.1.1 Aims ..............................................................................................................................111 4.1.2 Licensing of orthodontics in Belgium....................................................................111 4.1.3 Orthodontic specialization in Belgium..................................................................112 4.1.4 Orthodontic specialty organization in Belgium ..................................................113 4.2 MATERIAL AND METHODOLOGY................................................................................................113 4.3 GEOGRAPHICAL DISTRIBUTION OF ORTHODONTIC PRACTITIONERS....................................114 4.4 NUMBER OF INHABITANTS PER PRACTITIONER (SPECIALIST AND NON-SPECIALIST) AND ACCESS TO ORTHODONTIC TREATMENT ..................................................................................116 4.4.1 Number of 0-19 yr old inhabitants per practitioners and access to orthodontic treatment .............................................................................................117 4.4.2 Number of 10-14 yrs old inhabitants per practitioners and access to orthodontic treatment .............................................................................................118 4.5 NUMBER OF INHABITANTS PER SPECIALIST PRACTITIONER AND ACCESS TO SPECIALIST ORTHODONTIC TREATMENT.......................................................................................................120 4.5.1 Number of 0-19 yr old inhabitants per specialist and access to specialist orthodontic treatment – overview per region...................................................120 4.5.2 Number of 0-19 yr old inhabitants per specialist practitioner and access to orthodontic treatment – overview per province ..............................................121 4.5.3 Number of 10-14 yr old inhabitants per specialist and access to specialist orthodontic care – overview per region .............................................................122 4.5.4 Number of 10-14 yr old inhabitants per specialist and degree of orthodontic treatment – overview per province ......................................................................122 4.6 DISCUSSION ON ACCESSIBILITY TO ORTHODONTIC CARE.....................................................124 4.7 COMPARISON OF NUMBER OF TREATMENT STARTS DONE BY SPECIALIST VERSUS NON- SPECIALIST PRACTITIONERS ..........................................................................................................124 4.7.1 Based on population of 0-19 yr olds.....................................................................124 4.7.2 Based on population of 10-14 yr olds...................................................................125 4.8 DESCRIPTION OF PRACTITIONERS PROFILES ..............................................................................126 4.8.1 Specialists’ profiles.....................................................................................................126 4.8.2 Non-specialist practitioners profiles .....................................................................129 4.9 CONCLUSIONS ..............................................................................................................................131
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