The report is available in English with a a French summary - KCE
The report is available in English with a a French summary - KCE
The report is available in English with a a French summary - KCE
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4 Orthodontics <strong>KCE</strong> Reports 77<br />
5 Belgian situation: estimates on fees, reimbursement and out-of-pocket<br />
payments for orthodontic treatment ...........................................................132<br />
5.1 INTRODUCTION ............................................................................................................................132<br />
5.2 CONTRIBUTORS TO THE BELGIAN ORTHODONTIC HEALTH CARE COSTS...........................132<br />
5.3 CONVENTION FEES AND REIMBURSEMENT BY THE NATIONAL HEALTH INSURANCE<br />
RIZIV/INAMI.................................................................................................................................132<br />
5.4 ESTIMATES ON ACTUAL FEES ........................................................................................................134<br />
5.4.1 H<strong>is</strong>torical guid<strong>in</strong>g fees...............................................................................................134<br />
5.4.2 Data on total fees from DKV .................................................................................135<br />
5.4.3 Data from the questionnaire...................................................................................137<br />
5.5 COMPLEMENTARY REIMBURSEMENT POLICIES BY THE SICKNESS FUNDS ................................138<br />
5.6 ESTIMATES ON OUT OF POCKET PAYMENTS FOR ORTHODONTIC TREATMENTS.................141<br />
5.7 CONCLUSIONS ..............................................................................................................................141<br />
6 Belgian situation: RIZIV/INAMI expenditures .............................................142<br />
6.1 INTRODUCTION ............................................................................................................................142<br />
6.2 MATERIAL AND METHODS............................................................................................................142<br />
6.3 EVOLUTION OF OVERALL ORTHODONTIC RIZIV/INAMI-ACTS AND EXPENDITURES FROM<br />
1975 TO 2005 ...............................................................................................................................142<br />
6.3.1 Evolution of all orthodontic acts............................................................................142<br />
6.3.2 Evolution of orthodontic treatment demands (305594)..................................145<br />
6.4 DESCRIPTION OF THE ORTHODONTIC RIZIV/INAMI-EXPENSES PER AGE CATEGORY, PER<br />
GENDER AND PER REGION/PROVINCE ........................................................................................145<br />
6.4.1 Overview of 305594, 305631 and 305675 acts per age category and per<br />
gender...........................................................................................................................146<br />
6.4.2 Overview of 305594, 305631 and 305675 acts per region .............................147<br />
6.4.3 Overview of 305594, 305631 and 305675 acts per age category per region<br />
........................................................................................................................................148<br />
6.4.4 Overview of 305594, 305631 and 305675 acts per age category per prov<strong>in</strong>ce<br />
........................................................................................................................................148<br />
6.5 RIZIV/INAMI ORTHODONTIC HEALTH CARE EXPENSES RELATIVE TO THE TOTAL DENTAL<br />
AND MEDICAL NATIONAL EXPENSES...........................................................................................152<br />
6.6 CONCLUSIONS ..............................................................................................................................152<br />
7 Belgian situation: orthodontic practices.......................................................153<br />
7.1 INTRODUCTION ............................................................................................................................153<br />
7.2 METHODOLOGY............................................................................................................................153<br />
7.3 RESPONSE RATE..............................................................................................................................153<br />
7.4 STATISTICAL LIMITATIONS OF THE RESULTS...............................................................................153<br />
7.5 REPRESENTATION OF AGE GROUPS AND YEARS AFTER GRADUATION..................................154<br />
7.6 TYPE OF PRACTICE IN ORTHODONTICS.....................................................................................154<br />
7.7 AGREEMENT WITH THE CONVENTION.......................................................................................154<br />
7.8 TYPES OF TREATMENT...................................................................................................................154<br />
7.9 DURATION OF TREATMENT.........................................................................................................154<br />
7.9.1 Questionnaire.............................................................................................................154<br />
7.9.2 DKV data .....................................................................................................................155<br />
7.9.3 IMA/AIM data..............................................................................................................155<br />
7.9.4 CM/MC data................................................................................................................159<br />
7.10 USE OF WRITTEN OFFERS AND INFORMED CONSENT FORMS .................................................161<br />
7.11 USE OF NEW ORTHODONTIC TECHNOLOGIES.........................................................................162<br />
7.12 USE OF INDICES..............................................................................................................................162