Le financement des soins infirmiers à domicile en Belgique - KCE
Le financement des soins infirmiers à domicile en Belgique - KCE
Le financement des soins infirmiers à domicile en Belgique - KCE
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30 Financing of Home Nursing <strong>KCE</strong> reports 122<br />
They use their own material and their own car. One third of their activities focuses on<br />
technical acts on medical prescription (Nursing Medical Acts or AMI –‘acte médical<br />
infirmier’) and two thirds on nursing care (or AIS ‘acte infirmier de <strong>soins</strong>’) 37 .<br />
Indep<strong>en</strong>d<strong>en</strong>t nurses work oft<strong>en</strong> in collaboration with the SSIAD and they are ev<strong>en</strong><br />
partly performing activities in the nursing homes for old people (EHPAD –<br />
Etablissem<strong>en</strong>t d'Hébergem<strong>en</strong>t pour Personnes Agées Dép<strong>en</strong>dantes).<br />
In the Netherlands, home nursing is mostly provided by non-governm<strong>en</strong>t not-for-profit<br />
local and regional home care organisations, operating under nationally organised<br />
umbrella organisations (kruisver<strong>en</strong>iging<strong>en</strong>). These national organisations provide all forms<br />
of care (home care, maternal care, specialised nursing care, home help, etc.).<br />
Community nurses provide services as self-employed or as an employee of a larger<br />
organisation. After the most rec<strong>en</strong>t reforms, more for-profit organisations and selfemployed<br />
nurses positioned on the market but the number of self-employed nurses<br />
remains relative low. As part of the innovation policy in health care, the so-called<br />
“buurtzorg” initiatives (small scale community nursing initiatives) were launched in<br />
2007 a .<br />
In Germany, differ<strong>en</strong>t types of organisations provide home nursing and care: socialprofit<br />
(e.g. Caritas, Red Cross) or municipal services (kommunale Sozialstation<strong>en</strong>) and<br />
many private Pflegedi<strong>en</strong>ste. Sozialstation<strong>en</strong> (public/municipal or private/social profit)<br />
provide home care and home nursing but function as community service c<strong>en</strong>ters too.<br />
They were initially built to reduce the demand for resid<strong>en</strong>tial/hospital care. Their<br />
activities are thus not limited to nursing only. These social and home health services are<br />
largely provided by indep<strong>en</strong>d<strong>en</strong>t, charitable and private-commercial bodies (social<br />
service providers), partly also by municipal service providers. The size of the population<br />
served by a Sozialstation varies betwe<strong>en</strong> 12 000 and 50 000 inhabitants, dep<strong>en</strong>ding on its<br />
size and the degree of urbanization.<br />
3.2.2.3 Qualification level<br />
Only in Germany there is clear link betwe<strong>en</strong> the qualification level of the nurses and the<br />
tariffs for nursing activities.<br />
a http://www.nivel.nl/pdf/Rapport-Buurtzorg-nieuw-<strong>en</strong>-toch-vertrouwd.pdf
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