Le financement des soins infirmiers à domicile en Belgique - KCE

54 Financing of Home Nursing KCE reports 122
Key points
• The stakeholder discussion revealed a demand for fundamental change of the
need assessment instrument, although stakeholders did not agree on the
purposes of use of these instruments.
• Stakeholders prefer adaptations on (sub)parts of the complex financing system
rather than a revolutionary reform of the current Belgian model.
• Aspects/parts of the financing system which will need adaptations are:
distinction between health care delivery and social care delivery, control and
sanctions, task differentiation, case-mix financing, integrating ‘new’ nursing
interventions, communication and coordination between nurses and with
medical specialists and GPs, insufficient nurses’ knowledge of the nomenclature
and the administrative rules to apply them, and continuity of care, pay for
quality.