Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

32 Maternal Intensive Care in Belgium KCE Reports 94
3.3.4 Efficiency (grey literature)
• How are MIC-services financed?
No international literature on MIC-financing was found. On a national level, since 1998,
every hospital with accredited MIC-beds receives an extra amount of money to pay for
the FTE of midwives with experience in high-risk pregnancies. The additional MICbudget
is worth 2.29 points (or 46.347,54€) per accredited MIC-bed. More details are
found in the background-chapter.
• How are they staffed?
The international staffing-norm on services similar to the Belgian MIC-services is one
midwife to two patients, supervised by obstetric/gynaecologist specialist(s). The only
published national data on staffing was found in a report of the Federal Belgian
Government from 2001. This report contains unfortunately only data on the
paramedical staff on the Belgian Maternity-services: 81% are midwives, 7% graduated
nurses, 7% qualified child care workers, 4% other health care staff and 1% vocational
trained nurses. The distinction between staff working in the MIC-services and in the
Maternity-services is not made, they are included in the aforementioned percentages.
No data on the medical personnel was found.
Key Messages
• The literature review alone did not result in a clear definition of maternal
intermediate care, nor MIC-patient, nor MIC-service
• The literature review resulted in very few evidence-based guidelines for
evaluation and treatment that entailed recommendations as to which level
of care is indicated for various pregnancy-associated disorders
• The working-definitions of MIC-patients, Maternal Intermediate Care and
the MIC-service were constructed by expert consensus based on the Belgian
14, 16, 18, 34
Royal Decree of 1996 and following publications