Het gebruik van kinesitherapie en van fysische geneeskunde ... - KCE

24 Physiotherapy & Physical and Rehabilitation Medicine KCE reports 87
3.2.2 Diagnostic or evaluation examination reports
The PRM and physiotherapy nomenclatures include codes for examination reports
under precise conditions. These diagnostic consultations are out of the scope of this
report which addresses therapeutic interventions. The inclusion of these acts could
distort the analysis, since they represent a considerable portion of the activity of PRM
specialists. These services are detailed in Appendix 8 but are not included in the
following chapters.
3.2.3 Consumption of rehabilitation treatment
The following chapters relate to the rehabilitation treatment. Rehabilitation within the
framework of conventions that does not explicitly involve a physiotherapist is not taken
into account. Registration with a medical health centre (first line practice with capitation
payment) is not included either.
3.2.3.1 Different kinds of rehabilitation for the period 2003-2005
Each year, approximately 13.5% of the sample population has rehabilitation (Table 10).
Table 11 illustrates that one patient out of four (26.16%) benefited from rehabilitation at
least once during this 3-year period. In 3 years, 3.09% of the sample population
underwent recurrent, chronic or non-chronic rehabilitation.
One patient out of ten (11.71%) in 2003 and 12.42% in 2005 had physiotherapy.
Physical and Rehabilitation Medicine was consumed by 2.51% of the insured in 2003 and
2.59% in 2004.
Each year, 0.20% to 0.22% of the insured benefited from rehabilitation conventions
including physiotherapy.
In 2005, 1.35% of the sample population had physiotherapy and Physical and
Rehabilitation Medicine. A combination of several kinds of rehabilitation therefore exists
for the same patient: it is far from marginal compared to the sample population
receiving Physical and Rehabilitation Medicine.
These data do not support the assumption that patients received more frequently
Physical and Rehabilitation Medicine (versus physiotherapy) in 2005 compared with
2003 and 2004 (see Table 10).
Table 10 : Number and proportion of patients with at least one
rehabilitation treatment session per year
Kind of Patients who had at Sample % of sample
rehabilitation least one treatment population population
PRM 6590 2.51%
Physiotherapy 30712 11.71%
Physiotherapy + PRM 3302 1.26%
2003 Convention + PT 514 0.20%
Total 34156 262298 13.02%
PRM 6775 2.59%
Physiotherapy 31783 12.14%
2004 Physiotherapy + PRM 3342 1.28%
Convention + PT 566 0.22%
Total 35932 261741 13.52%
PRM 6782 2.57%
2005
Physiotherapy
Physiotherapy + PRM
32770
3554
12.42%
1.35%
Convention + PT 575 0.22%
Total
36179 263817 13.71%
Table 11 shows the number of patients with rehabilitation treatment at least once
between 2003 and 2005, either over the course of a single year or repeatedly each year.
This table does not, therefore, consist of a mere adding-up of the data from the 3 years
presented separately in Table 10.