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

KCE Reports 87 Physiotherapy & Physical and Rehabilitation Medicine 39
Rehabilitation conventions with physiotherapy were only present on a first intention
basis in 2.3% of the episodes and rarely followed by other types of rehabilitation (see
Appendix 13).
See details in Appendix 12.
3.4.2.2 Care sequences if the care episode begins in an outpatient setting
For care episodes that began in an outpatient setting, one single care sequence was
observed in 94.5% of the cases. For a majority (92%) of the episodes, physiotherapy was
the first treatment.
Successions of different types of rehabilitation existed for barely 5.5% of care episodes.
The most common successions were:
• outpatient Physiotherapy followed by inpatient physiotherapy (2.3% before
01/08/2004 and 2.0% after the reform);
• outpatient PRM followed by outpatient physiotherapy (1.1% before
01/08/2004 and 1.0% after the reform).
The frequency of Physical and Rehabilitation Medicine as first intention treatment in an
outpatient setting decreased slightly between the two periods: 8.1% of care episodes
before 01/08/2004 versus 7.2% after the reform.
Details in Appendix 13.
Physical and Rehabilitation Medicine was the first inpatient treatment for
29.6% of care episodes.
Physical and Rehabilitation Medicine as first intention treatment in an
outpatient setting decreased slightly between both periods: from 8.1% of
care episodes before 01/08/2004 versus 7.2% after the reform.
When the care episode started during hospitalisation, the most common
successions were inpatient physiotherapy followed by outpatient
physiotherapy, and inpatient Physical and Rehabilitation Medicine followed
by outpatient physiotherapy.
When the care episode started in an outpatient setting, 94.5% of the
episodes involved one single sequence. This was 68% when the episode
started during hospitalisation.
3.4.3 Circuit according to the kind of treatment and inpatient/outpatient
setting
The situation is more complex when taking into account different sequences of care
within the same type of rehabilitation. We restrict the description to the most frequent
combination of treatments.
3.4.3.1 First intention treatment
Physiotherapy for standard diseases is the first treatment both in an outpatient (77%) as
inpatient (57%) setting.
For hospitalised patients, K15-K20 PRM sessions were observed as first treatment in
22.6% of care episodes. Perinatal PT treatment was the first care for 11% of care
episodes.
In an outpatient setting, K15-K20 PRM sessions were the first treatment in 4.2% of care
episodes. Physiotherapy was more frequent as first treatment i.e. in 91.9% of care
episodes (including 77% episodes treated for standard diseases).
3.4.3.2 Was there a change before and after the PRM reform in terms of first
treatment?
For hospitalised patients, the number of episodes involving 60 minutes multi-disciplinary
sessions (K30) decreased to the benefit of 120 minutes multi-disciplinary sessions (K60).
There was a decrease in physiotherapy provided to hospitalised patients (treatment for
standard diseases).