Medication use in rest and nursing homes in Belgium. - KCE

12 Medication use in Nursing Homes KCE reports 47
1.2.2.2 Private spending of residents for non-medical care
The remaining costs, mainly for hotel services, are met by the residents s . These costs
include food, administration and maintenance costs. They do not depend on the
dependency category of the resident. The Federal Minister of Economy, Energy, Foreign
Trade and Science Policy fixes the price for hotel services to be paid by the resident t .
Table 1.6 learns that the daily price residents of rest and nursing homes have to pay for
hotel services differs substantially between and within provinces. However, since the
daily price is not an all-in price we should be cautious when comparing the daily prices
between residential homes for the elderly. On top of the daily price homes may ask
supplements or advances on behalf of a third party u . In the agreement between the rest
or nursing home and the resident the items included in the daily price and a list of extra
charges must be explicitly mentioned.
Table 1.6 : Daily price (in ) for hotel services in a single room in rest and
nursing homes by province (2 nd semester of 2005)
Provinces in Flanders Mean Min Max
Antwerpen 42.6 24.5 86.8
Vlaams-Brabant 37.5 21.2 73.0
Limburg 37.1 25.4 66.0
Oost-Vlaanderen 37.6 18.0 125.0
West-Vlaanderen 36.8 22.3 74.9
Provinces in Wallonia
Hainaut 31.3 18.0 75.4
Liège 31.0 16.3 76.0
Namur 30.3 18.8 75.5
Brabant wallon 37.5 18.8 86.1
Luxembourg 32.1 19.8 73.2
Brussels - Capital Region
Brussels - Capital Region 37.2 16.7 134.7
Source: Ministerie van Economische Zaken, afdeling prijzen en mededinging
1.2.3 Staff
On October 1, 2001 a long-term care insurance scheme was introduced in Flanders to
compensate for some of the costs of non-medical care that emerge when people
become aged or disabled. Since July 1, 2006 all residents of an accredited rest or nursing
home receive a monthly lump sum of 125.
The regulation of staffing requirements was not changed under the new financing
scheme in effect from January 1, 2004. All staffing standards are expressed as 1 FTE for
each 30 beneficiaries. The distribution is given in table 1.7.
s
Financial aid from the public municipal welfare centres (OCMW in Dutch, CPAS in French) or from
the family of the resident is possible.
t
Ministerial Decree of August 12, 2005.
u
Voorschotten ten gunste van derden in Dutch, avances en faveur de tiers in French. When services
are provided by third parties, the rest or nursing home first pays the third party and claims back the
costs from the resident afterwards.