Congress report - European Health Forum Gastein

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152 European Health Forum Gastein 2001 with regard to the identification of “cross border” patients and the monitoring of their insurability. The information contained on the cards is used by the parties involved (the hospital establishments and insuring bodies) in order to be able to invoice for the care and obtain the reimbursement of the monies owing35 . From the first exploitable data36 it emerges that, during the period from 17 May 2000 to 30 April 2001: • 22 people insured in Belgium received care in France • 250 people insured in France received care in Belgium Distribution by age: A majority, 66 %, of these insured people are between 20 and 60 years of age, which is the age range of the active population. The remaining one third is essentially made up of people aged over 60 (27%) AGE WORKFORCE PERCENTAGE 0-10 8 3% 11-20 13 5% 21-30 23 8% 31 41 54 20% 41-50 62 23% 51-60 38 14% 61-70 32 11.5% 71 and over 42 15.5% TOTAL 272 100% Distribution by sex: 61% women as against 39% men Distribution according to place of residence: we can see a flow of patients whose place of residence is located within a radius of 20 km from the hospital attended for people insured in Belgium and France. Distribution according to the nature of the care: For people insured in France who were treated in Belgium this is mainly outpatient care; nevertheless we can see the emergence of a flow of hospitalisation (8 patients recorded at 31/12/2000). On the other hand the cases listed in France correspond to stays in hospital. 35 In practice, for instance, the Fagnes Health Centre reads the French insured person’s Vitale card using the “Transcards Vital” software application. If the insured person is part of the experimentation region, the card contains the Transcards zone, which allows a special E112TF form to be printed out. This is then automatically filled out with the information from the Vitale card, the hospital personnel complete the form by entering the insured person’s address and send the E112TF with the request for payment to the Belgian mutual insurance system which assigns an identification number to the French affiliated member. 36 Final report Transcards project November 2000 until May 2001, 17/07/2001. International Forum Gastein, Tauernplatz 1, A-5630 Bad Hofgastein Tel.: +43 (6432) 7110-70, Fax: Ext. 71, e-mail: info@ehfg.org, website: www.ehfg.org
Forum III: Health and the Single European Market Types of services recorded The year of experimentation has allowed us to record the following movements of patients: CARE French patients Receiving care in Belgium OUTPATIENT CARE 173 patients / 273 examinations Scanner = 28% Other medical imaging = 14% Neurology = 18% Nuclear medicine = 12% ONE DAY CLINIC 12 patients / 59 fixed cost Intra-vascular perfusion = 24 Chemotherapy = 29 Surgery = 5 Scanner = 1 INPATIENT CARE 8 patients 18 patients Belgian patients receiving care in France Functional = 13 rehabilitation TOTAL 193 patients Haemodialysis = 2 Other = 3 18 patients International Forum Gastein, Tauernplatz 1, A-5630 Bad Hofgastein Tel.: +43 (6432) 7110-70, Fax: Ext. 71, e-mail: info@ehfg.org, website: www.ehfg.org 153 So we can conclude that, a posteriori, the project has allowed the following complementarities to be fulfilled: • Patients residing in France travelling to Belgium for nuclear medicine and medical imaging services plus neurology consultations. So these are mainly outpatient services. • Patients residing in Belgium travelling to France for haemodialysis and functional physiotherapy, so these are mainly inpatient services. This can be explained by the fact that the care establishments may be some considerable distance away, whereas they are available by simply crossing the border. Financial flows for Belgian patients Belgian patients cared for in France (period from 15 May 2000 to 30 April 2001) Cost paid by Health Insurance Share to be paid by the patients Total Outpatient care 107.70€ 46.33€ 154.03€ One day clinic 1,281.74€ 0€ 1,281.74€ Inpatient care 114,133.62€ 3,319.30€ 117,452.92€ TOTAL 115,523.06€ 3,365.63€ 118,888.69€
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Organiser: International Forum Gast
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The International Forum Gastein gra
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Co-organisers Sponsors
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8 European Health Forum Gastein 200
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12 Preface David Byrne European Hea
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16 Günther Leiner European Health
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Inserat A1
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34 Investing in Better Health in Wa
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74 Luigi Bertinato European Health
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84 Key Issues There are a number of
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214 Summary Report of Forum V Stipe
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238 Main features of this database:
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242 DRAFT GUIDELINES ON QUALITY CRI
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244 Petra Wilson Statement not avai
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Inserat DaMe
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276 Final Programme 2001 Programme
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278 Friday, September 28th , 2001 0
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280 Forum II: Globalisation, World
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308 Ms. Regina Sauto Information an
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Congress report - European Health Forum Gastein

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