Quelles solutions pour la garde en médecine générale? - KCE

58
after-hours inittiatives
(existing and new ones
hypotheses:
• ODCs with a contract that wwill
ask for a highe
• Budget askked
by new ODCss;
• For new ODCs
which have not yet introduced
announcedd
they will apply inn
the next months
per inhabitaant
is applied;
• Moreover a financial margin is foreseen for un
The proposal introduced by eeach
ODC is ca
conditions are aaccepted,
90% off
the amount is pa
days following tthe
signature of thhe
contract and th
with the approvval
of the financiall
report sent the y
a part of the suubvention
is reimbursed
to the Na
and Disability IInsurance
if the ccentre
has not us
allocated to its project. In this ccase,
its budget
year.
An example of tthe
financial report
is presented in
6.2.3. Econoomic
descriptionn
The descriptionn
below is based oon
the reports from
• The first gllobal
evaluation oof
the ODC projec
August andd
September 20008
by the NIHDI
the report gives information
sources: tthe
data reporte
conducted among 20 O
interesting in the first report
o the details
about expen
o the evaluation
of the ac
• The focus of the 2010 NIH
economicaal
point of view is
after the ppublication
of the
limited to a survey among
displayed in
this report are b
Care Depaartment.
1
n on the costs of
ed by the ODCs
DCs. Two elem
from 2008:
ses and revenues
tivities.
HDI report 15 s) and from theeoretical
r budget;
d a motivated reqquest
but
s, a theoretical feee
of € 3
nexpected projectts.
arefully examinedd.
If the
aid to the centre wwithin
10
he remaining 10% % is paid
year after. In somee
cases,
ational Institute foor
Health
sed correctly the amount
will be reduced tthe
next
appendix 8.7.
m the ODCs to thee
NIHDI.
ct has been perfoormed
in
107
. The economic c part of
the ODC, basedd
on two
s and a furtherr
survey
ments were particularly
s;
is mainly m organizatioonal:
the
not mentioned anymore,
due to reeactions
first report. The second official rreport
is
g the 27 ODCs. Financial data ffor
2010
based on unpublis shed data from thee
Health
Affter-Hours
Primaary
Care
66.2.4.
Expensees
and revenuess
of the ODCs
66.2.4.1.
Expennses
of the ODCCs
KCE Reportss
171
OOverview
of 20100
data
TTable
15 describees
the distributionn
of the expensess,
for the experimmental
OODCs
and the urban
ODCs, bassed
on the NIHDDI
data (first semmester
22010).
The patternn
is quite similar bbetween
both grouups
of ODCs:
• “Services andd
various goods” (“Services et Bieens
divers”) repreesents
the most important
part of thee
expenses, respeectively
73% and 64%
for experimenntal
and urban ODDCs;
• followed by “Remuneration – medical andd
non medical staff”
(respectively 221%
and 31%).
TTable
15 : Distribbution
of the expeenses
(NIHDI 20110)
AAccount
Exxperimental
(€) UUrban
(€) Experimmental
(%) Urbann
(%)
SSupplies/Com
mmodities
90 432
40 654
2.6 1.77
SServices/vario
uus
goods
2 507 274 1 527 940 773.3
63. 6
RRemuneration,
ssocial
ssecurity/pensi
oon
schemes
70 6307 750 076 220.6
31. 2
PProvision
ddepreciation
50 565
77 754
1.5 3.22
OOther
eexpenses
64 914
4 580
1.9 0.22
FFinancial
ccharges
1 560
1 467
0.0 0.11
TTotal
3 421 051 2 402 470 100.0
1000.0
TTable
16 showss
differences beetween
the typees
of ODCs forr
the
ccomponents
of thee
item “services aand
various goodds”,
the most impoortant
ppart
of the expensses
e.g.:
• the medical fees represent rrespectively
51% % of the expenses
in
experimental ODCs and 66% oof
the expenses inn
urban ODCs;
• the travel exppenditures
counts for 12% (367.1333
€) of the expensses
in
experimental ODCs.