Quelles solutions pour la garde en médecine générale? - KCE

KCE Reports 1771
Table 16 : Disstribution
of thee
expenses for the t item « Servvice
and
various goodss”
Account
Supplies and
commodities
Renting costs
Maintenance and
"reparation"
Supplying to the
company (water,
electricity, gas,
phone, internet,……)
Medical fees
Insurance
Communication
expenses
36 241
Travel expenditurees
367 133
Others
Total
Source: National Institute for Health and Disability Insur rance, 2010
6.2.4.2. Revvenues
of the ODDCs
Table 17 showws
the sources off
the revenues of o the ODCs, for the first
semester of 2010
(unpublished ddata
from NIHDI) . “Turnover” refers
to the
fees paid to GPP
for their availabbility
for the after-h hours services).TThe
most
important post iis
the budget alloccated
by the NIHD DI.
Table 17. Reveenues
of the ODCC’s
(2010)
Turnover
Different
subventions
Financial income
Other revenues
Total
Experimental (€) Urban (€)
195 671
0
144 601
56 707
110 168
1 533 341
13 932
49 479
2 507 274
Experimental
(€)
1 487 184
1 859 004
2 835
10 044
3 359 068
116 040
29 235
61 044
1 129 982
3 196
17 447
71 412
99 583
1 527 940
Experimental (%)
6.5
4.8
1.9
3.6
50.8
0.5
1.2
12.2
1.6
100.0
Urban (€) Experimental UUrban
(%) (
( (%)
759 491 44.3 4
331.5
1 621 691 55.3 5
667.2
19 420 0.1 0
00.8
13 386 0.3 0
00.6
2 413 988 100.0 1100.0
Affter-Hours
Primaary
Care
Urban (%)
0.0
6.8
1.7
3.6
65.9
0.2
1.0
4.2
5.8
100.0
TThe
results of the 2010 survey fromm
the NIHDI showw
a difference bettween
eexperimental
and urban posts thaat
might explain ddifferences
in finaancial
inncome:
in experimmental
ODCs, thee
fees are more offten
paid by the patient
too
the GP. In urbaan
ODCs, the post
often centralisess
the patient paymments
aand
pays back thhe
GP afterwardss
(with a commisssion
of 2% to 3%,
to
ccover
the administtrative
costs).
WWith
the concurreence
of the hospittals
in the urban aareas,
there is a move
toowards
a policy ppromoting
the sysstem
of the third ppayer
within the OODCs.
Indeed,
it makes a difference for thee
patient if he hass
to pay the full prrice
or
oonly
the co-paymeent.
66.2.5.
Activitiess
of the ODCs
TThe
first NIHDI repport
(data 2008) pprovides
informatioon
on contacts, patient
nnumbers
and exppenses
by patientt
for the first, second,
third and ffourth
yyears
of the ODCCs
(see table 19 and appendix 8.77.2).
The primaryy
data
ssources
of these ssummary
tables aare
the reports drrafted
by the ODCCs
for
the
NIHDI.
66.2.5.1.
Costs by contact: evoolution
over yearrs
of activity
TTable
18 indicatess,
for the second yyear
of activity, thee
duration, the nuumber
oof
day contacts, night
contacts, thee
number of patiennts
during the dayy,
the
nnumber
of patiennts
during the night.
Based on tthese
data the NNIHDI
eexpenses
per conttact
have been exxtrapolated.
TThe
tables appenddix
8.7.2 show ssimilar
data for the
first, third and ffourth
yyears
of activity. The launching oof
a new ODC rrequires
An impoortant
innvestment
for feew
patients and the data for thhe
first year aree
not
ccomparable
to thee
following periodss.
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