Quelles solutions pour la garde en médecine générale? - KCE
Quelles solutions pour la garde en médecine générale? - KCE
Quelles solutions pour la garde en médecine générale? - KCE
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<strong>KCE</strong> Reports 1771<br />
The NIHDI tablees<br />
calcu<strong>la</strong>ted an aamount<br />
of € per contact. c The calcuu<strong>la</strong>tion<br />
is<br />
based on the amount<br />
allocated, each year, by the e NIHDI to the ODDC<br />
for its<br />
working costs, wwithout<br />
taking intoo<br />
account the fees s paid to the GP ( (variable<br />
costs). For the majority of the ODDCs,<br />
the costs vary<br />
betwe<strong>en</strong> € 17 aand<br />
€ 23<br />
per contact.<br />
The higher aveerage<br />
costs in the<br />
urban areas, like Brussels, mmight<br />
be<br />
exp<strong>la</strong>ined by twwo<br />
factors:<br />
• the higherr<br />
sum allocated by the NIHDI to urban areas (versus<br />
experim<strong>en</strong>ttal<br />
ODCs),<br />
• the lower nnumber<br />
of pati<strong>en</strong>tts<br />
using the servi ices (probably duue<br />
to the<br />
proximity oof<br />
a hospital or too<br />
the restricted op p<strong>en</strong>ing hours of thhe<br />
ODC,<br />
like Medinuuit).<br />
The cost per coontact<br />
progressively<br />
decreases at years 3 and 4 (TTable<br />
24<br />
and Table 25, aapp<strong>en</strong>dix<br />
8.7), exccept<br />
in the urban areas. a<br />
Affter-Hours<br />
Primaary<br />
Care<br />
66.2.5.2.<br />
Day vversus<br />
night activvities<br />
TThe<br />
number of coontacts<br />
by hour ppres<strong>en</strong>ts<br />
a <strong>la</strong>rge hheterog<strong>en</strong>eity<br />
bettwe<strong>en</strong><br />
OODCs.<br />
Data from the third year off<br />
activity in app<strong>en</strong>ndix<br />
8.7 show thaat<br />
the<br />
OODCs<br />
report a nummber<br />
of contacts tthat<br />
vary from less<br />
than one to 19.<br />
TThe<br />
number of paati<strong>en</strong>ts<br />
during the night is less thann<br />
one contact perr<br />
hour<br />
foor<br />
all ODCs: two oof<br />
them ev<strong>en</strong> repoort<br />
less than one ccontact<br />
per 10 hours.<br />
66.2.5.3.<br />
Costs per inhabitant<br />
BBased<br />
on the <strong>la</strong>sst<br />
figures releasedd<br />
by the NIHDI ffor<br />
the year 20100,<br />
the<br />
fixed<br />
exp<strong>en</strong>ses per inhabitant hhave<br />
be<strong>en</strong> calccu<strong>la</strong>ted<br />
(medical fees<br />
eexcluded).<br />
It varies<br />
betwe<strong>en</strong> € 0,15 per inhaabitant<br />
in Borsbeek<br />
WWommelgem<br />
and € 5,08 per inhabbitant<br />
for the Postt<br />
AMGCA in Basttogne<br />
wwhich<br />
started the 331/12/2009.<br />
TThis<br />
estimation hhas<br />
serious limitaations<br />
due to the approximation oof<br />
the<br />
ppopu<strong>la</strong>tion<br />
coveredd,<br />
in particu<strong>la</strong>r in urban areas, as thhe<br />
figures are repported<br />
bby<br />
the ODCs themmselves.<br />
Brusselss<br />
is the best exammple<br />
with 4 ODCss<br />
that<br />
rreport<br />
each one MMillion<br />
inhabitants.<br />
61
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