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KCE REPORTS VOL 80S Title : Effects of the Maximum Billing system on health care consumption and financial access to health care - supplement Authors : Erik Schokkaert (K.U.Leuven), Joeri Guillaume (IMA), Ann Lecluyse (UA), Hervé Avalosse (IMA), Koen Cornelis (IMA), Diana De Graeve (UA), Stephan Devriese (KCE), Johan Vanoverloop (IMA), Carine Van de Voorde (KCE) External experts : André Decoster (K.U.Leuven), Ri De Ridder (RIZIV), Vincent Lorant (UCL), Karel Van den Bosch (UA) Acknowledgements : Wim Cnudde (FOD Financiën), Guy Van Camp (FOD Sociale Zekerheid) External validators : Myriam De Spiegelaere (ULB), Marc Jegers (VUB), Brian Nolan (University College Dublin) Conflict of interest : André Decoster is working in the same research Group as Erik Schokkaert en Carine Van de Voorde (partime K U Leuven). Disclaimer : The external experts collaborated on the scientific report that was subsequently submitted to the validators. The validation of the report results from a consensus or a voting process between the validators. Only the KCE is responsible for errors or omissions that could persist. The policy recommendations are also under the full responsibility of the KCE. Layout : Ine Verhulst Brussels, June 30 th 2008 Study nr 2005-23 Domain : Equity and Patient Behaviour (EPB) MeSH : Financing, Personal ; Health Services Accessibility NLM classification : W74 Language : English Format : Adobe® PDF (A4) Legal depot : D/2008/10.273/37 Any partial reproduction of this document is allowed if the source is indicated. This document is available on the website of the Belgian Health Care Knowledge Centre. How to refer to this document? Schokkaert E, Guillaume J, Lecluyse A, Avalosse H, Cornelis K, De Graeve D, et al. Effects of the Maximum Billing system on health care consumption and financial access to health care - supplement. Equity and Patient Behaviour (EPB). Bruxelles: Belgian Health Care Knowledge Centre (KCE); 2008 2008-07-01. KCE reports 80S (D/2008/10.273/37)
KCE Reports 80S Maximum Billing supplement 1 Supplements APPENDIX TO CHAPTER 3: DESCRIPTION OF THE DATA ........................................... 3 1 IMA-GEGEVENS: DATASETS MET POPULATIEGEGEVENS ................................. 4 1.1 STEEKPROEF...................................................................................................................................................... 4 1.1.1 Aantal observaties in de datasets.................................................................................................. 4 1.1.2 MaF-gezinshoofden .......................................................................................................................... 5 1.1.3 Overlijdens ........................................................................................................................................ 7 1.2 SYSTEMATISCHE BESCHRIJVING VAN DE VARIABELEN..................................................................................11 1.2.1 De variabelen pp3001 t.e.m. pp3005 beschrijven MaF-rechten en MaF-categorieën ......11 1.2.2 Variabele pp3006: datum recht MaF ..........................................................................................16 1.2.3 De variabelen pp2001 t.e.m. pp2011 beschrijven categorieën van chronisch zieken......18 1.2.4 De variabelen pp0015a en pp0020 beschrijven het geboortejaar en het geslacht ...........22 1.2.5 De variabelen pp0030 en pp0035 beschrijven het verzekeringsstatuut .............................25 1.2.6 NIS code – pp0025 ........................................................................................................................29 1.2.7 Jaar-maand van overlijden - pp0040A en pp0040B .................................................................31 1.2.8 Geteld in model E – pp1001 ........................................................................................................33 1.2.9 Titularis/persoon ten laste – pp1002 .........................................................................................34 1.2.10 Sociale toestand op datum van het model E – pp1003 ..........................................................36 1.2.11 Code werkloosheid (indien werkloos in 4 e kwartaal van voorafgaand jaar) – pp1004 ...37 1.2.12 Bijdragebetalend / kosteloos – pp1007......................................................................................39 1.2.13 Aard bedrag inkomens – pp1008................................................................................................40 1.2.14 Recht op een gewaarborgd inkomen, inkomensgarantie voor ouderen of het leefloon – pp 3010 .........................................................................................................................................................41 1.2.15 Recht op toelage van gehandicapten – pp3011........................................................................41 1.2.16 Meer dan 6 maanden werkloosheidsuitkering – pp3012 .......................................................42 1.2.17 Recht op hulp van OCMW – pp3013........................................................................................42 1.2.18 PP3010_3013 – samenvoegen van PP3010 en PP3013 ..........................................................42 1.2.19 Aantal dagen werkloosheid – pp4001........................................................................................43 1.2.20 Aantal dagen primaire arbeidsongeschiktheid – pp4002........................................................44 1.2.21 Aantal dagen invaliditeit – pp4003..............................................................................................45 2 IMA-GEGEVENS: DATASETS MET INDIVIDUELE UITGAVENGEGEVENS VOOR PERSONEN IN DE STEEKPROEF (UITGYYYY_C7)............................................................................................................ 46 2.1 OBSERVATIES IN DE DATASETS......................................................................................................................46 2.2 ALGEMENE STATISTIEKEN..............................................................................................................................47 2.3 BESCHRIJVING VAN VARIABELEN...................................................................................................................48 2.3.1 Prestatie - / Afleveringsdatum – ss00015..................................................................................48 2.3.2 Jaar-maand boekhouding document C / facturatiedatum (ss00025a en ss00025b)..........48 2.3.3 Boekhoudcodes C en N-documenten .......................................................................................50 2.4 GENEESMIDDELEN IN FARMANET EN IN ZIEKENHUIZEN .............................................................................85 2.4.1 Beschrijving van de referentiebestanden...................................................................................86 2.4.2 Aggregatiegroepen .........................................................................................................................87 3 IMA-GEGEVENS: DATASETS MET UITGAVENGEGEVENS VAN MAF- GEZINSLEDEN NIET IN STEEKPROEF ..................................................................107 3.1 OBSERVATIES IN DE DATASETS....................................................................................................................107 3.2 LAY-OUT AGGREGATIE UITGAVENGROEPEN .............................................................................................108
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