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180616 ||| eng |
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|a Sorbe, Stéphane
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|a Belgium: Enhancing the Cost Efficiency and Flexibility of the Health Sector to Adjust to Population Ageing
|h Elektronische Ressource
|c Stéphane, Sorbe
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|a Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population / Stéphane, Sorbe
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|a Belgique : améliorer l'efficience et la flexibilité du secteur de la santé pour s'adapter au vieillissement de la population
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|a Paris
|b OECD Publishing
|c 2013
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| 300 |
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|a 35 p.
|c 21 x 29.7cm
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| 653 |
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|a Economics
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| 653 |
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|a Social Issues/Migration/Health
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| 653 |
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|a Belgium
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|a eng
|2 ISO 639-2
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|b OECD
|a OECD Books and Papers
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|a OECD Economics Department Working Papers
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|a 10.1787/5k44ssnfdnr7-en
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|a oecd-ilibrary.org
|u https://doi.org/10.1787/5k44ssnfdnr7-en
|x Verlag
|3 Volltext
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|a 610
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|a Belgium has a good record in delivering accessible care, but adaptation to population ageing will be complicated by the fragmentation of responsibilities in the healthcare system and a strong reliance on government regulations. The organisation of the system could be rationalised by giving sickness funds a more active role as promoters of cost-efficiency, better aligning the incentives of the different levels of government and focussing on medium-term budgeting. At the level of care providers, better information flows and incentive structures could facilitate addressing practice and efficiency variations and supplier-induced demand. This notably involves completing the shift to pathology-based budgets in hospitals, more capitation in the remuneration of doctors and measures to tackle the high spending on drugs. Once incentives for cost-efficiency are in place, a shift towards a more demand-driven system could be encouraged by phasing out over-prescriptive hospital regulations. In addition, relative remunerations of doctors should be revised regularly to ensure an adequate supply per specialty. In long-term care, home care, which is generally cost-efficient, could be further encouraged by giving more autonomy to patients to organise their care. This Working Paper relates to the 2013 OECD Economic Survey of Belgium (www.oecd.org/eco/surveys/belgium)
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