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Document Details :
Title: Financiële aspecten bij het gebruik van stomamateriaal
Author(s): WILLEMS L
Journal: Tijdschrift voor Geneeskunde
Volume: 58 Issue: 3 Date: 2002
Alvorens dieper in te gaan op de financiering van het gebruik van stomamateriaal, wordt eerst een algemeen overzicht gegeven van de financieringsmechanismen in de gezondheidszorg. Hierbij komen zowel de criteria voor de ambulante sector als deze voor de ziekenhuissector aan bod.
Financial aspects related to the use of stoma devices
Most of the drugs and medical devices used in daily practice in the context of healthcare are partially or totally paid by the Belgian government. In ambultory care there is the "fee for service" principle, while in hospital practice the cost of care is more budget oriented with some exceptions like the salaries of physicians, the drugs and some medical devices which are paid at delivery. Products that are reimbursed are accepted as such by the government.
Medical devices for use in stoma care will be reimbursed when they are delivered by a pharmacist or a truss-maker accepted by the government and listed with brand name, reference and company in a catalogue developed and maintained by the government. There are three categories of products: medically absolutely necessary products, relatively necessary products and products improving comfort of live. This classification is linked with different amounts of reimbursement.
For the use at home a limited number of products will be reimbursed per period of time depending on the type of the product and at a defined price per product. In hospitals a fixed price per day will be paid to cover the expenses related to the use of these products.
All this information can be found in the official documents on the delivery of care, drugs and medical devices of the Belgian ministry of social affairs.