The 2016 proposal for the reorganisation of urgent care provision in Belgium

dc.contributor.authorVan den Heede, Koen
dc.contributor.authorQuentin, Wilm
dc.contributor.authorDubois, Cécile
dc.contributor.authorDevriese, Stephan
dc.contributor.authorVan de Voorde, Carine
dc.date.accessioned2018-05-28T09:36:32Z
dc.date.available2018-05-28T09:36:32Z
dc.date.issued2017-04
dc.description.abstractInternationally the number of emergency department (ED) visits is on the rise while evidence suggests that a substantial proportion of these patients do not require emergency care but primary care. This paper presents the Belgian 2016 proposal for the reorganisation of urgent care provision and places it into its political context. The proposal focused on re-designing patient flow aiming to reduce inappropriate ED visits by improving guidance of patients through the system. Initially policymakers envisaged, as cornerstone of the reform, to roll-out as standard model the co-location of primary care centres and EDs. Yet, this was substantially toned down in the final policy decisions mainly because GPs strongly opposed this model (because of increased workload and loss of autonomy, hospital-centrism, etc.). In fact, the final compromise assures a great degree of autonomy for GPs in organising out-of-hours care. Therefore, improvements will depend on future developments in the field and continuous monitoring of (un-)intended effects is certainly indicated. This policy process makes clear how important it is to involve all relevant stakeholders as early as possible in the development of a reform proposal to take into account their concerns, to illustrate the benefits of the reform and ultimately to gain buy-in for the reform.en
dc.identifier.issn0168-8510
dc.identifier.urihttps://depositonce.tu-berlin.de//handle/11303/7863
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-7023
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subject.ddc610 Medizin und Gesundheitde
dc.subject.otheremergency medical servicesen
dc.subject.otherambulatory careen
dc.subject.otherhealth services researchen
dc.subject.otherhealth care reformen
dc.subject.otherutilizationen
dc.titleThe 2016 proposal for the reorganisation of urgent care provision in Belgiumen
dc.title.subtitleA political struggle to co-locate primary care providers and emergency departmentsen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.doi10.1016/j.healthpol.2017.02.006en
dcterms.bibliographicCitation.issue4en
dcterms.bibliographicCitation.journaltitleHealth policyen
dcterms.bibliographicCitation.originalpublishernameElsevieren
dcterms.bibliographicCitation.originalpublisherplaceAmsterdamen
dcterms.bibliographicCitation.pageend345en
dcterms.bibliographicCitation.pagestart339en
dcterms.bibliographicCitation.volume121en
tub.accessrights.dnbfreeen
tub.affiliationFak. 7 Wirtschaft und Management>Inst. Technologie und Management (ITM)>FG Management im Gesundheitswesende
tub.affiliation.facultyFak. 7 Wirtschaft und Managementde
tub.affiliation.groupFG Management im Gesundheitswesende
tub.affiliation.instituteInst. Technologie und Management (ITM)de
tub.publisher.universityorinstitutionTechnische Universität Berlinen
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