Hospital financing in Belgium: recent changes and future options. |
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| Authors: | J Hermesse |
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| Affiliation: | 1. Erasmus University Rotterdam, the Netherlands;2. University of Oslo, Norway;3. Northumbria University, Coach Lane Campus, Newcastle upon Tyne, NE7 7AX, UK;4. Carleton University, Canada;1. Department of Veterans Affairs Quality Enhancement Research Initiative (QUERI) for Team-Based Behavioral Health, Central Arkansas Veterans Healthcare System, North Little Rock, AR, United States;2. Psychiatric Research Institute, University of Arkansas for Medical Sciences, Little Rock, AR, United States;3. University of North Carolina, Chapel Hill, NC, United States;4. Department of Psychology, Eastern Michigan University, Ypsilanti, MI, United States;5. The VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States;6. Brown School, Washington University in St. Louis, St. Louis, MO, United States |
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| Abstract: | ![]()
A new mode of financing hospital operating costs has been gradually introduced in Belgium since 1982. It is a 'prospective pricing' system. Each hospital is assigned a budget envelope at the beginning of the fiscal year. This budget is calculated on a per diem basis. A portion of the budget is variable in function of the number of patient days. The annual budget of each hospital is determined by comparing its performance with the one of a reference group of similar hospitals. Since the introduction of the new mode of financing the financial situation of the Belgian hospitals has improved markedly. Moreover, the hospital expenditures of the health insurance scheme are under control: in 1984 and 1985 these expenditures increased at a lower rate than inflation. The continued increase of other medical expenditures, however, indicates that the principles of this new financing system should be extended to the medico-technical departments. |
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