Van Biesen Wim, Lameire Norbert, Peeters Patrick, Vanholder Raymond
Renal Division, Department of Internal Medicine, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.
Int J Health Care Finance Econ. 2007 Sep;7(2-3):133-48. doi: 10.1007/s10754-007-9013-z.
Belgium has a mixed, public-private health care system, with state-organized reimbursements but private providers. The system is fee for service. For end-stage renal disease (ESRD), the fee-for-service system discourages preventive strategies, early referral to the nephrology unit, and the use of home-based therapies. The aging of the general population is reflected in the rapidly increasing number of very old dialysis patients, requiring more complicated and, therefore, more costly care. As dialysis costs increase, the ability to provide unrestricted access to dialysis treatment may be unsustainable. To aid in decision-making processes, nephrologists must be aware of financial and organizational issues.
比利时拥有公私混合的医疗保健系统，由国家组织报销，但医疗服务提供者为私立机构。该系统实行按服务收费。对于终末期肾病（ESRD），按服务收费系统不利于预防策略、早期转诊至肾病科以及家庭治疗的使用。老年人口的老龄化反映在高龄透析患者数量的迅速增加上，这需要更复杂、因此也更昂贵的护理。随着透析成本的增加，提供不受限制的透析治疗的能力可能难以为继。为了协助决策过程，肾病学家必须了解财务和组织问题。
