Van Belle Simon
Department of Medical Oncology, University Hospital Ghent, Ghent, Belgium.
BJU Int. 2008 Mar;101 Suppl 2:2-4. doi: 10.1111/j.1464-410X.2007.07489.x.
The Belgian oncology care system has been the subject of a major reorganization in recent years. The basis of this reorganization is the obligatory implementation of standardized care programmes in every hospital and the recognition of dedicated oncology specialists. Furthermore, health authorities created the multidisciplinary oncology consultation (MOC), as it was recognized that there was a need to organize and to reimburse the existing multidisciplinary approach. At MOC, a patient's case is discussed and a strategic plan is developed for diagnosis, treatment and follow-up. The conditions that have to be met for reimbursement of this MOC are strictly defined by law and include yearly follow-up meetings. The success of this multidisciplinary approach is partially attributable to legal requirements and reimbursement, but also to the willingness of the medical community to accept the concept that a multidisciplinary approach is the best investment to improve patient outcomes in cancer care.
近年来，比利时的肿瘤护理系统经历了重大重组。此次重组的基础是在每家医院强制实施标准化护理方案，并认可专门的肿瘤专家。此外，卫生当局设立了多学科肿瘤会诊（MOC），因为人们认识到有必要组织并报销现有的多学科治疗方法。在多学科肿瘤会诊中，会对患者的病例进行讨论，并制定诊断、治疗和随访的战略计划。法律严格规定了报销这种多学科肿瘤会诊所需满足的条件，其中包括年度随访会议。这种多学科方法的成功部分归因于法律要求和报销政策，也归功于医学界愿意接受这样的理念，即多学科方法是改善癌症护理患者治疗效果的最佳投资。
