Belgium’s Healthcare System: The Way Forward to Address the Challenges of the 21st Century; Comment on “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study”
In this paper we have tried, starting from the results of an analysis of the functioning of integrated care in the Belgian Health System by Martens et al, to design a strategy that could contribute to better addressing the challenges of the 21st century in Belgium. We proposed health system changes at the macro-, meso- and micro-level. We focused on health policy development and organization of care, emphasizing the importance of a shift from a hospital-centric towards a primary care based approach. Special attention was paid to the need for institutional reforms, in order to facilitate the further development of interprofessional integrated care, that focuses on the achievement of the life-goals of a person.
Martens M, Danhieux K, Van Belle S, et al. Integration or fragmentation of health care? examining policies and politics in a Belgian case study. Int J Health Policy Manag. 2021. doi:34172/ijhpm.2021.58
OECD, European Observatory on Health Systems and Policies. Belgium: Country Health Profile 2021, State of Health in the EU. Paris: OECD Publishing; 2021. doi:1787/57e3abb5-en
De Maeseneer J. Healthcare in Belgium in 2030: towards a decentralised health system in a solidarity society. Available in Dutch and French on https://users.ugent.be/~jdmaesen/. Published 2019.
Veronese N, Demurtas J. COVID-19: impact of pandemic on older people health and well-being. In: Demurtas J, Veronese N, eds. The Role of Family Physicians in Older People Care. Cham: Springer International Publishing; 2022:471-476. doi:1007/978-3-030-78923-7_29
Yazbeck AS, Savedoff WD, Hsiao WC, et al. The case against labor-tax-financed social health insurance for low- and low-middle-income countries. Health Aff (Millwood). 2020;39(5):892-897. doi:1377/hlthaff.2019.00874
Pascolo L, Vermassen D, Reuchamps M, Caluwaerts D. The changing dynamics of Belgian federalism: is there a reversal of the paradox of federalism? In: Belgian Exceptionalism. Routledge; 2021:138-152. doi:4324/9781003104643-12
Schellevis FG, Groenewegen PP. Together we change: an ambitious blueprint for primary healthcare in Flanders. Eur J Gen Pract. 2015;21(4):215-216. doi:3109/13814788.2015.1092517
European Commission, Directorate-General for Health and Food Safety. European Solidarity in Public Health Emergencies: Fact Sheet Accompanying the Opinion by the Expert Panel on Effective Ways of Investing in Health (EXPH). Publications Office; 2021. doi:2875/556855
Boeykens D, Boeckxstaens P, De Sutter A, et al. Goal-oriented care for patients with chronic conditions or multimorbidity in primary care: a scoping review and concept analysis. PLoS One. 2022;17(2):e0262843. doi:1371/journal.pone.0262843
De Maeseneer J, Boeckxstaens P. James Mackenzie Lecture 2011: multimorbidity, goal-oriented care, and equity. Br J Gen Pract. 2012;62(600):e522-524. doi:3399/bjgp12X652553
Tange H, Nagykaldi Z, De Maeseneer J. Towards an overarching model for electronic medical-record systems, including problem-oriented, goal-oriented, and other approaches. Eur J Gen Pract. 2017;23(1):257-260. doi:1080/13814788.2017.1374367
De Maeseneer J. COVID-19: using the crisis as an opportunity to strengthen primary health care. Prim Health Care Res Dev. 2021;22:e73. doi:1017/s1463423621000748
De Maeseneer, J., & Galle, A. (2023). Belgium’s Healthcare System: The Way Forward to Address the Challenges of the 21st Century; Comment on “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study”. International Journal of Health Policy and Management, 12(Issue 1), 1-4. doi: 10.34172/ijhpm.2022.7070
MLA
Jan De Maeseneer; Anna Galle. "Belgium’s Healthcare System: The Way Forward to Address the Challenges of the 21st Century; Comment on “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study”". International Journal of Health Policy and Management, 12, Issue 1, 2023, 1-4. doi: 10.34172/ijhpm.2022.7070
HARVARD
De Maeseneer, J., Galle, A. (2023). 'Belgium’s Healthcare System: The Way Forward to Address the Challenges of the 21st Century; Comment on “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study”', International Journal of Health Policy and Management, 12(Issue 1), pp. 1-4. doi: 10.34172/ijhpm.2022.7070
VANCOUVER
De Maeseneer, J., Galle, A. Belgium’s Healthcare System: The Way Forward to Address the Challenges of the 21st Century; Comment on “Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study”. International Journal of Health Policy and Management, 2023; 12(Issue 1): 1-4. doi: 10.34172/ijhpm.2022.7070
)
