Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E Belgian Regulatory Health System Reforming to meet the challenges of today

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E Regulatory System Health Professions Act (late sixties) –Federal competencies –Regional competencies –Provincial competencies Professional Order Financial institution (RIZIV/INAMI)

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E Health professions Act Out – dated Monopoly physicians, everything else “by exception” General legislation on entrance, quality and practice –Training standards –Continuïty of care –Obligation to get visa –Stay within your “silo”

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E Health professions Act Regional competencies –Organization of (primary) health care –Individual recognition Provincial competencies –Provincial medical committees –Watch over the health professions Act –Need to get a license to work in the province

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E Professional Orders Some professions not all –E.g. Physicians, pharmacists, psychologists Mostly ethical function –Treating complaints of patients Accreditation? –Divers: not one system

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E Financial Institution Who or what gets funded Managed by physicians and insurance companies Set standards for practice, mostly fee for service, very strict –E.g. GP consultation = 28 €, 15 minutes, used for … Bundled payments: only focused on composition of the teams

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E SWOT: strengths Highly trained professionals Well developed somatic health care system Overall good patient satisfaction Well established primary (somatic) health care Regulated professions large autonomy: well developed

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E SWOT: weaknesses Closed system in silo’s: multidisciplinary Not regulated, not accessible general public Care – takers “illegal” status Poorly developed mental health care system Professional orders: not transparent Hospital - centered

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E SWOT: Opportunity's Reform Health Professions Act –Multidisciplinary work –Place for care – takers, patient - experts Model of financing –Pay for quality –Socialising care: at home Professional development

Belgische Federatie van Psychologen - Grasmarkt 105/18, 1000 Brussel Fédération Belge des Psychologues - Rue Marché aux Herbes 105/18, 1000 Bruxelles T +32 (0) W E SWOT: threats Losing autonomy Accessibility of care Quality of care Freedom of choice for the patient Dispersed responsibilities