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Development of a national position paper for chronic care: Example of Belgium


  • Paulus, Dominique
  • Van den Heede, Koen
  • Gerkens, Sophie
  • Desomer, Anja
  • Mertens, Raf


The management of chronic diseases is a prime challenge of most 21st century health care systems. Many Western countries have invested heavily in care plans oriented towards specific conditions and diseases, such as dementia and cancer. The major downside of this narrowly focused approach is that treatment of multimorbidity is ignored. This paper describes the development and main stance of a national position that proposes streamlined reforms of the Belgian health care system to improve care for patients with multiple chronic diseases. We used a combination of methods to develop this stance: literature review and stakeholders’ consultation. The latter identified areas for improvement: efficiency of the health care system, coordination of care, investments in human care resources, informal caregivers’ support, better accessibility, and changes in the financial payment system. The position paper list 20 recommendations that are translated into about 50 action points to reform the health care system. Chronic care tailored to the patient's needs, including implementation of multidisciplinary teamwork, new functions, task delegation in primary care, and empowerment of the patient and informal caregivers are some major areas discussed. In addition, improved support, revised payment mechanisms, and setting up a quality system, along with the tailoring of patient care, can all facilitate delivery of high quality care in patients with chronic comorbidities.

Suggested Citation

  • Paulus, Dominique & Van den Heede, Koen & Gerkens, Sophie & Desomer, Anja & Mertens, Raf, 2013. "Development of a national position paper for chronic care: Example of Belgium," Health Policy, Elsevier, vol. 111(2), pages 105-109.
  • Handle: RePEc:eee:hepoli:v:111:y:2013:i:2:p:105-109
    DOI: 10.1016/j.healthpol.2013.04.010

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    References listed on IDEAS

    1. Halliday, Timothy J. & He, Hui & Zhang, Hao, 2009. "Health Investment over the Life-Cycle," IZA Discussion Papers 4482, Institute for the Study of Labor (IZA).
    2. ., 2012. "The international politics of disillusionment," Chapters,in: Knowledge, Desire and Power in Global Politics, chapter 7, pages 129-146 Edward Elgar Publishing.
    3. ., 2012. "International reforms," Chapters,in: The Age of Austerity, chapter 5, pages 106-135 Edward Elgar Publishing.
    4. ., 2012. "Money as a supranational public good," Chapters,in: The New Global Political Economy, chapter 5, pages 133-177 Edward Elgar Publishing.
    5. He, Dong, 2012. "Renminbi Internationalisation: A Primer," MPRA Paper 40672, University Library of Munich, Germany.
    6. ., 2012. "The aftermath of the National Industrial Recovery Act," Chapters,in: Markets, Planning and the Moral Economy, chapter 11, pages i-ii Edward Elgar Publishing.
    7. Dong He & Robert N McCauley, 2012. "Eurodollar banking and currency internationalisation," BIS Quarterly Review, Bank for International Settlements, June.
    8. Tsiachristas, Apostolos & Hipple-Walters, Bethany & Lemmens, Karin M.M. & Nieboer, Anna P. & Rutten-van Mölken, Maureen P.M.H., 2011. "Towards integrated care for chronic conditions: Dutch policy developments to overcome the (financial) barriers," Health Policy, Elsevier, vol. 101(2), pages 122-132, July.
    9. Patricia Sourdin & Richard Pomfret, 2012. "Measuring International Trade Costs," The World Economy, Wiley Blackwell, vol. 35(6), pages 740-756, June.
    10. Unido, 2012. "International Yearbook of Industrial Statistics 2012," Books, Edward Elgar Publishing, number 14552, April.
    11. ., 2012. "Specialization and coordination," Chapters,in: Managing Transaction Costs in the Era of Globalization, chapter 2, pages 12-20 Edward Elgar Publishing.
    12. H.-M. Füssel & Stéphane Hallegatte & M. Reder, 2012. "International Adaptation Funding," Post-Print hal-00801907, HAL.
    13. García-Goñi, Manuel & Hernández-Quevedo, Cristina & Nuño-Solinís, Roberto & Paolucci, Francesco, 2012. "Pathways towards chronic care-focused healthcare systems: Evidence from Spain," Health Policy, Elsevier, vol. 108(2), pages 236-245.
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