Soins programmés à des patients étrangers
Authors: De Mars Bob , Boulanger Katrien , Schoukens Paul , Sermeus Walter , Van de Voorde Carine , Vrijens France , Vinck Imgard 
Published: January 2025

1. INTRODUCTION 8 -- 1.1. SCOPE AND OBJECTIVES OF THE STUDY 8 -- 1.2. METHODOLOGY AND OUTLINE OF THE REPORT 9 -- 2. LEGAL FRAMEWORK 10 -- 2.1. INTRODUCTION 10 -- 2.1.1. Detailed structure overview 10 -- 2.1.2. Methodology 11 -- 2.2. PATIENT MOBILITY IN THE EU/EEA 11 -- 2.2.1. Patient mobility across different European fundamental rights and freedoms 11 -- 2.2.2. Elective cross-border healthcare in the European social security coordination rules 12 -- 2.2.3. Elective cross-border healthcare and EU primary law in relation to free movement of services 21 -- 2.2.4. EU-citizenship, non-discrimination and healthcare tariffs 34 -- 2.2.5. Patient Mobility Directive 36 -- 2.2.6. Cooperation agreements in border areas 42 -- 2.2.7. Cross-border contracting between Belgian hospitals and foreign health insurers with the EU46 -- 2.2.8. Patients coming from outside EU/EEA under bilateral or multilateral coordination treaty 49 -- 2.2.9. Cross-border contracting at the international level 50 -- 2.3. FOREIGN PATIENTS WITHOUT ANY FUNDING CONTRACT AND/OR CONVENTION 52 -- 2.4. OVERVIEW IDENTIFIED PATIENT TRACKS 53 -- 3. HOSPITAL DATA REGISTRATION SYSTEMS 56 -- 3.1. OVERVIEW STRUCTURE 56 -- 3.2. HOSPITAL DATA AVAILABLE WITH THE FPS PUBLIC HEALTH 56 -- 3.2.1. Transfer of financial and accounting data through FINHOSTA 56 -- 3.2.2. Transfer of individual medical statistical data 60 -- 3.3. DATA AVAILABLE WITH THE NIHDI 64 -- 3.3.1. Hospital invoice data registered within the framework of the statutory health insurance 64 -- 3.3.2. Identification of foreign patients in HBD 64 -- 3.4. SUGGESTIONS TO ADAPT CURRENT HOSPITAL DATA REGISTRATION SYSTEMS TO IMPROVE TRANSPARENCY ON FOREIGN PATIENT INFLOW IN BELGIAN HOSPITALS 71 -- 3.4.1. Need for further transparency 71 -- 3.4.2. Possible adaptations of current hospital registration systems 72 -- 4. VOLUME AND CHARACTERISTICS OF FOREIGN PATIENT STAYS: DATA, METHODOLOGICAL ISSUES AND RESULTS 77 -- 4.1. INTRODUCTION 77 -- 4.2. METHODS 77 -- 4.2.1. Macro analysis of national hospital discharge data 77 -- 4.2.2. Hospital reports 79 -- 4.2.3. Comparison between hospital reports and administrative data 80 -- 4.3. RESULTS OF THE MACRO ANALYSIS 80 -- 4.3.1. Stays for foreign patients not residing in Belgium, based on the MCD 80 -- 4.3.2. Foreign patients with prior authorization or within the context of specific agreements (coordination patients) 91 -- 4.3.3. Integrated overview for inpatient care for year 2008 107 -- 4.4. RESULTS OF THE HOSPITAL REPORTS 108 -- 4.4.1. Characteristics of hospitals included in the survey 108 -- 4.4.2. Evolution of the share of foreign patients in the case study hospitals 109 -- 4.4.3. Differences in tariffs charged 110 -- 4.4.4. Comparison of case mix between different foreign patient flows 111 -- 4.5. COMPARISON OF THE RESULTS OF THE MACRO ANALYSIS AND HOSPITAL REPORTS 111 -- 4.5.1. Hospital A 111 -- 4.5.2. Hospital B 113 -- 4.5.3. Hospital C 114 -- 4.5.4. Hospital D 115 -- 4.5.5. Comparison of the data of all case study hospitals for year 2008 with national databases 116 -- 5. PATIENT MOBILITY AND FINANCING OF BELGIAN HOSPITALS 117 -- 5.1. KEY ELEMENTS OF BELGIAN HOSPITAL FINANCING FOR CLASSIC HOSPITAL STAYS 118 -- 5.1.1. Financing medical interventions of hospital doctors: general aspects 118