Community Health Centers in Belgium: past, present, future

1. Community Health Centers in Belgium: past, present, future

2. Two federations, a common History • 1972 : CHC: a child of ‘May 1968’ • 1980 : creation of the fédération des maisonsmédicales • 1981 : negotiation for capitation payment (instead of the prevailing fee-for-service system) • 1991 : creation of the Vereniging van Wijkgezondheidscentra • 1990-1997: re-assessment and adaptation of the capitation formula • 2013 : autonomous integrated needs-based capitation system

3. Evolution CHC in Flanders

4. Evolution CHC in french-speaking Belgium (FMM=PCHCF)

5. Belgium : Cumulative curveCHC’s More than 120 CHC’s, serving 2.5% of the Belgian population

6. Main objective High quality, accessibleintegratedprimary health care forall

7. Main objective High quality, accessible integrated primary health care for all • Financial • Social & cultural : ICM – independent, pluralistic organisation • Territorial: catchment area

8. Main objective High quality, accessible integrated primary health care for all • Care: Interdisciplinary collabaration • Prevention and health promotion • Empowerment • COPC: intersectoral action for health

10. COPC-project: children’s physical condition • Consultation: problematic physical condition • Consultation: problematic physical condition • WGC Botermarkt

11. COPC-project: children’s physical condition • Survey: children were two times longer in front of television and videogames, and had less physical activity compared to the flemish youngsters • Survey: children were two times longer in front of television and videogames, and had less physical activity compared to the flemish youngsters WGC Botermarkt

12. COPC-project: children’s physical condition • Community diagnosis: lack of playgrounds • Community diagnosis: lack of playgrounds WGC Botermarkt

13. COPC-project: children’s physical condition • Intervention 1: construction of playgrounds • Intervention 1: construction of playgrounds WGC Botermarkt

14. COPC-project: children’s physical condition • Intervention 2: organisation of activities • Intervention 2: organisation of activities WGC Botermarkt

15. COPC-project: children’s physical condition • Evaluation: •  street criminality •  social cohesion •  physical activity • Evaluation: •  street criminality •  social cohesion •  physical activity WGC Botermarkt

16. Main objective High quality, accessible integrated primary health care for all • Social accountability • Vertical integration with the regional and federal level

17. Collaboration EFPC - IFCHC Opportunities for exchange with members on…? Implementation of community oriented primary care. E.g methods of needs assessment Organisation of subsidiarity in primary health care teams Organisation of integrated care Payment systems Integration of welfare and healthcare …