Quick Look At A Busy Monday In General Practice In Belgium.

Jamoulle, M. (2005). Quick Look At A Busy Monday In General Practice In Belgium [Poster presentation]. Wonca Europe Kos, Kos, Greece.

https://hdl.handle.net/2268/192982

[en] Health system in Belgium is a non system system. Hospital based health care are hyper developed. A&E services are the open door of the hospital. People are free to consult any doctor, GP, A&E service or specialist. Teaching medicine is specialist minded and only recently the speciality in GP/FM has been introduced. GP are working on fee for service in an unregulated market. Solo practice 90%. Computer literacy of GP very low. Mean age of working GPs is 45 and young doctor are not willing to work as GP. They are more specialist than GPs. GPs have a liberal economic status like in France and in the States. Patients are reimbursed on a 75% basis on each contact with healthcare provider without limit. Payment by third party is authorised for low cost patient. (3 months delay). I am working since 31 years in the suburbs of Charleroi, a city at the south-west of Belgium, near the French border, in a former carbon mine post industrial urban destroyed environment. Unemployed people are more than 20%, more for the women. Violence and addiction are common. I am in solo practice with a vocational training assistant, a secretary part time and my wife for general management and account. Workload: 50 to 60 hours/week. On call once a month and once each two months in week-ends. 10.000 contacts/year. 70% fees in third party. As a researcher and trainee in GP/FM I use ICPC (in French) in my daily practice in a paper-light system. (half paper, half computer). The poster presents, through a synoptic table, a quick look at all the contacts in my practice on Monday 11, July 2005. Place and hour of contact, Age, Sex, Ethnic origin, Payment mode, Reason for Encounter, Pre-assessment process, Working hypothesis, Post-assessment process. The four last one coded by ICPC-2. As a ‘normal’ reader is not considered to be fluent in ICPC codes, the poster is accompanied by a little leaflet containing the ICPC-2 code short list and a short text in English describing each contact with all the explanation of the coding process Intend of the poster is triple. Show workload of a Belgian GP, demonstrate the ability of ICPC in data classification and structure for epidemiological purpose in GP/FM, and develop a training tool for ICPC lecture.