Comprehensiveness and Care Coordination Integration of social and primary care 31 August 2015 Julien Van Geertsom Belgian Federal Public Planning Service for Social Integration (PPS SI)
Contents • What do we do? • Introductory video • Our perspective on Block 9 of the Framework • Patient-centered medical facilities in Belgium • The role of PSWCs in connexion with health • Experts by Experience • Intercultural mediators in hospitals • Looking to the future…
What do we do? • Federal administration in charge of policy design and implementation in the fields of social integration, fight against poverty and urban policy • We aim to guarantee a dignified existence to all those who do not qualify for social security and who live in poverty • Our privileged partners: Public Social Welfare Centers (PSWCs), local authorities, NGO’s • Hot issues for the moment: social activation in PSWCs, better integration of social services at the local level, workfare, developing our FEAD programme, …
‘ t SPOOR An award-winning example of care coordination and comprehensiveness
Comprehensiveness • Making sure the patients are provided with everything they need But also … • Making sure the most vulnerable patients are provided with the attention they need
(Care) Coordination • The responsibility of primary care to arrange for services that primary care is unable to provide such as social services, orientation services, etc But also … • The need for other services to integrate health and have a holistic approach regarding the person • The need for coordination and cooperation between different levels and areas of governement
Patient-centered medical facilities in Belgium An alternative approach to medical care Providing care to people who have more difficulties to access the healthcare system Multidisciplinary (doctors, nurses, social workers, physiotherapists, dieticians, dentists, etc) Focus on prevention, health promotion and participation of the “ patientèle ” Regional policy
Patient-centered medical facilities in Belgium In FRENCH speaking Belgium Maisons médicales In FLEMISH speaking Belgium Wijkgezondheidscentra In BRUSSELS both Regional policy
Also worth mentioning … Family planning services (Wallonia) CAW (Flanders) Houses of the Child (Flanders)
The role of Public Social Welfare Centers in connexion with health (medical aid) NON-URGENT URGENT • • Mainly for foreign nationals with For people without a legal residence residence permit (asylum seekers, permit • migrants granted residence on the basis Not a financial aid • of health motives) Not technically “urgent” • • Allowing or renewing health coverage Must be administratively approved • Medical card by the PSWC • • Agreements with health practitioners This constitutes a barrier to • Paying for medication immediate health provision – we’re working on this with our project Mediprima (using computer-based technology to systematize decisions) Federal policy – Local implementation
Experts by experience A new profession aiming to tackle poverty by 24 Experts by Experience introducing the 'missing link' between services of the federal government and persons who find themselves in a situation of poverty The healthcare sector is also covered with experts by experience in • 2 hospitals In 13 federal • the federal administration in charge of administrations persons with a disability • one of the agencies in charge of providing health insurance Federal policy
What does all this mean in practice? [optional video]
Experts by Experience getting a boost in the health care sector The Experts by Experience methodology is to be broadened in the health care sector Collaboration between the PPS SI and the National Institute for Illness and Invalidity Insurance Federal policy
Also worth mentioning … Federal Plan to Fight Poverty : health is one of the core areas of this action plan
Intercultural mediators in hospitals Eliminate all linguistic or cultural obstacles that constitute a barrier to health care access Stimulate better communication between the patient and the health practitioner Improve the reception of the patients in the hospital and in primary care Federal policy
Looking to the future Belgium has a high performing health system but there is always room for improvement Better coordination at all levels and between levels Good example : PPS SI and FPS Public health working together to implement the ROMED* programme (training intercultural mediators in hospitals to better respond to the Roma target population) * A programme financed by the Council of Europe
Looking to the future Belgium has a high performing health system but there is always room for improvement Aiming for comprehensiveness at the local level with systematic attention to those who are the most in need Good example : the Children First project supports local consultation platforms to prevent, detect and identify child poverty by putting all the relevant local professionals around the table (anti-poverty associations, child care centres, schools, sport clubs,…) in order to offer an all - round service offer to the children and families who benefit from the project
4 Golden Tips for Good Health 1. Think before you eat 2. Think before you act 3. Think before you speak 4. Think before you decide
Thank you for your attention More information on www.mi-is.be
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