Belgium: coronary and structural heart interventions from 2010 to 2015
| Autor: | Marc J. Claeys, Claude Hanet, Joseph Dens, Walter Desmet, Luc Janssens, Johan Bosmans, Olivier Gach, Adel Aminian, Edouard Benit, Paul Vermeersch, Erwin Schroeder, Marc Carlier, Christophe Dubois, Joelle Kefer |
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| Přispěvatelé: | Belgian Working Grp Interventional, Cardiology, Clinical sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Time Factors
business.industry Psychological intervention Heart 030204 cardiovascular system & hematology Hospitals Gross domestic product Social security 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Belgium Conventional PCI Per capita Humans ST Elevation Myocardial Infarction Medicine Operations management 030212 general & internal medicine Human Development Index Human medicine Cardiac Surgical Procedures Cardiology and Cardiovascular Medicine business Reimbursement |
| Zdroj: | EuroIntervention |
| ISSN: | 1774-024X |
| Popis: | In a ranking of the gross domestic product per capita in 2015, Belgium ranked 19th in the world according to the International Monetary Fun1d and the World Bank. It has a Human Development Index of 0.890, in which it is preceded by only 20 other countries in the world. This is, at least in part, due to a well-developed social security system on which all citizens can rely. Over the last 5-10 years, however, this system has come under increasing pressure. This has resulted in insufficient, incomplete and late reimbursement of all technologies that were introduced over the last ten years in the cathlab: intracoronary imaging techniques are not reimbursed at all, and FFR only to a vastly insufficient degree. For several structural heart interventions, a system of limited and incomplete reimbursement has recently been set up, with a requirement to organise these procedures within the frames of hospital networks. Numbers of PCIs have risen by 15% over the last four years, coinciding with an increase in the number of cathlabs by 50%, aiming at better access to primary PCI for STEMI patients. This has also resulted in a decrease in the average procedure volume per centre. Two thirds of PCIs are performed via the radial access. DES penetration has increased to 74%, approaching 100% in some centres, while the uptake of BRS has been very limited so far. |
| Databáze: | OpenAIRE |
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