Aprli 2004
By Dominique Paulus, Luc Seuntjens
Guidelines from the Scientific Societies of General Practice
Both Belgian Societies of Family Practice follow a common scientific method for the development of the guidelines. This includes a test on the field by GPs and specialists. The latest guidelines were externally validated by the Belgian Cochrane Collaboration Centre, called CEBAM.
The following guidelines are now available on the websites of the Scientific Societies of General Practice in French and/or Dutch wit sometimes an abstract in english:
http://www.wvvh.be
http://www.ssmg.be/new/index.php?Page=91
- Low back pain
- Type 2 diabetes (brand new version from the Flemish Society of GP)
- Otitis media
- Medical record
- Stroke
- Atrial fibrillation
- Chronic pain
- Hypertension
- Stop smoking
- Fatigue (excl Chronic Fatigue syndrome)
- Acute adult Cough (pediatric version of chronic cough: under way)
- Adult obesity (pediatric version: under way)
- Insomnia
- Acne
- Contraception
- Prevention : pneumocoque – influenza – tetanus/diphteria – breast cancer – cervix cancer- PSA (under revision) –elderly fall
- Chlamydia trachomatis
- Ankle sprain
- Asthma adults – children
- Cystitis
- Vaginitis and vaginosis
- Rhinosinusitis
- Emergency bag
Projects of the Belgian centre for health care knowledge (KCE)
The new KCE conducts several projects in relation with best practice, health technology assessment and organisation of care. Several projects are in relation with quality indicators.
- A first project concerns the quality and organisation of care of diabetes. This encompasses three parts. First a broad search for evidence-based QI in multiple guidelines and QI databases yielded a set of evidence-based quality indicators. Secondly a systematic literature review identified different models for the organisation of care with their conditions and effects. Thirdly a broad description of the organisation of care in 9 countries analysed the strengths and weaknesses of those health care systems. Some EquiP members actively contributed to the validation of its content. The report will be available on the website in the following days at this address:
- A second project aims at reviewing the literature on the development and use of QI with the potential implications for the Belgian health care system. The results are expected at the end of 2006;
- A third project compares the quality and costs of fee for service and capitation GP. In this context all potential clinical QI were identified and selected if they could be measured in administrative databases. The results are expected in 2007;
- A last project will begin on quality indicators in GP, encompassing the EPA project and a new data search of QI.
Presentation of the Belgian primary health care system by EQuiP delegates Dr. Dominique Paulus and Dr Luc Seuntjens at the closed EQuiP meeting in Brussels November 2004
