par Pirson, Magali 
;Patris, A.;Leclercq, Pol ;Bodin, Julie
Référence Journal d'économie médicale, 22, 4, page (177-187)
Publication Publié, 2004-07
;Patris, A.;Leclercq, Pol ;Bodin, JulieRéférence Journal d'économie médicale, 22, 4, page (177-187)
Publication Publié, 2004-07
Article révisé par les pairs
| Résumé : | Objectives: This study aims to compare the calculation of the grants made by the Belgian and French authorities to assume the financing of the nurses working in operating theatres. The simultaneous use of two nomenclatures (Belgian "INAMI" and French "CCAM") gave rise to questions about the possibilities of automatic transcribing between these two catalogues of medical acts. Method: All the interventions of the first quarter 2002 of a Belgian operating theatre were subject to a double encoding ("INAMI" and "CCAM" codes) according to operational protocols. The standard times used as part of the Belgian hospital financing were compared with the real times and with the operational times used as part of the French ICR system. Results: The standard times allocated in Belgium for the financing of nurses working in operating theatres are better correlated with real time than those employed within the framework of the ICR which were used during the study. The higher degree of accuracy of the CCAM makes the automatic transcribing of Belgian medical acts into French medical codes uncertain. Conclusion: This study substantiates the idea that it would be interesting to carry out a validation of ICR scales on the basis of real data. |
