Study 2018-17 (HSR) Organisation and accessibility of emergency departments in the Belgian hospital landscape

Ongoing study - The Belgian hospital landscape is characterised by a high density of emergency services. The dense emergency department landscape results in a 24/7 highly accessible system. At the same time a large number of hospital sites have a low number of emergency department contacts. One of the conclusions of KCE Report 263 on the organisation and payment system of emergency services was that a reduction of the number of emergency departments is indicated. Internationally, economies of scale are a main driver in these reforms but efficiency and accessibility should be balanced.

The aim of the current study is to assess the organisation (for example opening hours within a hospital network), the number and geographic spread of emergency departments. This will be done on the basis of an evaluation of accessibility (based on geographical information systems - GIS) and efficiency analyses. The latter will include an analysis of the relationship between activity (for example the number of emergency contacts) and (staff) costs. A review of the literature on organisation forms of emergency services for specific groups (for example the elderly and children) will be conducted to draw lessons for the Belgian context.

Published on: 
2018/09/19