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Developments in Belgium

Developments in Belgium. Milan, 6/11/2012. Liesbet Van Eycken. Quality of Care projects : pathway 1. Quality of Care projects : pathway 2. Clinical registration projects Cancer Registry and scientific organisations (physicians) Ongoing

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Developments in Belgium

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  1. Developments in Belgium Milan, 6/11/2012 Liesbet Van Eycken

  2. Qualityof Care projects: pathway 1 Qualityof Care projects: pathway2 Clinical registration projects Cancer Registry and scientific organisations (physicians) Ongoing • Procare: multidisciplinary and national project on rectal cancer • Head and neck tumours: oropharynx carcinoma • RALP: robot assisted laparoscopic prostatectomy • Endometrial cancer Cancer Registry data linked with administrative data bases (claims data) Health Care knowledge Center, College of Oncology, Cancer Registry Ongoing • StomachcancerQI + individual feedback to the hospitals • EsophagealcancerQi+ individual feedback to the hospitals

  3. Pathway 1 versus Pathway 2(admindb) (clinicalreg.) • Labour intensive • Missing data • Otherobjectives • Selection bias ifvoluntary • Risk adjustment • Timeliness: better • Feedback: more actions? • Pathway 2 • Pathway 1 Use of existingdb Misclassifications Financial objectives Populationbased Risk adjustment Timeliness +/- Feedback: actions?

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