Organization and reimbursement of enteral and parenteral nutrition in Belgium
The Belgian Health Care Knowledge Centre (KCE) report 315
The dietitians carried out a Total Parenteral Nutrition project in a general hospital (AZ Sint Lucas Bruges). We aimed to improve nutritional care of patients using (home) enteral or parenteral nutrition using evidence-based guidelines. We achieved major costs savings by eliminating improper TPN use and developed tools for dietitians and doctors to prescribe EN, TPN according evidence-based best practice guidelines.
Based on this experience we decided to submit a similar project to the Belgian Health Care Knowledge Centre in order to determine the use and care of patients in need of EN, PN in hospitals nationwide in Belgium. We took part in the expert committee.
This project was accepted and carried out in 2018-2019. It was published in 2019 The report consists out of 4 parts –part 1: nutritional support teams (background, systematic review about the impact of nutrition teams in hospital) –part 2: patients on enteral or parenteral nutrition in Belgium (data, discussion, how is the organization of nutritional support teams, how is the registration and follow-up by the government?) –part 3: costs of enteral and parenteral nutrition in Belgium -A: cost-effectiveness EN VS PN (literature review) -B: reimbursement and funding of EN, PN in Belgium –part 4: general conclusions.