Data

General Issues
Health
Specific Topics
Health Care Reform
Health Insurance
Location
Brussels
Brussels
Belgium
Scope of Influence
National
Start Date
End Date
Ongoing
No
Time Limited or Repeated?
A single, defined period of time
Purpose/Goal
Make, influence, or challenge decisions of government and public bodies
Approach
Consultation
Spectrum of Public Participation
Consult
Total Number of Participants
32
Open to All or Limited to Some?
Limited to Only Some Groups or Individuals
Recruitment Method for Limited Subset of Population
Stratified Random Sample
General Types of Methods
Deliberative and dialogic process
General Types of Tools/Techniques
Recruit or select participants
Collect, analyse and/or solicit feedback
Facilitate dialogue, discussion, and/or deliberation
Specific Methods, Tools & Techniques
Deliberation
Legality
Yes
Facilitators
Yes
Facilitator Training
Professional Facilitators
Face-to-Face, Online, or Both
Face-to-Face
Types of Interaction Among Participants
Discussion, Dialogue, or Deliberation
Information & Learning Resources
Expert Presentations
Decision Methods
General Agreement/Consensus
If Voting
Unanimous Decision
Communication of Insights & Outcomes
Public Report
Type of Organizer/Manager
Philanthropic Organization
Funder
’Institut national d’assurance maladie-invalidité et le Centre fédéral de l’expertise des soins de santé
Type of Funder
National Government
Types of Change
Changes in people’s knowledge, attitudes, and behavior

CASE

LaboCitoyens: Belgian Citizens' Panel on Healthcare Reimbursement

12 février 2021 Jaskiran Gakhal, Participedia Team
10 février 2021 Antonin Lacelle-Webster
28 janvier 2021 julien.vrydagh
General Issues
Health
Specific Topics
Health Care Reform
Health Insurance
Location
Brussels
Brussels
Belgium
Scope of Influence
National
Start Date
End Date
Ongoing
No
Time Limited or Repeated?
A single, defined period of time
Purpose/Goal
Make, influence, or challenge decisions of government and public bodies
Approach
Consultation
Spectrum of Public Participation
Consult
Total Number of Participants
32
Open to All or Limited to Some?
Limited to Only Some Groups or Individuals
Recruitment Method for Limited Subset of Population
Stratified Random Sample
General Types of Methods
Deliberative and dialogic process
General Types of Tools/Techniques
Recruit or select participants
Collect, analyse and/or solicit feedback
Facilitate dialogue, discussion, and/or deliberation
Specific Methods, Tools & Techniques
Deliberation
Legality
Yes
Facilitators
Yes
Facilitator Training
Professional Facilitators
Face-to-Face, Online, or Both
Face-to-Face
Types of Interaction Among Participants
Discussion, Dialogue, or Deliberation
Information & Learning Resources
Expert Presentations
Decision Methods
General Agreement/Consensus
If Voting
Unanimous Decision
Communication of Insights & Outcomes
Public Report
Type of Organizer/Manager
Philanthropic Organization
Funder
’Institut national d’assurance maladie-invalidité et le Centre fédéral de l’expertise des soins de santé
Type of Funder
National Government
Types of Change
Changes in people’s knowledge, attitudes, and behavior

32 people came together over three weekends to participate in a mini-audience on citizens' preferences for healthcare reimbursement.

Problems and Purpose

In order to find out about citizens' preferences for reimbursement of health care, the National Institute of Sickness and Invalidity Insurance (INAMI), the Federal Center for Health Care Expertise (KCE) organized a citizen panel on this theme in autumn 2014, in collaboration with the King Baudouin Foundation. More precisely, 32 people meet over three weekends (in Louvain from September 5 to 7, in Brussels on October 4 and 5 and in La Hulpe on November 15 and 16, 2014) to answer the following question: "How can society allocate the available budget in the fairest and most equitable way possible and what are the criteria to be taken into account for reimbursing medical care?"

Background History and Context

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Organizing, Supporting, and Funding Entities

The initiators were the National Institute of Sickness and Invalidity Insurance (INAMI) and the Federal Center for Expertise in Health Care (KCE) who asked the King Baudouin Foundation to organize the mini-public.

Participant Recruitment and Selection

The composition of the panel was the result of several steps. Initially, a survey aiming to find out the preferences of citizens in terms of reimbursement of healthcare was sent by the KCE to a panel of 20,000 Belgian citizens drawn by lot on the basis of the national register. Of the 4,810 people who took part in the survey, 100 expressed their interest in participating in the citizen panel. At the same time, additional profiles were recruited by iVox, reaching a total of 175 volunteers. Secondly, a selection of 32 panelists (16 French-speaking and 16 Dutch-speaking) was made from among these volunteers, diverse in terms of gender, age, language, residence, and professional situation.

Methods and Tools Used

Deliberation

What Went On: Process, Interaction, and Participation

During three weekends punctuated by analyses of concrete cases, participants move towards the development of a final report which includes the criteria and conditions that they deem important to take into account when making decisions on reimbursement of health care. During the first weekend, panelists explored the subject and transmitted their ideas and initial thoughts through brainstorming. During the second weekend, benefiting from the support of experts in the field, they articulated all these ideas in the form of a list of criteria, elements, and conditions that must find their place in the decision-making process around reimbursement of health care. Finally, during the third weekend, participants enriched and wrote this list, before presenting it to key players in the field.

At the end of the three weekends, the participants thus deliver a final report containing nineteen criteria that should be taken into account in a decision regarding the reimbursement of a new treatment and six conditions that a patient must meet so that the treatment can be reimbursed.

Influence, Outcomes, and Effects

The report is presented to key players in the field of healthcare reimbursement (eight guests, six of whom are closely involved in the decision-making process regarding healthcare reimbursements [1]).

Analysis and Lessons Learned

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See Also

References

The original submission of this case entry was adapted from Vrydagh, J., Devillers, S., Talukder, D., Jacquet, V. & Bottin, J. (2020). Les mini-publics en Belgique (2001-2018) : expériences de panels citoyens délibératifs. Courrier hebdomadaire du CRISP, 32(32-33), 5-72. https://doi.org/10.3917/cris.2477.0005. Please refer to the revision history for a detailed account of subsequent edits and additions made by the Participedia community.

External Links

Notes

[1] Namely Irina Cleemput (KCE), Katelijne De Nys (INAMI), Ri De Ridder (INAMI), Raf Mertens (KCE), Françoise Stryckman (Pharma.be) and François Sumkay (National Alliance of Christian mutualities - ANMC) .