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Update 2024 – Fifth edition of the HSPA report

In February 2024, the HSPA part of this website was updated based on the fifth report assessing the performance of the Belgian health system. This new evaluation was done across six dimensions (quality, accessibility, sustainability, efficiency, equity, and resilience) and four domains of care (preventive care, mental health care, care for older people, and end-of-life care). The domains of mother and new-born care and care for people living with a chronic condition remain based on the 2019 and 2022 reports, respectively.
The HSPA report 2024 is also available on the KCE website:
Performance of the Belgian health system: Report 2024

Update 2021 – Projections

In June 2021, an intermediate report assessing the sustainability of the Belgian healthcare system by means of projections was published. The full report is available on the KCE website: Performance of the Belgian healthcare system - Projections.
Three new indicators have been added:
S-18: Projection of the number of contacts with GPs (Demand)
S-19: Projection of the number of GPs active in the healthcare sector (Supply)
S-20: Projection of public expenditure on health (% GDP)

Update 2023 - A brand new evaluation framework

A new conceptual framework has been developed to assess the performance of the Belgian health system. 
More details on this new framework, visit the KCE website.

Update 2022 - Care for people living with chronic conditions

Results on health system performance assessment of care for people living with chronic conditions have been recently published on:
https://www.healthybelgium.be/en/health-system-performance-assessment/specific-domains/chronic-care2
The analysis was based on the evaluation of 27 indicators, among them 8 are new.

New indicators on equity

Two new indicators on equity have been published:

Update 2021 - Equity

An add-on on Equity has been published on December 2020. The full report is available on the KCE website: Health System Performance Assessment - How equitable is the Belgian health system?

Update December 2020

The following 6 indicators were updated:

  • A-4 Self-reported unmet needs for medical examination due to financial reasons in Belgium (% of individuals included in the survey);
  • A-9 Waiting time of more than two weeks for a visit with a specialist;
  • QP-1 Physician spending enough time with patients during the consultation (% of respondents);
  • QP-2 Physician providing easy-to-understand explanation (% of respondents);
  • QP-3 Physician giving opportunity to ask questions or raise concerns (% of respondents) ;
  • QP-4 Physician involving patients in decisions about care and/or treatments (% of respondents).

2020 Update

A new indicator on "Geographical accessibility of maternity services (A-16)" is published; the indicator "Patient-to-nurse ratio (A-8)" is also updated.