Organisation: Belgium Responsibilities in the decision making process

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Forecasts developed by the Planning Commission on the basis of the stock and flow model are then used by the Federal Government to regulate the number of physicians, dentists and physiotherapists that are allowed to practice. Two levels of government are involved in strategic health workforce planning in Belgium.

  • The Federal Government can regulate the supply of health workforce by limiting practitioners’ access to practice. The nature of universal health insurance systems enables government to regulate the supply of some medical and health professions by restricting their right to reimburse treatment costs. By preventing health and medical professionals from reimbursing their patients’ treatment costs, it is possible to control the number of professionals that are actually practicing. In addition, the government manages and controls access to specialist training.
  • Communities are responsible for managing the education and training system. Thus, they establish the content of courses and the standards for selections. They also govern numerus clausus  policies.

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