The Federal Palliative Care Evaluation Cell was created in implementation of the law on palliative care (2002). This unit evaluates the palliative care needs and the quality of the responses provided at regular intervals. In this way, the evaluation unit supports continuation of the development of the federal policy on palliative care in Belgium.
The evaluation unit includes representatives of the three Belgian palliative care federations, the insurance organisations (mutual health insurance companies), the federal commission for supervision and evaluation of euthanasia, the Advisory Committee on Bioethics, the National Council for Hospital Facilities, patient associations, etc. The objective is to establish as broad a consultation umbrella as possible.
In 2009, the federal centre for healthcare evaluation studied the situation of palliative patients in Belgium in collaboration with the Palliative Care Federations and university teams (KU Leuven, University of Antwerp, UCL and UGent).
In the conclusions of the study, the KCE indicates that :
The status of palliative patient should be acknowledged on the basis of the needs of the individual rather than on the basis of his prognosis for survival.
Patients often want to be cared for and end their days at home.
raining of caregivers, especially with regard to communication, and care dispensed by a multidisciplinary team, are key features in high-quality palliative care.
The cancer plan was launched in Belgium in March 2008. It involves a long-term plan of action that incorporates all aspects of combating the disease. It includes 32 actions subdivided along three lines.
In the second line devoted to care, treatments and support, action 25 is intended to improve the offer of palliative care for cancer patients.
The statutory mission of the Common Sickness Funds Agency (AIM - IMA) is to "analyze the data collected by the insurers as part of their missions and to provide them information on the matter".
Hospitalisations en fin de vie de patients atteints du cancer, 2013 [pdf]