Health Care Insurance Board.
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Treatment
Treatment is regarded as AWBZ care when specific treatment is involved. This is supplied by an institution and it may be specifically medical, behavioural-scientific or paramedical in nature. Examples are treatment focussing on a physical disorder or a handicap. Within the AWBZ, treatment focuses on certain target groups such as the elderly or the handicapped.
Forms of treatment
1. Consultation
For example, a G.P. or a medical specialist could consult an AWBZ-physician for advice regarding treatment or in order to draw up a care plan. Such a consult is AWBZ treatment and will involve a limited number of contacts.
2. Co-treatment
If an insured client with specific complex problems is living at home, then an AWBZ-physician may take over that part of the care that focuses on the AWBZ problem. This is co-treatment and is covered by the AWBZ.
3. Short-term treatment focussing on recovery and/or learning skills or behaviour
A short-term recovery path after a period in hospital is regarded as AWBZ care. Such cases usually involve clients with two or more simultaneous disorders and a limited capacity. This means that admission to a revalidation centre is not an option. It could involve a skill or behaviour that needs to be learnt by the carer(s) of the insured person.
4. Functional diagnostics
Establishing a medical diagnosis (basic clinical diagnostics) is not regarded as AWBZ care, whilst functional diagnostics is. This examines the degree to which an insured client is actually restricted and the treatment possibilities. Functional diagnostics focuses in particular on improving how patients function, preventing exacerbation and retaining independence for as long as possible.
5. Continual, Systematic, Long-term and Multidisciplinary care
Treatment is covered by the AWBZ if complex (multiple) problems are involved
that require the specific knowledge and expertise of, e.g., a nursing home
practitioner, a behavioural scientist or a physician specialised in care of the
mentally handicapped.
In general the aim is not recovery but rather the prevention of consequences and
complications or the development of a related disorder.
This page was updated on: 29 March 2011

