An add-on assessing the sustainability of the Belgian health system using projections has been published on June 2021. The full report is available on the KCE website: Health System Performance Assessment – Projections.

Three new indicators were added:

• S-18: Projection of the number of contacts with GPs (Demand), evolution in %
• S-19: Projection of the number of GPs active in the healthcare sector (Supply), evolution in %
• S-20: Projection of public expenditure on health (% GDP), evolution in percentage points

Two new indicators on equity have been published:

• EQ-4 NEW: Proportion of households facing (further) impoverishing out-of-pockets payments
• EQ-5 NEW : Proportion of households facing catastrophic out-of-pockets payments

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?

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).

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