{"id":1130,"date":"2026-09-19T13:24:10","date_gmt":"2026-09-19T11:24:10","guid":{"rendered":"https:\/\/bfap-fbpa.org\/2026\/09\/19\/la-libre-medical-fee-reform-threatens-to-be-the-final-blow-for-outpatient-psychiatry\/"},"modified":"2026-09-19T13:28:04","modified_gmt":"2026-09-19T11:28:04","slug":"la-libre-medical-fee-reform-threatens-to-be-the-final-blow-for-outpatient-psychiatry","status":"publish","type":"post","link":"https:\/\/bfap-fbpa.org\/en\/2026\/09\/19\/la-libre-medical-fee-reform-threatens-to-be-the-final-blow-for-outpatient-psychiatry\/","title":{"rendered":"La Libre: medical fee reform threatens to be the final blow for outpatient psychiatry"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><\/p>\n\n<p class=\"wp-block-paragraph\">La Libre published an interview this week with the BFAP chairman regarding the nomenclature reform, and the figures do not lie. The median income of an outpatient psychiatrist is 71,997 euros per year, according to 2024 RIZIV figures, three times less than a colleague in a hospital setting. Between 2018 and 2024, outpatient activity shrank by 4 percent. Young colleagues are moving to hospitals en masse, not out of a preference for that setting, but because outpatient practice is no longer financially viable for them.   <\/p>\n\n<p class=\"wp-block-paragraph\">The nomenclature reform, which was intended to strengthen outpatient psychiatry, threatens to abolish long consultations. It is precisely these 45-minute consultations that allow a psychiatrist to thoroughly assess a patient, build a therapeutic relationship, and initiate psychotherapy for conditions such as personality disorders or post-traumatic stress. In 30 minutes, there is little room left for anything other than discussing medication.  <\/p>\n\n<p class=\"wp-block-paragraph\">The figures behind this plea are firmly supported by evidence. A study in The Lancet Psychiatry (2016) shows a social return on investment of 2.3 to 5.7 euros for every euro invested in accessible outpatient care, primarily through avoided hospitalizations and return to work. The latter carries significant weight: 37.6 percent of all disability in Belgium has a psychological origin. BFAP is requesting an investment of just over 100 million euros in the outpatient nomenclature, just enough to break the perverse logic where hospitalization is more financially advantageous than preventing it.   <\/p>\n\n<p class=\"wp-block-paragraph\">If you have been wondering for some time whether anyone is noticing this reality: this is that notice. BFAP brings your figures to Medicomut, to parliament, and to the press, and will continue to do so as long as the reform moves in the wrong direction. <\/p>\n\n<p class=\"wp-block-paragraph\">The more colleagues who become members, the greater our weight at the negotiating table. Join BFAP and strengthen the advocacy for your own practice. <\/p>\n\n<p class=\"wp-block-paragraph\">Read the full article: <a href=\"https:\/\/www.lalibre.be\/belgique\/politique-belge\/2026\/07\/28\/le-cri-dalarme-des-psychiatres-cette-reforme-menace-de-nous-porter-le-coup-de-grace-A777FWLOCBDFDK7IHZ2OKW4QKU\/\">https:\/\/www.lalibre.be\/belgique\/politique-belge\/2026\/07\/28\/le-cri-dalarme-des-psychiatres-cette-reforme-menace-de-nous-porter-le-coup-de-grace-A777FWLOCBDFDK7IHZ2OKW4QKU\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La Libre published an interview this week with the BFAP chairman regarding the nomenclature reform, and the figures do not lie. The median income of an outpatient psychiatrist is 71,997 euros per year, according to 2024 RIZIV figures, three times less than a colleague in a hospital setting. Between 2018 and 2024, outpatient activity shrank [&hellip;]<\/p>\n","protected":false},"author":246655427,"featured_media":1129,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[20162],"tags":[],"class_list":["post-1130","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- 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have short-term appointments available","author":"Thomas Van der Poorten","date":"1 February 2026","format":false,"excerpt":"For patients, the current reforms mainly mean less and slower accessible care: 95% of psychiatrists do not have short-term appointments available, almost 60% no longer accept new patients, and rapid availability among Dutch-speaking psychiatrists has fallen to 5.4% (compared to 16.5% in 2023). This increases the risk of worsening symptoms,\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":812,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/02\/25\/why-could-weakening-outpatient-psychiatry-prove-costly-for-society\/","url_meta":{"origin":1130,"position":1},"title":"Why could weakening outpatient psychiatry prove costly for society?","author":"Thomas Van der Poorten","date":"25 February 2026","format":false,"excerpt":"BRUSSELS 02\/24 - Outpatient psychiatry is under pressure due to the ACA reforms. In response to this situation, a survey was conducted among outpatient psychiatrists last month. While the necessity of these reforms is recognized, the current modalities are causing significant concern regarding the accessibility and attractiveness of work outside\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Mediquality-BFAP-FBPA-Ambulante-Psychiatrie.png?fit=912%2C618&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Mediquality-BFAP-FBPA-Ambulante-Psychiatrie.png?fit=912%2C618&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Mediquality-BFAP-FBPA-Ambulante-Psychiatrie.png?fit=912%2C618&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Mediquality-BFAP-FBPA-Ambulante-Psychiatrie.png?fit=912%2C618&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":1181,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/10\/20\/bfap-in-de-specialist-reforms-leave-patients-out-in-the-cold-as-long-as-mental-health-care-lacks-a-dedicated-budget\/","url_meta":{"origin":1130,"position":2},"title":"BFAP in De Specialist: Reforms Leave Patients Out in the Cold as Long as Mental Health Care Lacks a Dedicated Budget","author":"Thomas Van der Poorten","date":"20 October 2026","format":false,"excerpt":"On October 19, the General Council of the NIHDI rejected the 2027 budget; the government will finalize it independently in December. Mental health care requires a dedicated budget, in line with WHO guidelines. One sector, three budgets In 2020, the Chamber of Representatives chose a growth trajectory towards 12% of\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Schermafbeelding-2026-02-01-232014.png?fit=422%2C428&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":797,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/02\/22\/bfap-correspondence-to-fps-public-health-and-riziv-regarding-reforms\/","url_meta":{"origin":1130,"position":3},"title":"BFAP correspondence to FPS Public Health and RIZIV regarding reforms","author":"Thomas Van der Poorten","date":"22 February 2026","format":false,"excerpt":"On February 14, 2026, the Belgian Federation for Outpatient Psychiatry (BFAP) addressed formal correspondence to the FPS Public Health and the RIZIV, providing critical and constructive feedback on the proposed ACA reforms. 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In a survey, 42.8% report recognizing burnout symptoms, and 33.6% are considering working less in outpatient care. In the article, two psychiatrists explain these figures based on their\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/02\/Schermafbeelding-2026-02-09-131405.png?fit=252%2C247&ssl=1&resize=350%2C200","width":350,"height":200},"classes":[]},{"id":1107,"url":"https:\/\/bfap-fbpa.org\/en\/2026\/07\/23\/bfap-and-japanese-psychiatrists-join-forces-for-more-community-based-mental-health-care\/","url_meta":{"origin":1130,"position":5},"title":"BFAP and Japanese psychiatrists join forces for more community-based mental health care","author":"Thomas Van der Poorten","date":"23 July 2026","format":false,"excerpt":"What do Belgium and Japan have in common, besides a friendship spanning more than 160 years? \ud83c\udde7\ud83c\uddea\ud83e\udd1d\ud83c\uddef\ud83c\uddf5 More than meets the eye. 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Engaging in this debate without increasing the tension between these two forms of care\u2026","rel":"","context":"Similar post","block_context":{"text":"Similar post","link":""},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/07\/1782314014115.jpeg?fit=1200%2C1200&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/07\/1782314014115.jpeg?fit=1200%2C1200&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/07\/1782314014115.jpeg?fit=1200%2C1200&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/07\/1782314014115.jpeg?fit=1200%2C1200&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/07\/1782314014115.jpeg?fit=1200%2C1200&ssl=1&resize=1050%2C600 3x"},"classes":[]}],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/bfap-fbpa.org\/wp-content\/uploads\/2026\/09\/la-libre-federation-belge-psychiatrie-ambulatoire-actualite.png?fit=517%2C492&ssl=1","_links":{"self":[{"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/posts\/1130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/users\/246655427"}],"replies":[{"embeddable":true,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/comments?post=1130"}],"version-history":[{"count":1,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/posts\/1130\/revisions"}],"predecessor-version":[{"id":1131,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/posts\/1130\/revisions\/1131"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/media\/1129"}],"wp:attachment":[{"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/media?parent=1130"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/categories?post=1130"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bfap-fbpa.org\/en\/wp-json\/wp\/v2\/tags?post=1130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}