This article from De Specialist describes how ACA reforms focus on shorter, more tightly controlled outpatient psychiatric care, but according to professionals, these clash with clinical reality: in a BFAP survey (Jan. 2026, n=402; 240 NL, 162 FR), 93.3% indicate a desire to retain the classic 3-RVU consultation (±60 min), while 64.4% consider 2 RVUs (±40 min) and 51.5% consider 1 RVU (±20 min) workable, suggesting a clear minimum threshold; 82.8% want telephone crisis consultations to remain reimbursed, 92.5% advocate for paid multidisciplinary consultation moments (1–4 RVUs/patient/year), 88% support the Collaborative Care Model, and 80.8% request equivalent reimbursement for video consultations—in the absence of which 73% would scale them back; despite high intrinsic motivation (80.9%), only 6.7% find the work financially attractive, 79.7% consider the reimbursements insufficient, 84.3% even deem €40/RVU not cost-covering, 58.4% have a patient intake stop (almost half permanently), only 5.4% of Dutch-speaking respondents can see new patients quickly, 42.8% recognize burnout signals, and 33.6% are considering scaling back their outpatient practice as early as 2026, with almost half willing to strike or de-convent if the reforms remain unchanged—risking longer waiting times, loss of quality, and higher societal costs.
Read the full article here.