At 19:42 10-7-00 -0700, you wrote:
>Hi there...I've been busy working on research projects and writing up the
>literature review and methodology of the fee-survey study. I have the
>ability to add more data ONE last time before I do my final data runs and
>statistical analyses for my ILCA presentation. Anyone who didn't answer and
>still wants to, may do so now. If you've changed your info or didn't
>provide full info, you can do so now. I've gone back through and formalized
>certain parts since the earliest respondents answered.
Hi Chris,
Well, let me share the 'fee' thing with you as well.
At first I thought that it wouldn't be of much interest what a Dutch IBCLC
charged for a fee.
I work in a small private practice in Rijswijk, The Netherlands.
The NVL (Dutch Lactation COnsultants Association) worked out standard
hourly fees for
us, based on the salary of a midwive -although they just got a 56 % raise,
we didn't-.
A home visit/consult officially costs around U.S. $44 (Dutch guilders
100,00) an hour. This includes 2 x 15 min. follow-up by phone. A phone
consultation would cost US $ 0.44 a minute.
But, rates differ amongst us. I often see the first consult as 1 hour, even
if I've been there for 2.
We are not reimbursed at the moment, but we're working on this very hard.
Some health-insurances pay for special consultations (like cleft lip/palate
baby's)but that's still in its infancy.
About our degree of competition.....THe Netherlands is only 300 km.from
north to south -a small country-. We have about 150 IBCLC's now of which
only 68 are available for private consultations. In my area there are about
4 other lc's in private practice and I work together with most of them.
The IBCLC's come from a range of educations. There are (maternity-)nurses,
midwives, well baby clinic docters and LLL and other lay persons amongst them.
HOpe this helps a bit,
Warmly,
Renate Rietveld, IBCLC
Rijswijk, The Netherlands
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Renate Rietveld, IBCLC
E-mail : [log in to unmask]
Homepage: http://www.casema.net/~rietveld/index.htm
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