APH 2001, 59, 193-209:

Analyse comparative des dépenses publiques pour les spécialités pharmaceutiques délivrées en ambulatoire en fonction de l'âge et du sexe de la population générale.  Cas de la Belgique entre 1986 - 1999.

R. Van Tielen and F. Peys

Keywords: Belgium, pharmaceuticals, demography, epidemiology, health expenditure, drug utilization review

The differentiated drug consumption between men and women is plentifully illustrated in the international literature.  But the simultaneous effect of relative ageing in the male and female population (demographic component) on the pharmaceutical public expenditure broken down by therapeutic classes (epidemiological and technological component) has not been studied in Belgium yet.  Our analysis reveals, without surprise, that for drugs, women have expenditure per capita higher than men do.  During the 1986-1999 period the public expenditure growth seems to be differentiated according to age and gender.  Men present a pharmaceutical expenditure growth superior to women all the more because age increases.  The study of expenditures by therapeutic classes provides an "epidemiological" explanation, which only might be worthwile for the period of 1986-1999.