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Health Serv Res. 2006 Apr;41(2):411-28.

Prescription drug expenditures and population demographics.

Author information

1
Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC Canada V6T 1Z3.

Abstract

OBJECTIVE:

To provide detailed demographic profiles of prescription drug utilization and expenditures in order to isolate the impact of demographic change from other factors that affect drug expenditure trends.

DATA SOURCES/STUDY SETTING:

Demographic information and drug utilization data were extracted for virtually the entire British Columbia (BC) population of 1996 and 2002. All residents had public medical and hospital insurance; however their drug coverage resembled the mix of private and public insurance in the United States.

STUDY DESIGN:

A series of research variables were constructed to illustrate profiles of drug expenditures and drug utilization across 96 age/sex strata.

DATA COLLECTION/EXTRACTION METHODS:

Drug use and expenditure information was extracted from the BC PharmaNet, a computer network connecting all pharmacies in the province.

PRINCIPAL FINDINGS:

Per capita drug expenditures increased at an average annual rate of 10.8 percent between 1996 and 2002. Population aging explained 1.0 points of this annual rate of expenditure growth; the balance was attributable to rising age/sex-specific drug expenditures.

CONCLUSIONS:

Relatively little of the observed increase in drug expenditures in BC could be attributed to demographic change. Most of the expenditure increase stemmed from the age/sex-specific quantity and type of drugs purchased. The sustainability of drug spending therefore depends not on outside forces but on decisions made by policy makers, prescribers, and patients.

PMID:
16584456
PMCID:
PMC1702520
DOI:
10.1111/j.1475-6773.2005.00495.x
[Indexed for MEDLINE]
Free PMC Article

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