Geography of medication reimbursements in Belgium: an exploratory analysis

As part of a broader multidisciplinary research project dealing with the association between health and green/blue environments, this paper aims at exploring the spatial variation of medication reimbursements within Belgium. These data were potentially and a priori considered as a proxy for health. ...

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Autores principales:	Sonia Trabelsi, Lidia Casas Ruiz, Benoit Nemery, Isabelle Thomas
Formato:	article
Lenguaje:	DE EN FR IT PT
Publicado:	Unité Mixte de Recherche 8504 Géographie-cités 2021
Materias:	health health geography cartography spatial behavior border Geography (General) G1-922
Acceso en línea:	https://doaj.org/article/d0bc0191000a428281bec47ba3a0485c
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spelling	oai:doaj.org-article:d0bc0191000a428281bec47ba3a0485c2021-12-02T11:13:38ZGeography of medication reimbursements in Belgium: an exploratory analysis1278-336610.4000/cybergeo.36950https://doaj.org/article/d0bc0191000a428281bec47ba3a0485c2021-06-01T00:00:00Zhttp://journals.openedition.org/cybergeo/36950https://doaj.org/toc/1278-3366As part of a broader multidisciplinary research project dealing with the association between health and green/blue environments, this paper aims at exploring the spatial variation of medication reimbursements within Belgium. These data were potentially and a priori considered as a proxy for health. This paper is purely exploratory: statistical maps, correlations, PCAs and cluster analyses corroborate the results. Five groups of medications prescribed for health disorders associated with the environment have been selected. We show that – at the level of the municipalities – the spatial distributions of the five medication groups are positively correlated to each other (medication consumption co-vary positively in space, whatever their type), but are independent of the environmental and socio-economic conditions measured. Against our expectation, they prove to be negatively correlated to air pollution and green spaces. Strikingly, the spatial distribution of medication prescriptions follows the linguistic border between Flanders and Wallonia. This implies that the observed differences are mainly due to administrative/political regional differences in terms of health policies, medical schools, pharmaceutical commercial activities, etc. that are hard to quantify (no data, diversity of actors) but should be taken into account in any further explanatory model. Medication reimbursements data correspond to a new type of data, and despite their potential attractiveness for health analyses, extreme care has to be taken when interpreting their spatial variation and their link to health.Sonia TrabelsiLidia Casas RuizBenoit NemeryIsabelle ThomasUnité Mixte de Recherche 8504 Géographie-citésarticlehealthhealth geographycartographyspatial behaviorborderGeography (General)G1-922DEENFRITPTCybergeo (2021)
institution	DOAJ
collection	DOAJ
language	DE EN FR IT PT
topic	health health geography cartography spatial behavior border Geography (General) G1-922
spellingShingle	health health geography cartography spatial behavior border Geography (General) G1-922 Sonia Trabelsi Lidia Casas Ruiz Benoit Nemery Isabelle Thomas Geography of medication reimbursements in Belgium: an exploratory analysis
description	As part of a broader multidisciplinary research project dealing with the association between health and green/blue environments, this paper aims at exploring the spatial variation of medication reimbursements within Belgium. These data were potentially and a priori considered as a proxy for health. This paper is purely exploratory: statistical maps, correlations, PCAs and cluster analyses corroborate the results. Five groups of medications prescribed for health disorders associated with the environment have been selected. We show that – at the level of the municipalities – the spatial distributions of the five medication groups are positively correlated to each other (medication consumption co-vary positively in space, whatever their type), but are independent of the environmental and socio-economic conditions measured. Against our expectation, they prove to be negatively correlated to air pollution and green spaces. Strikingly, the spatial distribution of medication prescriptions follows the linguistic border between Flanders and Wallonia. This implies that the observed differences are mainly due to administrative/political regional differences in terms of health policies, medical schools, pharmaceutical commercial activities, etc. that are hard to quantify (no data, diversity of actors) but should be taken into account in any further explanatory model. Medication reimbursements data correspond to a new type of data, and despite their potential attractiveness for health analyses, extreme care has to be taken when interpreting their spatial variation and their link to health.
format	article
author	Sonia Trabelsi Lidia Casas Ruiz Benoit Nemery Isabelle Thomas
author_facet	Sonia Trabelsi Lidia Casas Ruiz Benoit Nemery Isabelle Thomas
author_sort	Sonia Trabelsi
title	Geography of medication reimbursements in Belgium: an exploratory analysis
title_short	Geography of medication reimbursements in Belgium: an exploratory analysis
title_full	Geography of medication reimbursements in Belgium: an exploratory analysis
title_fullStr	Geography of medication reimbursements in Belgium: an exploratory analysis
title_full_unstemmed	Geography of medication reimbursements in Belgium: an exploratory analysis
title_sort	geography of medication reimbursements in belgium: an exploratory analysis
publisher	Unité Mixte de Recherche 8504 Géographie-cités
publishDate	2021
url	https://doaj.org/article/d0bc0191000a428281bec47ba3a0485c
work_keys_str_mv	AT soniatrabelsi geographyofmedicationreimbursementsinbelgiumanexploratoryanalysis AT lidiacasasruiz geographyofmedicationreimbursementsinbelgiumanexploratoryanalysis AT benoitnemery geographyofmedicationreimbursementsinbelgiumanexploratoryanalysis AT isabellethomas geographyofmedicationreimbursementsinbelgiumanexploratoryanalysis
_version_	1718396138570121216

Geography of medication reimbursements in Belgium: an exploratory analysis

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