Original Articles

Sex and age differences in health expenditure in Northern Italy


BACKGROUND: Little is known about the health care spending distribution across the age and sex gradient in European systems. The aim of the present study is to examine gender and age differences in health care utilization in Lombardy, Italy.

METHODS: We analysed administrative data for the year 2010 in Lombardy (the largest Italian region, with about 10 million inhabitant) including spending for inpatient and outpatient services and pharmaceuticals. Data were aggregated across age and sex.

RESULTS: Lombardy in 2010 spent around 10.2 billion €, 51% of which for women. Age-standardized per-patient expenditure was however 5% lower for females than for males on average. Per-patient spending on elderly women (>65) was around 75% of the spending on men of the same age group. Further, health expenditure was higher for men for the treatment of chronic diseases. Importantly, the difference persisted after allowance of history chronic conditions.

CONCLUSIONS: Our results are in sharp contrast with the US based literature showing that health expenditure in women is greater than in men. This may reflect inadequate attention to health care of women in Italy.

Full Text:


DOI: https://doi.org/10.2427/10244


Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


  • There are currently no refbacks.

Copyright (c)

We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it (Read more).

EBPH Epidemiology, Biostatistics and Public Health | ISSN 2282-0930

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.