Zones d'activité économique en Wallonie : quelles retombées fiscales pour les communes ?

in Revue de Fiscalité Régionale et Locale (in press), 2

Les zones d'activité économique constituent, en Wallonie, un des leviers majeurs à disposition du Gouvernement pour favoriser le développement économique. Leur implantation suscite toutefois de nombreux ... [more ▼]

Les zones d'activité économique constituent, en Wallonie, un des leviers majeurs à disposition du Gouvernement pour favoriser le développement économique. Leur implantation suscite toutefois de nombreux débats au sein des élus locaux. Ces débats sont notamment alimentés par la perception que ces zones génèrent des recettes fiscales très limitées pour les communes. Cette contribution propose une analyse et une mesure des facteurs qui influencent ces recettes et, par conséquent, les choix locaux en matière d'affectation de l'espace. [less ▲]

Identification du potentiel territorial permettant le développement de nouveaux projets le long du réseau wallon des voies navigables

Report (2011)

Cette expertise porte sur une mission d'étude visant à établir un cadastre du potentiel territorial permettant le développement de nouveaux projets en relation avec le réseau des voies navigables de ... [more ▼]

Cette expertise porte sur une mission d'étude visant à établir un cadastre du potentiel territorial permettant le développement de nouveaux projets en relation avec le réseau des voies navigables de Wallonie et ainsi à la positionner en tant que point charnière entre les régions belges, les Pays-Bas, la France et l'Allemagne par le transport par voie d'eau. Ce travail consiste en l'établissement d'un inventaire des zones portuaires actuellement exploitées et d'une cartographie des nouvelles zones portuaires potentielles [less ▲]

Patient out-of-pocket contributions related to hip fracture hospital costs in Belgium

in Osteoporosis International (2011, March), 22(Suppl.1), 333

Cost-Effectiveness of Osteoporosis Screening Followed by Treatment: The Impact of Medication Adherence.

in Value in Health (2010), 13(4), 394-401

ABSTRACT Objective: To estimate the impact of medication adherence on the cost-effectiveness of mass-screening by bone densitometry followed by alendronate therapy for women diagnosed with osteoporosis ... [more ▼]

ABSTRACT Objective: To estimate the impact of medication adherence on the cost-effectiveness of mass-screening by bone densitometry followed by alendronate therapy for women diagnosed with osteoporosis. Methods: A validated Markov microsimulation model with a Belgian health-care payer perspective and a lifetime horizon was used to assess the cost per quality-adjusted life year (QALY) gained of the screening/treatment strategy compared with no intervention. Real-world adherence to alendronate therapy and full adherence over 5 years were both investigated. The real-world adherence scenario employed adherence data from published observational studies, and medication adherence was divided into persistence, compliance, and primary adherence. Uncertainty was investigated using one-way and probabilistic sensitivity analyses. Results: At 65 years of age, the costs per QALY gained because of the screening/treatment strategy versus no intervention are euro32,008 and euro16,918 in the real-world adherence and full adherence scenarios, respectively. The equivalent values are euro80,836 and euro40,462 at the age of 55 years, and they decrease to euro10,600 and euro1229 at the age of 75 years. Sensitivity analyses show that the presence of the upfront cost of case finding has a substantial role in the impact of medication adherence on cost-effectiveness. Conclusion: This study indicates that nonadherence with osteoporosis medications substantially increases the incremental cost-effectiveness ratio of osteoporosis screening strategies. All aspects of medication adherence (i.e., compliance, persistence, and primary adherence) should therefore be reported and included in pharmacoeconomic analyses, and especially in the presence of the upfront cost of case finding (such as screening cost). [less ▲]

Les services d'intérêt économique général en Europe : Le cas de la gestion de l'eau en Belgique

Conference (2009, April)

Le secteur de l'eau en Belgique, production, distribution, traitement des eaux usées.

Development and Validation of a Markov Microsimulation Model for the Economic Evaluation of Treatments in Osteoporosis.

in Value in Health (2009), 12(5), 687-696

ABSTRACT Objective: Markov models are increasingly used in economic evaluations of treatments for osteoporosis. Most of the existing evaluations are cohort-based Markov models missing comprehensive memory ... [more ▼]

ABSTRACT Objective: Markov models are increasingly used in economic evaluations of treatments for osteoporosis. Most of the existing evaluations are cohort-based Markov models missing comprehensive memory management and versatility. In this article, we describe and validate an original Markov microsimulation model to accurately assess the cost-effectiveness of prevention and treatment of osteoporosis. Methods: We developed a Markov microsimulation model with a lifetime horizon and a direct health-care cost perspective. The patient history was recorded and was used in calculations of transition probabilities, utilities, and costs. To test the internal consistency of the model, we carried out an example calculation for alendronate therapy. Then, external consistency was investigated by comparing absolute lifetime risk of fracture estimates with epidemiologic data. Results: For women at age 70 years, with a twofold increase in the fracture risk of the average population, the costs per quality-adjusted life-year gained for alendronate therapy versus no treatment were estimated at Euro 9105 and Euro 15,325, respectively, under full and realistic adherence assumptions. All the sensitivity analyses in terms of model parameters and modeling assumptions were coherent with expected conclusions and absolute lifetime risk of fracture estimates were within the range of previous estimates, which confirmed both internal and external consistency of the model. Conclusion: Microsimulation models present some major advantages over cohort-based models, increasing the reliability of the results and being largely compatible with the existing state of the art, evidence-based literature. The developed model appears to be a valid model for use in economic evaluations in osteoporosis. [less ▲]

Impact of medication non-compliance and non-persistence on pharmacoeconomic evaluations in osteoporosis

in Value in Health (2008, November), 11(6), 542

Les finances et la fiscalité des provinces wallonnes

Report (2008)

Les finances et la fiscalité des provinces wallonnes, de 2001 à 2007 et projections.

Rapport de la Commission d'étude de la méthodologie utilisée dans l'analyse des transferts interrégionaux

Report (2006)

Reconstruire la ville sur la ville - Recyclage des espaces dégradés

Report (2005)