Maintaining the Pharmacy Model: The Catalan Electronic Prescription Infrastructure

Rodón, Joan

doi:10.1007/978-3-319-51020-0_5

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…We had exhaustive information on drug dispensation from the public healthcare in Catalonia for a period of 10 years, which can be considered representative for the region since the system covers almost all inhabitants and was fully available across the whole study period (Modol et al, 2017). Prescription data might be a better option to describe the use of drugs, since they may involve information on indication.…”

Section: Psychotropic Use In Paediatricsmentioning

confidence: 99%

Utilisation of drugs for the treatment of psychiatric diseases in the pediatric population: focus on off-label use

et al. 2023

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Psychotropics are increasingly used in pediatrics, often as off-label medicines. The guarantees of safety and efficacy are not always granted in clinical practice compared to adult authorised indications. A retrospective observational study was done to estimate the prevalence of psychotropic use in pediatric subjects of Catalonia (Spain). Anonymised data on dispensation of psychotropics to pediatric patients, demography and other related data were obtained by the local healthcare management for the period 2008–2017. Estimation of off-label use was done through description of drug dispensations with no authorised use related to age range. The prevalence of psychotropics was 40.8–64.2 per 1,000 pediatric inhabitants. Hydroxyzine-only represented two-thirds of dispensations, and when removed, the prevalence dropped to 26.4–32.2 per 1,000 pediatric inhabitants. Adolescents and boys were more likely to receive a psychotropic. Psychostimulants had the highest exposure rate, mainly due to methylphenidate. Off-label use was observed in 12% of subjects, corresponding to 4.6% of all dispensed psychotropics with boys being more exposed. The proportion of off-label use vs. labelled use was higher in younger populations. Aripiprazole had the highest off-label frequency. Our data support the frequent reality of off-label use in pediatrics, despite the potential underestimation related to the selected off-label definition. There is an urgent need to systematically ascertain effectiveness and any potential adverse events in the off-label pediatric setting, and to generate valuable information for risk-benefit assessment in these populations where extrapolation from adults is not reliable.

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Section: Psychotropic Use In Paediatricsmentioning

confidence: 99%

Utilisation of drugs for the treatment of psychiatric diseases in the pediatric population: focus on off-label use

et al. 2023

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A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region

Piera-Jiménez,

Carot-Sans,

Ramiro-Pareta

et al. 2024

J Med Internet Res

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Over the past decades, health care systems have significantly evolved due to aging populations, chronic diseases, and higher-quality care expectations. Concurrently with the added health care needs, information and communications technology advancements have transformed health care delivery. Technologies such as telemedicine, electronic health records, and mobile health apps promise enhanced accessibility, efficiency, and patient outcomes, leading to more personalized, data-driven care. However, organizational, political, and cultural barriers and the fragmented approach to health information management are challenging the integration of these technologies to effectively support health care delivery. This fragmentation collides with the need for integrated care pathways that focus on holistic health and wellness. Catalonia (northeast Spain), a region of 8 million people with universal health care coverage and a single public health insurer but highly heterogeneous health care service providers, has experienced outstanding digitalization and integration of health information over the past 25 years, when the first transition from paper to digital support occurred. This Viewpoint describes the implementation of health ITs at a system level, discusses the hits and misses encountered in this journey, and frames this regional implementation within the global context. We present the architectures and use trends of the health information platforms over time. This provides insightful information that can be used by other systems worldwide in the never-ending transformation of health care structure and services.

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A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region (Preprint)

Piera-Jiménez,

Carot-Sans,

Ramiro-Pareta

et al. 2024

Preprint

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UNSTRUCTURED Over the past decades, healthcare systems have significantly evolved due to aging populations, chronic diseases, and higher quality care expectations. Concurrently with the added healthcare needs, information and communication technologies (ICT) advancements have transformed healthcare delivery. Technologies like telemedicine, electronic health records, and mobile health apps promise enhanced accessibility, efficiency, and patient outcomes, leading to more personalized, data-driven care. However, organizational, political, cultural barriers, and the fragmented approach to health information management challenge integrating these technologies into healthcare. This fragmentation collides with the need for integrated care pathways that focus on holistic health and wellness. Catalonia (north-east Spain), an 8-million-people region with universal healthcare coverage and a single public health insurer, has experienced outstanding digitalization and integration of health information over the past twenty-five years, when the first transition from paper to digital support occurred. This viewpoint describes the implementation of subsequent registries and information platforms at the system level and discusses the hits and misses encountered in this journey. We present the architectures and use trends of the health information platforms over time. This information provides insightful information that can be used by other systems worldwide in the never-ending transformation of healthcare structure and services.

show abstract

Maintaining the Pharmacy Model: The Catalan Electronic Prescription Infrastructure

Cited by 3 publications

References 3 publications

Utilisation of drugs for the treatment of psychiatric diseases in the pediatric population: focus on off-label use

Utilisation of drugs for the treatment of psychiatric diseases in the pediatric population: focus on off-label use

A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region

A 25-Year Retrospective of Health IT Infrastructure Building: The Example of the Catalonia Region (Preprint)

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