The Health Service Executive—Primary Care Reimbursement Services Database (HSE-PCRS) in Ireland

Sinnott, Sarah-Jo; Cahir, Caitriona; Bennett, Kathleen

doi:10.1007/978-3-030-51455-6_5

“…Prescription items are coded according to the ATC classification system developed by the World Health Organization, while basic demographic information, such as age and gender, is collected and stored in the database. The HSE‐PCRS database is extensively used in various areas, including pharmacoepidemiology, drug utilization research, and healthcare service studies 154 . The majority of community pharmacists participating in Ireland's main drug schemes electronically submit their medication dispensing claims on a monthly basis to the Irish Health Service Executive‐Primary Care Reimbursement Service (HSE‐PCRS) for the purpose of reimbursement 154 .…”

Section: Leveraging Public Databases For Enhanced Medication Adherenc...mentioning

confidence: 99%

“…The HSE‐PCRS database is extensively used in various areas, including pharmacoepidemiology, drug utilization research, and healthcare service studies 154 . The majority of community pharmacists participating in Ireland's main drug schemes electronically submit their medication dispensing claims on a monthly basis to the Irish Health Service Executive‐Primary Care Reimbursement Service (HSE‐PCRS) for the purpose of reimbursement 154 . The HSE‐PCRS pharmacy claims database lacks details on diagnosis, clinical results, and over‐the‐counter (OTC) medications that can be acquired without a prescription 155 .…”

Section: Leveraging Public Databases For Enhanced Medication Adherenc...mentioning

confidence: 99%

“…154 The majority of community pharmacists participating in Ireland's main drug schemes electronically submit their medication dispensing claims on a monthly basis to the Irish Health Service Executive-Primary Care Reimbursement Service (HSE-PCRS) for the purpose of reimbursement. 154 The HSE-PCRS pharmacy claims database lacks details on diagnosis, clinical results, and over-the-counter (OTC) medications that can be acquired without a prescription. 155 The healthcare system in Ireland operates on a two-tier basis that is primarily funded through taxation.…”

Section: Hse-pcrs In Ireland: a Pillar In Drug Utilization And Adhere...mentioning

confidence: 99%

See 1 more Smart Citation

Exploring patient medication adherence and data mining methods in clinical big data: A contemporary review

Xu,

Zheng,

Li

et al. 2023

J Evidence Based Medicine

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BackgroundIncreasingly, patient medication adherence data are being consolidated from claims databases and electronic health records (EHRs). Such databases offer an indirect avenue to gauge medication adherence in our data‐rich healthcare milieu. The surge in data accessibility, coupled with the pressing need for its conversion to actionable insights, has spotlighted data mining, with machine learning (ML) emerging as a pivotal technique. Nonadherence poses heightened health risks and escalates medical costs. This paper elucidates the synergistic interaction between medical database mining for medication adherence and the role of ML in fostering knowledge discovery.MethodsWe conducted a comprehensive review of EHR applications in the realm of medication adherence, leveraging ML techniques. We expounded on the evolution and structure of medical databases pertinent to medication adherence and harnessed both supervised and unsupervised ML paradigms to delve into adherence and its ramifications.ResultsOur study underscores the applications of medical databases and ML, encompassing both supervised and unsupervised learning, for medication adherence in clinical big data. Databases like SEER and NHANES, often underutilized due to their intricacies, have gained prominence. Employing ML to excavate patient medication logs from these databases facilitates adherence analysis. Such findings are pivotal for clinical decision‐making, risk stratification, and scholarly pursuits, aiming to elevate healthcare quality.ConclusionAdvanced data mining in the era of big data has revolutionized medication adherence research, thereby enhancing patient care. Emphasizing bespoke interventions and research could herald transformative shifts in therapeutic modalities.

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“…At Wave 4, 292 IDS-TILDA participants provided consent to link their medical card/Drug Payment Scheme number, and their valid General Medical Scheme (GMS)/Drug Payment Scheme card number, to enable retrieval of their dispensed medicines from the HSE-PCRS. The HSE-PCRS is the national pharmacy dispensing claims database in Ireland for GMS patients and is often used for medicine and health research 21 . HSE-PCRS database records pharmacy claims for monthly dispensed medicines that were prescribed to patients by their general practitioner (GP) 21 .…”

Section: Hse-pcrsmentioning

confidence: 99%

“…The HSE-PCRS is the national pharmacy dispensing claims database in Ireland for GMS patients and is often used for medicine and health research 21 . HSE-PCRS database records pharmacy claims for monthly dispensed medicines that were prescribed to patients by their general practitioner (GP) 21 . The GMS scheme is a form of public health cover that provides free health services, including prescription medicines to eligible individuals in Ireland (a monthly co-payment per medicine was introduced in 2010).…”

Section: Hse-pcrsmentioning

confidence: 99%

Examining Quality, Use and Impact of Psychotropic (Use) in older adults with intellectual disabilities (EQUIP): study protocol

Gorman

¹

,

Odalović

²

,

McCallion

³

et al. 2022

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Widespread, and sometimes inappropriate use of psychotropics in adults with intellectual disability has been an international concern. These medicines have been used to treat mental health conditions, but also, controversially, some types of behaviours not necessarily associated with the diagnosis or in the absence of a relevant diagnosis. Results from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) study of older adults with intellectual disability in Ireland revealed that 60% were taking psychotropics in 2010. In the intervening decade changes in regulations, policy, and increased decongregation of people with intellectual disability have taken place likely influencing the use of psychotropics. The HSE National Clinical Programme for People with Disability (NCPDD) established in the 2020 has medicines optimisation as a key priority. Existing multi-wave data from the IDS-TILDA study and the HSE national prescribing database offers an opportunity to better understand psychotropic use and prescribing patterns. This is a novel collaboration on lived experience, research, practice and policy. The aim of this research is to examine the quality and trends of psychotropic use of older adults with intellectual disability over a ten-year period in Ireland to evaluate the effects of and to inform both practice and policy to optimise medicines use and health outcomes. Health and medication data from ten years (four waves) of the IDS-TILDA study and corresponding medicines data from the HSE-PCRS prescribing database are available. Descriptive and longitudinal analysis will examine association between long-term psychotropic use, changes in trends of use, and the impact of decongregation on medicines use. This research will inform the development of national guidance on medicines optimisation for older people with intellectual disability and has the potential to change prescribing practices and improve health and wellbeing for older people with intellectual disability.

show abstract

Examining Quality, Use and Impact of Psychotropic (Use) in older adults with intellectual disabilities (EQUIP): study protocol

Gorman,

Odalović,

McCallion

et al. 2023

HRB Open Res

0

View full text Add to dashboard Cite

Widespread, and sometimes inappropriate use of psychotropics in adults with intellectual disability has been an international concern. These medicines have been used to treat mental health conditions, but also, controversially, some types of behaviours not necessarily associated with the diagnosis or in the absence of a relevant diagnosis. Results from the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA) study of older adults with intellectual disability in Ireland revealed that 60% were taking psychotropics in 2010. In the intervening decade changes in regulations, policy, and increased decongregation of people with intellectual disability have taken place likely influencing the use of psychotropics. The HSE National Clinical Programme for People with Disability (NCPDD) established in the 2020 has medicines optimisation as a key priority. Existing multi-wave data from the IDS-TILDA study and the HSE national prescribing database offers an opportunity to better understand psychotropic use and prescribing patterns. This is a novel collaboration on lived experience, research, practice and policy. The aim of this research is to examine the quality and trends of psychotropic use of older adults with intellectual disability over a ten-year period in Ireland to evaluate the effects of and to inform both practice and policy to optimise medicines use and health outcomes. Health and medication data from ten years (four waves) of the IDS-TILDA study and corresponding medicines data from the HSE-PCRS prescribing database are available. Descriptive and longitudinal analysis will examine association between long-term psychotropic use, changes in trends of use, and the impact of decongregation on medicines use. This research will inform the development of national guidance on medicines optimisation for older people with intellectual disability and has the potential to change prescribing practices and improve health and wellbeing for older people with intellectual disability.

show abstract

The Health Service Executive—Primary Care Reimbursement Services Database (HSE-PCRS) in Ireland

Cited by 3 publications

References 50 publications

Exploring patient medication adherence and data mining methods in clinical big data: A contemporary review

Exploring patient medication adherence and data mining methods in clinical big data: A contemporary review

Examining Quality, Use and Impact of Psychotropic (Use) in older adults with intellectual disabilities (EQUIP): study protocol

Examining Quality, Use and Impact of Psychotropic (Use) in older adults with intellectual disabilities (EQUIP): study protocol

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