Information Integration, Coordination Failures, and Quality of Prescribing
Böckerman, Petri; Laine, Liisa T.; Nurminen, Mikko; Saxell, Tanja (2020-10-26)
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Lataukset:
Böckerman, Petri
Laine, Liisa T.
Nurminen, Mikko
Saxell, Tanja
Valtion taloudellinen tutkimuskeskus
26.10.2020
Julkaisun pysyvä osoite on
https://urn.fi/URN:ISBN:978-952-274-260-5
https://urn.fi/URN:ISBN:978-952-274-260-5
Kuvaus
nonPeerReviewed
Tiivistelmä
Poor information flows hamper coordination, potentially leading to suboptimal decisions in health care. We examine the effects of a nationwide policy of information integration on the quality of prescribing. We use the rollout of an electronic prescribing system in Finland and prescription-level administrative data. We find no effect on the probability of co-prescribing harmful drug combinations in urban regions. In rural regions, this probability reduces substantially, by 35 percent. The effect is driven by prescriptions from unspecialized physicians and from multiple physicians. Improving the local information environment thus enhances coordination and narrows differences in the quality of prescribing.
Tutkimusteema
Local public finance and provision of public services
JEL
H51, H75
Avainsanat
health information technology, digitalization, e-prescribing, integration, quality of prescribing, public policy
Kokoelmat
- VATT Working Papers [164]