Information Integration, Coordination Failures, and Quality of Prescribing
Petri Böckerman; Liisa T. Laine; Mikko Nurminen; Tanja Saxell
Information Integration, Coordination Failures, and Quality of Prescribing
Petri Böckerman
Liisa T. Laine
Mikko Nurminen
Tanja Saxell
Valtion taloudellinen tutkimuskeskus
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042821875
https://urn.fi/URN:NBN:fi-fe2021042821875
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.
Kokoelmat
- Rinnakkaistallenteet [19207]