D4 Julkaistu kehittämis- tai tutkimusraportti tai -selvitys
Information Integration, Coordination Failures, and Quality of Prescribing
Tekijät: Petri Böckerman, Liisa T. Laine, Mikko Nurminen, Tanja Saxell
Kustantaja: Valtion taloudellinen tutkimuskeskus
Julkaisuvuosi: 2020
Sarjan nimi: VATT Working Papers
Numero sarjassa: 135
ISBN: 978-952-274-260-5
eISBN: 1798-0291
Verkko-osoite: https://www.doria.fi/handle/10024/178284
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/49842635
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.
Ladattava julkaisu This is an electronic reprint of the original article. |