D4 Julkaistu kehittämis- tai tutkimusraportti tai -selvitys

Information Integration, Coordination Failures, and Quality of Prescribing




TekijätPetri Böckerman, Liisa T. Laine, Mikko Nurminen, Tanja Saxell

KustantajaValtion taloudellinen tutkimuskeskus

Julkaisuvuosi2020

Sarjan nimiVATT Working Papers

Numero sarjassa135

ISBN978-952-274-260-5

eISBN1798-0291

Verkko-osoitehttps://www.doria.fi/handle/10024/178284

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/49842635


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.


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Last updated on 2024-26-11 at 10:27