Information Integration, Coordination Failures, and Quality of Prescribing

67 Pages Posted: 14 Dec 2020

See all articles by Petri Bockerman

Petri Bockerman

Labour Institute for Economic Research; University of Turku - Turku School of Economics

Liisa T. Laine

University of Pennsylvania - Leonard Davis Institute of Health Economics

Mikko Nurminen

Turku School of Economics

Tanja Saxell

VATT

Abstract

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.

JEL Classification: H51, H75

Suggested Citation

Bockerman, Petri and Laine, Liisa T. and Nurminen, Mikko and Saxell, Tanja, Information Integration, Coordination Failures, and Quality of Prescribing. IZA Discussion Paper No. 13926, Available at SSRN: https://ssrn.com/abstract=3747443

Petri Bockerman (Contact Author)

Labour Institute for Economic Research ( email )

FIN-00530 Helsinki
Finland
+358 9 2535 7332 (Phone)
+358 9 2535 7332 (Fax)

HOME PAGE: http://www.petribockerman.fi/

University of Turku - Turku School of Economics ( email )

Rehtorinpellonkatu 3
TURKU, FI-20500
Finland

Liisa T. Laine

University of Pennsylvania - Leonard Davis Institute of Health Economics ( email )

Philadelphia, PA
United States

Mikko Nurminen

Turku School of Economics ( email )

Rehtorinpellonkatu 3
FIN-20500 Turku
Finland

Tanja Saxell

VATT ( email )

Arkadiankatu 7
P.O Box 1279
Helsinki, FIN-00531
Finland

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