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Information Integration, Coordination Failures, and Quality of Prescribing

Author

Listed:
  • Petri Böckerman
  • Liisa T. Laine
  • Mikko Nurminen
  • Tanja Saxell

Abstract

Poor information flows hamper coordination, potentially leading to suboptimal decisions in healthcare. We examine the effects of a large-scale policy of health information integration. We use the staggered adoption of a nationwide electronic prescribing system over four years in Finland and prescription-level administrative data. Our results show no discernible effect on the probability of co-prescribing harmful drugs on average, but the heterogeneity analysis reveals that this probability declines in rural regions, by 35 percent. This substantial reduction is driven by interacting prescriptions from different physicians and generalists. Information integration can therefore improve the coordination of physicians’ interdependent decisions.

Suggested Citation

  • Petri Böckerman & Liisa T. Laine & Mikko Nurminen & Tanja Saxell, 2025. "Information Integration, Coordination Failures, and Quality of Prescribing," Journal of Human Resources, University of Wisconsin Press, vol. 60(3), pages 1054-1092.
    • Handle: RePEc:uwp:jhriss:v:60:y:2025:i:3:p:1054-1092
    Note: DOI: https://doi.org/10.3368/jhr.0921-11910R2
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    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I1 - Health, Education, and Welfare - - Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • O33 - Economic Development, Innovation, Technological Change, and Growth - - Innovation; Research and Development; Technological Change; Intellectual Property Rights - - - Technological Change: Choices and Consequences; Diffusion Processes

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