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Digital Waste? Unintended Consequences of Health Information Technology

Author

Listed:
  • Böckerman, Petri

    (University of Jyväskylä)

  • Kortelainen, Mika

    (VATT, Helsinki)

  • Laine, Liisa T.

    (University of Pennsylvania)

  • Nurminen, Mikko

    (Turku School of Economics)

  • Saxell, Tanja

    (VATT, Helsinki)

Abstract

We exploit a large-scale natural experiment – the rollout of a nationwide electronic prescribing system in Finland – to study how digitization of prescriptions affects pharmaceutical use and health outcomes. We use comprehensive administrative data from patients treated with benzodiazepines, which are globally popular, effective but addictive psychotropic medications. We find no impact on benzodiazepine use on average, but among younger patients e-prescribing increases repeat prescription use. Younger patients' health outcomes do not improve but adverse outcomes, such as prescription drug abuse disorders and suicide attempts, increase dramatically. Improving access to medication through easier ordering may thus increase medication overuse.

Suggested Citation

  • Böckerman, Petri & Kortelainen, Mika & Laine, Liisa T. & Nurminen, Mikko & Saxell, Tanja, 2019. "Digital Waste? Unintended Consequences of Health Information Technology," IZA Discussion Papers 12275, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp12275
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    Cited by:

    1. Böckerman, Petri & Laine, Liisa T. & Nurminen, Mikko & Saxell, Tanja, 2020. "Information Integration, Coordination Failures, and Quality of Prescribing," IZA Discussion Papers 13926, Institute of Labor Economics (IZA).
    2. Abouk, Rahi & Powell, David, 2021. "Can electronic prescribing mandates reduce opioid-related overdoses?," Economics & Human Biology, Elsevier, vol. 42(C).
    3. Ahomäki, Iiro & Pitkänen, Visa & Soppi, Aarni & Saastamoinen, Leena, 2020. "Impact of a physician-targeted letter on opioid prescribing," Journal of Health Economics, Elsevier, vol. 72(C).

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    More about this item

    Keywords

    health information technology; electronic prescribing; repeat prescriptions; inefficiency; medication overuse;
    All these keywords.

    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
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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