D4 Published development or research report or study
Information Integration, Coordination Failures, and Quality of Prescribing (2020)

Böckerman, P., Laine, L. T., Nurminen, M., & Saxell, T. (2020). Information Integration, Coordination Failures, and Quality of Prescribing. IZA Institute of Labor Economics. IZA Discussion Papers, 13926. http://ftp.iza.org/dp13926.pdf

JYU authors or editors

Publication details

All authors or editorsBöckerman, Petri; Laine, Liisa T.; Nurminen, Mikko; Saxell, Tanja

Journal or seriesIZA Discussion Papers


Publication year2020

Number in series13926

Number of pages in the book64

PublisherIZA Institute of Labor Economics

Place of PublicationBonn

Publication countryGermany

Publication languageEnglish

Persistent website addresshttp://ftp.iza.org/dp13926.pdf

Publication open accessOpenly available

Publication channel open accessOpen Access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/73617


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

Keywordshealth servicesdigitalisationprescriptionselectronic prescriptionsquality assuranceinformation administrationflow of information

Free keywordshealth information technology; digitalization; e-prescribing; integration; quality of prescribing; public policy

Contributing organizations

Ministry reportingYes

Reporting Year2020

Last updated on 2024-22-04 at 11:00