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Information Integration, Coordination Failures, and Quality of Prescribing

Year of publication

2025

Authors

Böckerman, Petri; Laine, Liisa T.; Nurminen, Mikko; Saxell, Tanja

Abstract

Poor information flows hamper coordination, potentially leading to suboptimal decisions in health care. 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 reduces 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.
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Organizations and authors

University of Jyväskylä

Böckerman Petri Orcid -palvelun logo

Publication type

Publication format

Article

Parent publication type

Journal

Article type

Original article

Audience

Scientific

Peer-reviewed

Peer-Reviewed

MINEDU's publication type classification code

A1 Journal article (refereed), original research

Publication channel information

Volume

60

Issue

3

Pages

1054-1092

​Publication forum

60622

​Publication forum level

2

Open access

Open access in the publisher’s service

Yes

Open access of publication channel

Partially open publication channel

Self-archived

Yes

Other information

Fields of science

Business and management; Public health care science, environmental and occupational health

Keywords

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Publication country

United States

Internationality of the publisher

International

Language

English

International co-publication

Yes

Co-publication with a company

No

DOI

10.3368/jhr.0921-11910r2

The publication is included in the Ministry of Education and Culture’s Publication data collection

Yes