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Do Patients Value High-Quality Medical Care? Experimental Evidence from Malaria Diagnosis and Treatment 2016

Mali, 2016 - 2017
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Reference ID
MLI_2016_RDTM_v01_M
DOI
https://doi.org/10.48529/20xj-a807
Producer(s)
Carolina Lopez, Anja Sautmann, Simone Schaner
Metadata
DDI/XML JSON
Created on
Feb 05, 2024
Last modified
Feb 05, 2024
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Data file: LSS_info_DoctorEndlineInterview_allcont.dta

Endline interview with up to three providers (including head of the clinic) treating patients at the clinic that day, carried out after the intervention was concluded in December 2016/January 2017. Instrument: DoctorEndlineInterview_Questionnaire

Cases: 157
Variables: 537

Variables

cscomnum_OS
id CSCom with an unique number
infotreat
Doctor Information - Extended Training
info_strata
id Strata
starttime
datedoctor
timedoctor
surveyorid
surveyorID
consentdoctoryesno
Did the healthworker consent to they survey?
position
What is your position at this CSCom?
position_aux
position
other_position
Specify position
pharmacy
Is there a pharmacy in this CSCOM?
supplier
Who is your supplier for medications and other materials?
supplier_1
supplier__97
sendpatient
Do you ever send patients to get medications at other pharmacies?
affiliation
illness1
Illness 1
desc_otherillness1
Specify other illness (1)
illness2
Illness 2
desc_otherillness2
Specify other illness (2)
patientunder5
Assume you have 100 patients during this period. Among them, how many are childr
malariaunder5
Among those [patientunder5] children, how many have malaria?
illness1under5
Among those [patientunder5] children, how many have [illness1]?
other_illness1under5
Among those [patientunder5] children, how many have [desc_otherillness1]?
illness2under5
Among those [patientunder5] children, how many have [illness2]?
other_illness2under5
Among those [patientunder5] children, how many have [desc_otherillness2]?
notmajormedunder5
Among those [patientunder5] children, how many do NOT need major medication (e.g
patientabove5
malariaabove5
Among those [patientabove5] patients 5 and above, how many have malaria?
illness1above5
Among those [patientabove5] patients 5 and above, how many have [illness1]?
other_illness1above5
Among those [patientabove5] patients 5 and above, how many have [desc_otherillne
illness2above5
Among those [patientabove5] patients 5 and above, how many have [illness2]?
other_illness2above5
Among those [patientabove5] patients 5 and above, how many have [desc_otherillne
notmajormedabove5
Among those [patientabove5], how many do NOT need major medication (e.g. just ne
prevalencemalaria
Consider an average day in November. In the general population (including those
prevalencemalariaunder5
Out of 1000 children under 5, how many have malaria on that day? (In the general
malariaunder5fever
Among those [prevalencemalariaunder5] chidren, how many will not have fever?
prevalencemalariaabove5
Out of 1000 people that are 5 or above, how many have malaria on that day? (in t
malariaabove5fever
Among those [prevalencemalariaabove5] people, how many will not have fever?
patientdiagnosis
If a patient comes to the CSCom with a fever and chills, how do you go about dia
patientdiagnosis_1
patientdiagnosis_2
patientdiagnosis_3
patientdiagnosis_4
patientdiagnosis_5
patientdiagnosis__97
other_diagnosistest
Specify other diagnostic test
other_diagnosis
Specify other diagnosis
treatsimplemalaria
What is the standard treatment for simple malaria?
treatsimplemalaria_1
treatsimplemalaria_2
treatsimplemalaria_3
treatsimplemalaria_4
treatsimplemalaria_5
treatsimplemalaria__97
desc_otherantimalarialsimple
Specify other antimalarial
desc_othertreatsimplemalaria
Specify other treatment for simple malaria
treatseveremalaria
What is the most common treatment for severe malaria?
treatseveremalaria_1
treatseveremalaria_2
treatseveremalaria_3
treatseveremalaria_4
treatseveremalaria_5
treatseveremalaria__97
desc_otherantimalarialsevere
Specify other antimalarial
desc_othertreatseveremalaria
Specify other treatment for severe malaria
indicationsseveremalaria
Which of the following are indications of severe malaria?
indicationsseveremalaria_1
indicationsseveremalaria_2
indicationsseveremalaria_3
indicationsseveremalaria_4
indicationsseveremalaria_5
indicationsseveremalaria_6
indicationsseveremalaria_7
indicationsseveremalaria_8
nottest
Are there occasions where you suspect that a patient has malaria, but you do not
nottestdate
When was the last time this happened?
reasonnottest
Why were you not able to do a malaria test that time?
desc_otherreasonnotest
Specify other reason
lowparasite
Suppose 100 patients with low malaria parasite load are given an SD Bioline test
highparasite
Suppose 100 patients with high malaria parasite load are given an SD Bioline tes
interval_rdtfrom
From
interval_rdtto
to
simplemalaria_rdtpos
Positive
aux_simplemalaria_rdtpos
simplemalaria_rdtneg
Negative
aux_simplemalaria_rdt
simplemalaria_rdtinconc
Inconclusive
simplemalaria_gepos
Positive
aux_simplemalaria_gepos
simplemalaria_geneg
Negative
aux_simplemalaria_ge
simplemalaria_geinconc
Inconclusive
severemalaria_rdtpos
Positive
aux_severemalaria_rdtpos
severemalaria_rdtneg
Negative
aux_severemalaria_rdt
severemalaria_rdtinconc
Inconclusive
severemalaria_gepos
Positive
aux_severemalaria_gepos
severemalaria_geneg
Negative
aux_severemalaria_ge
severemalaria_geinconc
Inconclusive
notmalaria_rdtpos
Positive
aux_notmalaria_rdtpos
notmalaria_rdtneg
Negative
aux_notmalaria_rdt
notmalaria_rdtinconc
Inconclusive
notmalaria_gepos
Positive
aux_notmalaria_gepos
notmalaria_geneg
Negative
aux_notmalaria_ge
notmalaria_geinconc
Inconclusive
trustnegativerdt
Imagine one of the children in your family (child, niece or nephew) shows sympto
trustnegativegefm
Imagine one of the children in your family (child, niece or nephew) shows sympto
timecarryoutrdt
How much time does it take to carry out an RDT and explain the results to the pa
awarerdt
How strongly do you agree or disagree with the statement: Most patients knowwhat
trustrdt
How strongly do you agree or disagree with the statement: Patients trust the RDT
awaregefm
How strongly do you agree or disagree with the statement: Most patients know wha
trustgefm
How strongly do you agree or disagree with the statement: Patients trust the GE/
howpatientsrespond
In your experience, how do patients respond if you do not prescribe an antimalar
pressuretests
Do you ever feel pressure from patients to conduct certain tests when you think
whichtests
Which tests are they?
whichtests_1
whichtests_2
whichtests_3
whichtests_4
whichtests_5
whichtests_6
whichtests_7
whichtests_8
whichtests_9
whichtests_10
whichtests_11
whichtests_12
whichtests_13
whichtests_14
whichtests_15
whichtests_16
whichtests_17
whichtests_18
whichtests__97
desc_othertests
Specify other tests
pressuremedicines
Do you ever feel pressure from patients to prescribe certain medicines when you
whichmedicines
Which type of medicines are they?
whichmedicines_1
whichmedicines_2
whichmedicines_3
whichmedicines_4
whichmedicines_5
whichmedicines_6
whichmedicines_7
whichmedicines_8
whichmedicines_9
whichmedicines_10
whichmedicines_11
whichmedicines_12
whichmedicines_13
whichmedicines_14
whichmedicines__97
desc_othermedicines
Specify other type of medicines
challenges
What are some of the biggest challenges/difficulties you face in delivering medi
training_part
A little time ago, staff members of this CSCom were invited to a training by the
training_part_other
Did you discuss the training contents with other staff in the CSCom?
enumdum1
surveyorid== 2.0000
enumdum2
surveyorid== 10.0000
enumdum3
surveyorid== 16.0000
enumdum4
surveyorid== 17.0000
enumdum5
surveyorid== 25.0000
enumdum6
surveyorid== 41.0000
trained
infotreat_trained
infotreat_nottrained
position_1
position_2
position_3
position_4
position_5
position_6
position_7
position_8
DTC
DTC
doctor
Doctor
nurse
Nurse
position_other
Other position
common_typhoid_fever
Typhoid fever
common_bronchitis
Bronchitis
common_influenza_flu
Influenza-flu
common_respiratory_infection
Respiratory infection
common_gastrointestinal
Gastrointestinal infection
malrate_u5
Malaria Rate: Patients Under Five
mildrate_u5
Mild Illness Rate: Patients Under Five
malrate_a5
Malaria Rate: Patients Above Five
mildrate_a5
Mild Illness Rate: Patients Above Five
diag_rdt
Use RDT To Diagnose Malaria
diag_GE_FM
Use GE/FM To Diagnose Malaria
act_simple
correct_treat_simple_mal
Knows Simple Malaria Treatment
correct_treat_severe_mal
Knows Severe Malaria Treatment
correct_low
Knows RDT Sensitivity: Low Parasite
correct_high
Knows RDT Sensitivity: High Parasite
adhere_negrdt
Adhere Neg RDT: Family Member
adhere_negge
Adhere Neg GE/FM: Family Member
patients_accept
correct_interval
Knows Correct RDT Interval
whichmedicines_antimalarial
Which medicine: Antimalarial
whichmedicines_painkiller
Which medicine: Pain killer
whichmedicines_antibiotic
Which medicine: Antibiotic
whichmedicines_other
Which medicine: Other
notadhere_negrdt
Treat relative with neg RDT
notadhere_negge
Treat relative with neg GE
trueorfalse_1
(mean) trueorfalse_1
meds_correct_simple_mal_1
(mean) meds_correct_simple_mal_1
low_parasite_test_90more_1
(mean) low_parasite_test_90more_1
high_parasite_test_90_more_1
(mean) high_parasite_test_90_more_1
symp_correct_severe_mal_1
(mean) symp_correct_severe_mal_1
interval_15_2030_1
(mean) interval_15_2030_1
correct_knowledge_1
(mean) correct_knowledge_1
avg_pat
Average Patient Load
frac_test_rdt
Fraction Patients Receiving RDT
frac_test_ge
Fraction Patients Receiving Microscopy
frac_pos_tested
Fraction Tested Patients Malaria Positive
can_do_ge
Clinic Has Microscopy
MSStrueorfalse_1
Dummy=1 if trueorfalse_1 missing
M0trueorfalse_1
(mean) trueorfalse_1 -- missings coded to sample mean
MSSmeds_correct_simple_mal_1
Dummy=1 if meds_correct_simple_mal_1 missing
M0meds_correct_simple_mal_1
(mean) meds_correct_simple_mal_1 -- missings coded to sample mean
MSSlow_parasite_test_90more_1
Dummy=1 if low_parasite_test_90more_1 missing
M0low_parasite_test_90more_1
(mean) low_parasite_test_90more_1 -- missings coded to sample mean
MSShigh_parasite_test_90_more_1
Dummy=1 if high_parasite_test_90_more_1 missing
M0high_parasite_test_90_more_1
(mean) high_parasite_test_90_more_1 -- missings coded to sample mean
MSSsymp_correct_severe_mal_1
Dummy=1 if symp_correct_severe_mal_1 missing
M0symp_correct_severe_mal_1
(mean) symp_correct_severe_mal_1 -- missings coded to sample mean
MSSinterval_15_2030_1
Dummy=1 if interval_15_2030_1 missing
M0interval_15_2030_1
(mean) interval_15_2030_1 -- missings coded to sample mean
MSScorrect_knowledge_1
Dummy=1 if correct_knowledge_1 missing
M0correct_knowledge_1
(mean) correct_knowledge_1 -- missings coded to sample mean
MSScan_do_ge
Dummy=1 if can_do_ge missing
M0can_do_ge
can_do_ge -- missings coded to sample mean
MSSfrac_test_rdt
Dummy=1 if frac_test_rdt missing
M0frac_test_rdt
Fraction Patients Receiving RDT -- missings coded to sample mean
MSSfrac_test_ge
Dummy=1 if frac_test_ge missing
M0frac_test_ge
Fraction Patients Receiving Microscopy -- missings coded to sample mean
MSSfrac_pos_tested
Dummy=1 if frac_pos_tested missing
M0frac_pos_tested
Fraction Tested Patients Malaria Positive -- missings coded to sample mean
MSSavg_pat
Dummy=1 if avg_pat missing
M0avg_pat
Average Patient Load -- missings coded to sample mean
CC1
(mean) trueorfalse_1 -- missings coded to sample mean
CC2
Dummy=1 if trueorfalse_1 missing
CC3
(mean) meds_correct_simple_mal_1 -- missings coded to sample mean
CC4
Dummy=1 if meds_correct_simple_mal_1 missing
CC5
(mean) low_parasite_test_90more_1 -- missings coded to sample mean
CC6
Dummy=1 if low_parasite_test_90more_1 missing
CC7
(mean) high_parasite_test_90_more_1 -- missings coded to sample mean
CC8
Dummy=1 if high_parasite_test_90_more_1 missing
CC9
(mean) symp_correct_severe_mal_1 -- missings coded to sample mean
CC10
Dummy=1 if symp_correct_severe_mal_1 missing
CC11
(mean) interval_15_2030_1 -- missings coded to sample mean
CC12
Dummy=1 if interval_15_2030_1 missing
CC13
(mean) correct_knowledge_1 -- missings coded to sample mean
CC14
Dummy=1 if correct_knowledge_1 missing
CC15
can_do_ge -- missings coded to sample mean
CC16
Dummy=1 if can_do_ge missing
CC17
Fraction Patients Receiving RDT -- missings coded to sample mean
CC18
Dummy=1 if frac_test_rdt missing
CC19
Fraction Patients Receiving Microscopy -- missings coded to sample mean
CC20
Dummy=1 if frac_test_ge missing
CC21
Fraction Tested Patients Malaria Positive -- missings coded to sample mean
CC22
Dummy=1 if frac_pos_tested missing
CC23
Average Patient Load -- missings coded to sample mean
CC24
Dummy=1 if avg_pat missing
CC1xCC2
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if trueorfalse_1
CC1xCC3
(mean) trueorfalse_1 -- missings coded to sample mean X (mean) meds_correct_simp
CC1xCC4
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if meds_correct_
CC1xCC5
(mean) trueorfalse_1 -- missings coded to sample mean X (mean) low_parasite_test
CC1xCC6
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if low_parasite_
CC1xCC7
(mean) trueorfalse_1 -- missings coded to sample mean X (mean) high_parasite_tes
CC1xCC8
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if high_parasite
CC1xCC9
(mean) trueorfalse_1 -- missings coded to sample mean X (mean) symp_correct_seve
CC1xCC10
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if symp_correct_
CC1xCC11
(mean) trueorfalse_1 -- missings coded to sample mean X (mean) interval_15_2030_
CC1xCC12
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if interval_15_2
CC1xCC13
(mean) trueorfalse_1 -- missings coded to sample mean X (mean) correct_knowledge
CC1xCC14
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if correct_knowl
CC1xCC15
(mean) trueorfalse_1 -- missings coded to sample mean X can_do_ge -- missings co
CC1xCC16
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if can_do_ge mis
CC1xCC17
(mean) trueorfalse_1 -- missings coded to sample mean X Fraction Patients Receiv
CC1xCC18
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if frac_test_rdt
CC1xCC19
(mean) trueorfalse_1 -- missings coded to sample mean X Fraction Patients Receiv
CC1xCC20
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if frac_test_ge
CC1xCC21
(mean) trueorfalse_1 -- missings coded to sample mean X Fraction Tested Patients
CC1xCC22
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if frac_pos_test
CC1xCC23
(mean) trueorfalse_1 -- missings coded to sample mean X Average Patient Load --
CC1xCC24
(mean) trueorfalse_1 -- missings coded to sample mean X Dummy=1 if avg_pat missi
CC2xCC3
Dummy=1 if trueorfalse_1 missing X (mean) meds_correct_simple_mal_1 -- missings
CC2xCC4
Dummy=1 if trueorfalse_1 missing X Dummy=1 if meds_correct_simple_mal_1 missing
CC2xCC5
Dummy=1 if trueorfalse_1 missing X (mean) low_parasite_test_90more_1 -- missings
CC2xCC6
Dummy=1 if trueorfalse_1 missing X Dummy=1 if low_parasite_test_90more_1 missing
CC2xCC7
Dummy=1 if trueorfalse_1 missing X (mean) high_parasite_test_90_more_1 -- missin
Total: 537
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