<?xml version='1.0' encoding='UTF-8'?>
<codeBook xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" version="2.5" ID="EST_2021_ECMIE_v01_M" xml-lang="en" xmlns="ddi:codebook:2_5" xsi:schemaLocation="ddi:codebook:2_5 http://www.ddialliance.org/Specification/DDI-Codebook/2.5/XMLSchema/codebook.xsd">
   <docDscr>
    <citation>
     <titlStmt>
      <titl>EST_2021_ECMIE_v01_M</titl>
      <IDNo>DDI_EST_2021_ECMIE_v01_M_WB</IDNo>
     </titlStmt>
     <prodStmt>
      <producer abbr="DECDG" affiliation="World Bank" role="Documentation of the study">Development Data Group</producer>
      <prodDate date="2024-12-20">2024-12-20</prodDate>
      <software version="v1">Python 3</software>
     </prodStmt>
     <verStmt>
      <version><![CDATA[Version 01 (2024-12-20)
]]></version>
     </verStmt>
    </citation>
   </docDscr>
   <stdyDscr>
    <citation>
     <titlStmt>
      <titl>Enhanced Care Management (ECM) Evaluation of Healthcare Plans 2021</titl>
      <subTitl></subTitl>
      <altTitl>ECMIE 2021</altTitl>
      <IDNo>EST_2021_ECMIE_v01_M</IDNo>
     </titlStmt>
     <rspStmt>
      <AuthEnty affiliation="World Bank">Daniel Rogger</AuthEnty>
     </rspStmt>
     <prodStmt/>
     <distStmt>
      <depositr>World Bank</depositr>
     </distStmt>
     <serStmt>
      <serName></serName>
      <serInfo></serInfo>
     </serStmt>
     <verStmt>
      <version>Edited, anonymized dataset for public distribution.</version>
     </verStmt>
     <notes/>
    </citation>
    <stdyInfo>
     <subject/>
     <abstract><![CDATA[Enhanced Care Management (ECM) was an impact evaluation project implemented by DIME team, in cooperation with the Estonian Health Insurance Fund (EHIF) in Estonia between 2021 and 2023. A key part of the intervention was creation of personalized care plans by doctors, in consultation with their patients. Since they formed the key part of the intervention it was of paramount importance to assesses whether they contained some essential features and were tailored to patient's individual needs.

The following data pertains to the scoring of the care plans created by coordinators trained to administer the ECM program and introduce it to the participating doctors. The coordinators assessed 5 care plans, selected at random from each participating doctor. Each existing care plan was assessed across 6 dimensions, scored on 1-5 scale (as per the questionnaire), plus an open field for the coordinators to leave any comments. If a pre-selected care plan did not exists, the B0 survey question would reflect that. The evaluations happened during one of the coordinators' visits to the participating doctors and their teams, timed to coincide with the completion of most care plans.

The purpose of the evaluations was principally to assess whether the intervention was implemented as intended. The collected scores were also used as conditioning variable in one of the robustness checks in the paper based on this impact evaluation.]]></abstract>
     <notes><![CDATA[]]></notes>
     <sumDscr>
      <collDate date="2021-09-30" event="start" cycle=""/>
      <collDate date="2022-06-01" event="end" cycle=""/>
      <nation abbr="EST">Estonia</nation>
      <geogCover></geogCover>
      <anlyUnit><![CDATA[Healthcare plan]]></anlyUnit>
      <dataKind>Sample survey data [ssd]</dataKind>
     </sumDscr>
    </stdyInfo>
    <method>
     <dataColl>
      <sampProc><![CDATA[Each of the participating doctors was visited be a coordinator during the duration of the program. During one of those visits taking place after care plans creation, the coordinator was asked to set aside an extra half an hour to conduct care plan evaluation. They opened a pre-prepared online form, filled out the list ID (doctor identifier) and the form automatically generated 5 random numbers between 1 and 25 (maximum number of ECM patients and therefore care plans per doctor). After confirming with a doctor which of those care plans actually exist, the coordinator received printed version of the plans and, alone, scored them using 6 Likert style questions pertaining to plans' contents and completeness (see the questionnaire for details), plus an optional 'comments' question at the end. After evaluation was completed, the care plans were returned to the clinic team for destruction or archiving.]]></sampProc>
      <collMode><![CDATA[Computer Assisted Personal Interview [capi]]]></collMode>
      <collSitu><![CDATA[The uploaded files contain the evaluation of the healthcare plans prepared by the doctors taking part in the ECM program. 

ECM Evaluation of the care plans.dta - contains healthcare provider (GP) list id, which can be linked with the care plans evaluations using 'link_id' column. 

ECM Evaluation of the care plans-b.dta - contains responses to the questions about the care plans, filled out by trained external consultants.]]></collSitu>
     </dataColl>
     <anlyInfo>
      <respRate><![CDATA[The response rate was 100%]]></respRate>
      <EstSmpErr><![CDATA[]]></EstSmpErr>
      <dataAppr><![CDATA[]]></dataAppr>
     </anlyInfo>
     <dataProcessing type=""><![CDATA[]]></dataProcessing>
    </method>
    <dataAccs>
     <useStmt>
      <confDec><![CDATA[]]></confDec>
      <citReq><![CDATA[Use of the dataset must be acknowledged using a citation which would include: 
 - the Identification of the Primary Investigator
 - the title of the survey (including country, acronym and year of implementation)
 - the survey reference number
 - the source and date of download

 Example:
 Daniel Rogger (World Bank). Estonia - Enhanced Care Management (ECM) Evaluation of Healthcare Plans 2021 (ECMIE 2021). Ref: EST_2021_ECMIE_v01_M. Downloaded from [uri] on [date]. ]]></citReq>
      <conditions><![CDATA[]]></conditions>
      <disclaimer>The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.</disclaimer>
     </useStmt>
    </dataAccs>
   </stdyDscr>
   <fileDscr ID="F1">
    <fileTxt>
     <fileName>ecm_evaluation_of_the_care_plans</fileName>
     <fileCont>ECM Evaluation of the care plans.dta - contains healthcare provider (GP) list id, which can be linked with the care plans evaluations using link_id column.</fileCont>
     <fileStrc/>
     <dimensns>
      <caseQnty>77</caseQnty>
      <varQnty>2</varQnty>
     </dimensns>
     <fileType></fileType>
     <filePlac>World Bank</filePlac>
     <dataMsng/>
     <verStmt>
      <version/>
     </verStmt>
    </fileTxt>
   </fileDscr>
   <fileDscr ID="F2">
    <fileTxt>
     <fileName>ecm_evaluation_of_the_care_plans_b</fileName>
     <fileCont>ECM Evaluation of the care plans-b - contains responses to the questions about the care plans, filled out by trained external consultants.</fileCont>
     <fileStrc/>
     <dimensns>
      <caseQnty>385</caseQnty>
      <varQnty>9</varQnty>
     </dimensns>
     <fileType></fileType>
     <filePlac>World Bank</filePlac>
     <dataMsng/>
     <verStmt>
      <version/>
     </verStmt>
    </fileTxt>
   </fileDscr>
   <dataDscr>
    <var ID="V1" name="a2" files="F1" dcml="0" intrvl="discrete">
     <location width="-9"/>
     <labl>GP list ID [anonymized]</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <sumStat type="vald">77</sumStat>
     <sumStat type="invd">0</sumStat>
     <varFormat type="character" schema="other"/>
    </var>
    <var ID="V2" name="link_id" files="F1" dcml="0" intrvl="discrete">
     <location width="-9"/>
     <labl>Linking variable</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <sumStat type="vald">77</sumStat>
     <sumStat type="invd">0</sumStat>
     <varFormat type="character" schema="other"/>
    </var>
    <var ID="V3" name="b0" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Is this care plan #${careplan_num} available?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="0" max="1"/>
     </valrng>
     <sumStat type="vald">353</sumStat>
     <sumStat type="invd">32</sumStat>
     <sumStat type="min">0</sumStat>
     <sumStat type="max">1</sumStat>
     <catgry>
      <catValu>0</catValu>
      <labl>No</labl>
      <catStat type="freq">62</catStat>
     </catgry>
     <catgry>
      <catValu>1</catValu>
      <labl>Yes</labl>
      <catStat type="freq">291</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">32</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V4" name="b0_r" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Enter the careplan number you will evaluate inplace of care plan #${careplan_num}</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="0" max="27"/>
     </valrng>
     <sumStat type="vald">47</sumStat>
     <sumStat type="invd">338</sumStat>
     <sumStat type="min">0</sumStat>
     <sumStat type="max">27</sumStat>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V5" name="b1" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Overall, are all mandatory fields of the care plan filled with relevant information?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="1" max="5"/>
     </valrng>
     <sumStat type="vald">373</sumStat>
     <sumStat type="invd">12</sumStat>
     <sumStat type="min">1</sumStat>
     <sumStat type="max">5</sumStat>
     <catgry>
      <catValu>1</catValu>
      <labl>Excellent</labl>
      <catStat type="freq">104</catStat>
     </catgry>
     <catgry>
      <catValu>2</catValu>
      <labl>Good</labl>
      <catStat type="freq">174</catStat>
     </catgry>
     <catgry>
      <catValu>3</catValu>
      <labl>Satisfactory</labl>
      <catStat type="freq">67</catStat>
     </catgry>
     <catgry>
      <catValu>4</catValu>
      <labl>Unsatisfactory</labl>
      <catStat type="freq">19</catStat>
     </catgry>
     <catgry>
      <catValu>5</catValu>
      <labl>Absent</labl>
      <catStat type="freq">9</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">12</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V6" name="b2" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Does the care plan provide a series of non-medical activities that promote holistic health?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="1" max="5"/>
     </valrng>
     <sumStat type="vald">372</sumStat>
     <sumStat type="invd">13</sumStat>
     <sumStat type="min">1</sumStat>
     <sumStat type="max">5</sumStat>
     <catgry>
      <catValu>1</catValu>
      <labl>Excellent</labl>
      <catStat type="freq">111</catStat>
     </catgry>
     <catgry>
      <catValu>2</catValu>
      <labl>Good</labl>
      <catStat type="freq">112</catStat>
     </catgry>
     <catgry>
      <catValu>3</catValu>
      <labl>Satisfactory</labl>
      <catStat type="freq">81</catStat>
     </catgry>
     <catgry>
      <catValu>4</catValu>
      <labl>Unsatisfactory</labl>
      <catStat type="freq">45</catStat>
     </catgry>
     <catgry>
      <catValu>5</catValu>
      <labl>Absent</labl>
      <catStat type="freq">23</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">13</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V7" name="b3" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Does the care plan seem to be specific to the needs of the individual patient?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="1" max="5"/>
     </valrng>
     <sumStat type="vald">371</sumStat>
     <sumStat type="invd">14</sumStat>
     <sumStat type="min">1</sumStat>
     <sumStat type="max">5</sumStat>
     <catgry>
      <catValu>1</catValu>
      <labl>Excellent</labl>
      <catStat type="freq">119</catStat>
     </catgry>
     <catgry>
      <catValu>2</catValu>
      <labl>Good</labl>
      <catStat type="freq">152</catStat>
     </catgry>
     <catgry>
      <catValu>3</catValu>
      <labl>Satisfactory</labl>
      <catStat type="freq">75</catStat>
     </catgry>
     <catgry>
      <catValu>4</catValu>
      <labl>Unsatisfactory</labl>
      <catStat type="freq">19</catStat>
     </catgry>
     <catgry>
      <catValu>5</catValu>
      <labl>Absent</labl>
      <catStat type="freq">6</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">14</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V8" name="b4" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Are patient goals measurable and timebound in care plan?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="1" max="5"/>
     </valrng>
     <sumStat type="vald">372</sumStat>
     <sumStat type="invd">13</sumStat>
     <sumStat type="min">1</sumStat>
     <sumStat type="max">5</sumStat>
     <catgry>
      <catValu>1</catValu>
      <labl>Excellent</labl>
      <catStat type="freq">87</catStat>
     </catgry>
     <catgry>
      <catValu>2</catValu>
      <labl>Good</labl>
      <catStat type="freq">88</catStat>
     </catgry>
     <catgry>
      <catValu>3</catValu>
      <labl>Satisfactory</labl>
      <catStat type="freq">98</catStat>
     </catgry>
     <catgry>
      <catValu>4</catValu>
      <labl>Unsatisfactory</labl>
      <catStat type="freq">79</catStat>
     </catgry>
     <catgry>
      <catValu>5</catValu>
      <labl>Absent</labl>
      <catStat type="freq">20</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">13</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V9" name="b5" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Is there an action plan to achieve those patient goals in care plan?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="1" max="3"/>
     </valrng>
     <sumStat type="vald">371</sumStat>
     <sumStat type="invd">14</sumStat>
     <sumStat type="min">1</sumStat>
     <sumStat type="max">3</sumStat>
     <catgry>
      <catValu>1</catValu>
      <labl>Yes, action plans are completely tailored to the goals set</labl>
      <catStat type="freq">118</catStat>
     </catgry>
     <catgry>
      <catValu>2</catValu>
      <labl>Yes, patient goals are included in the action plans, among other plans to promote health</labl>
      <catStat type="freq">191</catStat>
     </catgry>
     <catgry>
      <catValu>3</catValu>
      <labl>Not included</labl>
      <catStat type="freq">62</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">14</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V10" name="b6" files="F2" dcml="0" intrvl="discrete">
     <location width="12"/>
     <labl>Is all the information easy to grasp and understandable from the patient’s point of view i.e., not too medical in care plan?</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <valrng>
      <range UNITS="REAL" min="1" max="5"/>
     </valrng>
     <sumStat type="vald">371</sumStat>
     <sumStat type="invd">14</sumStat>
     <sumStat type="min">1</sumStat>
     <sumStat type="max">5</sumStat>
     <catgry>
      <catValu>1</catValu>
      <labl>Excellent</labl>
      <catStat type="freq">126</catStat>
     </catgry>
     <catgry>
      <catValu>2</catValu>
      <labl>Good</labl>
      <catStat type="freq">129</catStat>
     </catgry>
     <catgry>
      <catValu>3</catValu>
      <labl>Satisfactory</labl>
      <catStat type="freq">78</catStat>
     </catgry>
     <catgry>
      <catValu>4</catValu>
      <labl>Unsatisfactory</labl>
      <catStat type="freq">27</catStat>
     </catgry>
     <catgry>
      <catValu>5</catValu>
      <labl>Absent</labl>
      <catStat type="freq">11</catStat>
     </catgry>
     <catgry missing="Y">
      <catValu>Sysmiss</catValu>
      <catStat type="freq">14</catStat>
     </catgry>
     <varFormat type="numeric" schema=""/>
    </var>
    <var ID="V11" name="link_id" files="F2" dcml="0" intrvl="discrete">
     <location width="-9"/>
     <labl>Linking variable</labl>
     <qstn>
      <qstnLit></qstnLit>
      <postQTxt></postQTxt>
     </qstn>
     <sumStat type="vald">385</sumStat>
     <sumStat type="invd">0</sumStat>
     <varFormat type="character" schema="other"/>
    </var>
   </dataDscr>
  </codeBook>
