Table 3

Primary outcomes for standardised patient (SP) cases

All SP CasesAsthmaChild diarrhoeaTuberculosisUnstable angina
Preferred case management0.530.810.730.500.10
(0.45 to 0.61)(0.69 to 0.93)(0.59 to 0.86)(0.35 to 0.65)(0.01 to 0.18)
Time waiting in clinic (min)49.1246.2651.0845.6453.59
(40.57 to 57.67)(31.93 to 60.59)(33.41 to 68.74)(28.69 to 62.58)(34.55 to 72.63)
Time with provider (min)7.179.264.456.728.12
(6.12 to 8.22)(6.79 to 11.73)(3.53 to 5.37)(5.1 to 8.33)(5.58 to 10.67)
Proportion history questions0.380.340.470.420.29
(0.34 to 0.42)(0.28 to 0.4)(0.39 to 0.55)(0.34 to 0.5)(0.22 to 0.36)
Total price (KSh)425.10507.26246.15469.76464.43
(350.77 to 499.43)(350.81 to 663.72)(142.49 to 349.82)(300.14 to 639.39)(326.38 to 602.47)
Referred (non-diarrhoea)0.050.000.120.02
(0.01 to 0.09)(0.02 to 0.22)(−0.02 to 0.07)
Any medication0.710.860.520.570.88
(0.64 to 0.78)(0.75 to 0.96)(0.37 to 0.68)(0.42 to 0.72)(0.78 to 0.98)
Number of medications1.772.071.581.481.95
(1.55 to 1.99)(1.68 to 2.47)(1.01 to 2.14)(1.05 to 1.91)(1.63 to 2.28)
Antibiotics0.490.500.320.550.60
(0.42 to 0.57)(0.35 to 0.65)(0.18 to 0.47)(0.4 to 0.7)(0.45 to 0.74)
Steroids0.020.020.000.000.05
(0 to 0.04)(−0.02 to 0.07)(−0.02 to 0.11)
Number of observations16642404242
  • Data are mean (95% CI). Preferred case management is defined as the use of an inhaler or bronchodilator for the asthma case, oral rehydration salts for the child diarrhoea case, a sputum test for the tuberculosis suspect, and a referral, ECG or aspirin for the unstable angina case. Time waiting in clinic is the total time in the clinic not with the provider. Time with the provider is the duration of the consultation. Proportion history questions is the mean proportion of essential history questions asked during consultation (see online supplementary appendix). Price includes all consultation fees paid on the spot, as well as the prices of all testing and medications recommended by the provider. Referral is any case where the provider recommended the patient to see another provider.