Quantifying the Financial Impact of Overuse in Primary Care in China: A Standardised Patient Study

The capital city has a population of over 8.8 million in an area of more than 9,983 km2, and 73.43% of residents of the capital city lived in urban areas in 2017. [...] ➢ Details of assigned diseases and scripts were explained to the SPs and recordings of incognito interactions between SPs and physicians obtained from our pilot study were presented to the SPs. [...] ➢ Role-playing and one-on-one training methods were used to further develop the scripts, help them understand and memorise the scripts and portray the cases. [...] The procedure for the SPs to collect data for the study include: ➢ The whole interaction between SPs and clinicians based on the informed consent signed by CHCs and physicians, using a hidden voice recording device. [...] We also report the p-value of the LR test of alpha=0 to test for the presence of over-dispersion.