Replication package for: “Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia”
Ghouma, R; Lagarde, M
and Powell-Jackson, T
(2025).
Replication package for: “Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia”.
[Dataset].
London School of Hygiene & Tropical Medicine, London, United Kingdom.
10.17037/DATA.00004835.
and Powell-Jackson, T
(2025).
Replication package for: “Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia”.
[Dataset].
London School of Hygiene & Tropical Medicine, London, United Kingdom.
10.17037/DATA.00004835.
This replication package provides the data and code to reproduce the results reported in the published paper: "Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia". The data were collected through structured questionnaires completed by Standardised Patients (SPs) after visits to primary care providers in public facilities and private clinics in urban Tunisia. The dataset includes 260 SP visits, portraying either a middle-class or a lower socioeconomic (poor) patient profile. The questionnaires captured consultation time and duration, questions asked, physical examinations performed, communication and advice provided, treatment plans (including drugs that were prescribed or given free-of-charge), and visit costs. The study also included a GP survey and clinical vignettes to test the knowledge of GPs.
Additional Information
Data was collected with a promise of strict confidentiality. Limited access may be provided for the purpose of validation and replication of the original study, in accordance with academic practice. However, the ethical approval does not allow data to be used for new research. The contact form may be used to clarify the research findings with the study authors.
Keywords
Socioeconomic inequality; Quality of care; standardised patients; audit experiment; Tunisia; health care provision| Item Type | Dataset |
|---|---|
| Resource Type |
Resource Type Resource Description Dataset Quantitative |
| Description of data capture | An audit study using standardized patients (SPs) was conducted in public and private primary care facilities in Tunis. Thirteen trained SPs presented a consistent case of acute bronchitis under two socio-economic profiles (poor and middle-class). After each consultation, SPs completed a structured paper questionnaire on clinical care, costs, and communication. Supervisors debriefed SPs and transferred data into an electronic format, coding drugs using national guidelines and official pharmacy price lists. In total, 260 provider–patient interactions were collected, forming the final dataset for analysis. |
| Capture method | Questionnaire |
| Collection Period |
From To 7 March 2018 31 May 2018 |
| Date | 30 September 2025 |
| Language(s) of written materials | Arabic, English, French |
| Creator(s) |
Ghouma, R; Lagarde, M and Powell-Jackson, T
|
| LSHTM Faculty/Department | Faculty of Public Health and Policy > Dept of Global Health and Development |
| Research Centre | Global Health Economics Centre |
| Participating Institutions | London School of Hygiene & Tropical Medicine, London, United Kingdom; London School of Economics & Political Science, London, United Kingdom |
| Date Deposited | 29 Sep 2025 13:19 |
| Last Modified | 30 Sep 2025 09:42 |
| Publisher | London School of Hygiene & Tropical Medicine |
Data / Code
analysis.do
-
subject - Data
-
- Available under Creative Commons: Attribution 4.0
-
info - A STATA DO file containing the full analysis presented in the article including all results presented in the Appendix
description - text/plain
- folder_info
- 20kB
sp-ses_data.tsv
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subject - Data
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lock - Restricted to Request access for all
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copyright - Available under Data Sharing Agreement
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info - Data was collected with a promise of strict confidentiality. Limited access may be provided for the purpose of research validation only. The contact form may be used to clarify the research findings with the study
description - text/plain
- folder_info
- 70B
Documentation
sp-ses_data_codebook.html
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subject - Documentation
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- Available under Creative Commons: Attribution 4.0
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info - Codebook for SP-SES dataset
html - text/html
- folder_info
- 15kB
4835_UserGuide.html
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subject - Documentation
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- Available under Creative Commons: Attribution 4.0
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info - User guide for replication package
html - text/html
- folder_info
- 13kB
Study Instrument
sp_data_collection.zip
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subject - Study Instrument
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- Available under Creative Commons: Attribution 4.0
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info - SP data collection forms
folder_zip - application/zip
- folder_info
- 680kB
sp_scripts.zip
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subject - Study Instrument
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- Available under Creative Commons: Attribution 4.0
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info - SP scripts for middle class and poor profiles in Arabic
folder_zip - application/zip
- folder_info
- 684kB
survey_tools.zip
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subject - Study Instrument
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- Available under Creative Commons: Attribution 4.0
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info - Clinical vignette survey in French, GP individual survey in French, SP exit questionnaire in French and Arabic
folder_zip - application/zip
- folder_info
- 5MB
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