- UNDERSTAND WHICH HOSPITALS ARE BEST RESOURCED: Tier 3 and 2 hospitals are the best resourced and often pioneer new policies, drugs, and advanced technologies.
- NO-GO QUESTIONS: Don’t ask respondents what tier their city is in – just ask them the city name.
- SAMPLING NEEDS TO TAKE INTO ACCOUNT LOCAL INSIGHTS: Sample sizes should consider the prevalence of different hospital types – remember that 60% of hospitals are general.
- CHECK FOR UNCONSCIOUS BIAS: Consider modesty culture and the impact of neutral opinions when reviewing data.
- TARGET THE RIGHT TIERS: For the majority of studies, you should be targeting higher tier cities.
- TARGETING BY SETTING IS SPECIALTY DEPENDENT: Target tier three and tier two hospitals, but include both general and specialist settings. By contrast for GP studies, the focus should be on tier one hospitals.
- CONSIDER WHERE SPECIALISTS ARE LOCATED: HCPs working at community hospitals should not be targeted for specialist studies.
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