Country:
City:
Provide any hospital characteristics, such as: §  Rural vs urban §  Size (# beds) §  Average bed occupancy rate §  Average no. visits per year §  Academic status (teaching vs non‐teaching)
Hospital ownership: 1.     Public or state owned, 2.     private, 3.     foreign owned, 4.     other (provide), 5.     not clear
Type of hospital: 1.     military 2.     civic 3.     not applicable 4.     not clear
Hospital scope 1.     full service – i.e. tertiary hospital with access to most specialties 2.     limited service – few specialists available 3.     other 4.     not clear
System of finance for primary care visits: 1. universal public 2. private insurance 3. patients out of pocket 4. other (specify) 5. not clear
System of finance for emergency visits: 1. universal public 2. private insurance 3. patient pays user fees or co‐payments 4. not clear
System of remuneration for health care providers in A&E: 1. fee per shift or hours worked 2. captitation 3. salary