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Table 3 Intra-class correlation coefficients for total variability explained by the model for various levels and covariate adjustments across indicators

From: Exploring sources of variability in adherence to guidelines across hospitals in low-income settings: a multi-level analysis of a cross-sectional survey of 22 hospitals

Model

Model specific ICC estimate (95% CI)

Prescription of quinine loading dose for malaria patients

 

 Two level models with no covariates (model 1)

 

  Hospital level (ignoring clinician)

0.30 (0.15–0.45)

 Nested model with no covariates (model 2)

 

  Nested model of clinicians within hospitals

0.40 (0.20–0.64)

 Nested model with fixed effects for patient characteristics (model 3)

 

  Age, gender, severity and co-morbidity

0.43 (0.22–0.66)

 Nested model with fixed effects for clinician characteristics (model 4)

 

  Gender, experience and cadrea

0.36 (0.15–0.65)

Prescription of correct dose of crystalline penicillin for pneumonia patients

 

 Two level models with no covariates

 

  Hospital level (ignoring clinician)

0.07 (0.01–0.44)

 Nested model with no covariates

 

  Nested model of clinicians within hospitals

0.26 (0.05–0.68)

 Nested model with fixed effects for patient characteristics

 

  Age, gender, severity and co-morbidity

0.23 (0.04–0.68)

 Nested model with fixed effects for clinician characteristics

 

  Gender, experience and cadrea

0.26 (0.05–0.72)

Prescription of zinc for diarrhoea patients

 

 Two level models with no covariates

 

  Hospital level (ignoring clinician)

0.09 (0.03–0.27)

 Nested model with no covariates

 

  Nested model of clinicians within hospitals

0.11 (0.02–0.46)

 Nested model with fixed effects for patient characteristics

 

  Age, gender, severity and co-morbidity

0.14 (0.01–0.63)

 Nested model with fixed effects for clinician characteristics

 

  Gender, experience and cadrea

0.10 (0.03–0.33)

HIV testing for all children admitted

 

 Two level models with no covariates

 

  Hospital level (ignoring clinician)

0.43 (0.24–0.64)

 Nested model with no covariates

 

  Nested model of clinicians within hospitals

0.43 (0.24–0.64)

 Nested model with fixed effects for patient characteristics

 

  Age, gender and co-morbidity

0.42 (0.24–0.63)

 Nested model with fixed effects for clinician characteristics

 

  Gender, experience and cadrea

0.48 (0.27–0.70)

  1. aModel 4 has fewer observations due to missing clinician characteristic data.