Enhanced Care Management (ECM) Evaluation of Healthcare Plans 2021 (Estonia, 2021 - 2022)

Enhanced Care Management (ECM) was an impact evaluation project implemented by DIME team, in cooperation with the Estonian Health Insurance Fund (EHIF) in Estonia between 2021 and 2023. A key part of the intervention was creation of personalized care plans by doctors, in consultation with their patients. Since they formed the key part of the intervention it was of paramount importance to assesses whether they contained some essential features and were tailored to patient's individual needs.

The following data pertains to the scoring of the care plans created by coordinators trained to administer the ECM program and introduce it to the participating doctors. The coordinators assessed 5 care plans, selected at random from each participating doctor. Each existing care plan was assessed across 6 dimensions, scored on 1-5 scale (as per the questionnaire), plus an open field for the coordinators to leave any comments. If a pre-selected care plan did not exists, the B0 survey question would reflect that. The evaluations happened during one of the coordinators' visits to the participating doctors and their teams, timed to coincide with the completion of most care plans.

The purpose of the evaluations was principally to assess whether the intervention was implemented as intended. The collected scores were also used as conditioning variable in one of the robustness checks in the paper based on this impact evaluation.