Health Care Quality, Access, and Evaluation Clinical Trial
Official title:
Effectiveness of A Health Microinsurance Scheme in Improving Health Equity and Clinical Outcomes for Private Primary Care in Kuala Lumpur, Malaysia
This is the Phase 3 of a 3 phase study to determine the feasibility, acceptability and effectiveness of a health microinsurance scheme in improving health equity and clinical outcomes for private primary care (PPC) in Kuala Lumpur, Malaysia. This two-arm, pre-post, quasi-experimental trial consisted of utilizing a HMI scheme (experimental clinic) and normal OOP payments (control clinic) for 6 months. The HMI scheme enabled subscribed households to access a defined benefit package at a selected PPC for treatment and follow-up.
This will be a quasi-experimental study designed to determine the effectiveness of a community health microinsurance scheme (HMI) in private primary care clinics in Malaysia via a pre-post study of an experimental and control clinic. A proposed HMI scheme, whose price and benefit package have been defined through the earlier Phases 1 and 2, will be accessible to subscribed households at the experimental clinic, while the control clinic has subscribed patients paying as per normal practise, which is by Out-Of-Pocket payment. The HMI scheme enabled subscribers to visit the selected clinic chosen for any form of primary care diagnosis, treatment and follow-up. Both the clinics are located in the Jalan Ipoh area, a suburb of Kuala Lumpur, and have common sociodemographic characteristics. A pre-intervention questionnaire will aim to capture health seeking behaviour, delay in seeking medical care, monthly health expenditure and improvements in clinical outcome (assessed by clinical test results). After six months, a post-intervention questionnaire is administered again to the respondents which then allows assessment of the outcome variables. ;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05596760 -
Promoting Goals-of-Care Discussions for Patients With Memory Problems and Their Caregivers
|
N/A | |
Completed |
NCT00135265 -
PROS Smokebusters: Adolescent Smoking Cessation in Pediatric Primary Care
|
Phase 1 | |
Completed |
NCT00135213 -
PROS Brief Smoking Cessation Counseling in Pediatric Practice to Reduce Secondhand Smoke Exposure of Young Children
|
Phase 1 | |
Completed |
NCT00627822 -
Medical Education in a Private Hospital
|
N/A | |
Completed |
NCT00119548 -
Improving HIV Screening With Nurse-Based Rapid Testing/Streamlined Counseling
|
N/A | |
Completed |
NCT03131193 -
Primary Care Provider Supply and Patient Outcomes
|
N/A | |
Recruiting |
NCT00503555 -
Creation of a PBRN to Study Healthcare Delivery to a Transitioning Community
|
N/A | |
Active, not recruiting |
NCT04283994 -
Project to Improve Communication About Serious Illness--Hospital Study: Comparative Effectiveness Trial (Trial 2)
|
N/A | |
Enrolling by invitation |
NCT05013710 -
Evaluating the Mobile Clinic Model as a Means of Increasing Access to Reproductive and Sexual Health
|
||
Completed |
NCT04281784 -
Project to Improve Communication About Serious Illness--Hospital Study: Pragmatic Trial (Trial 1)
|
N/A | |
Completed |
NCT00727389 -
Prevention of Functional Decline of Aged Women
|
N/A | |
Active, not recruiting |
NCT03721952 -
Facilitating Communication Study
|
N/A |