Effectiveness of A Health Microinsurance Scheme for Private Primary Care in Malaysia

NCT02696174 | Unknown DMC

• 1 other identifier: NMRR 29311
• Study Type: interventional
• Target: 114
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Health Care Quality, Access, and Evaluation; Insurance, Health

Outcome Measures

Primary Outcomes (2)

• Health-seeking behavior

  Delays in seeking healthcare (days)

  Change from Baseline health seeking behavior at 6 months

• Monthly health expenditure

  How much has been spent for monthly health expenses (in Ringgit Malaysia)

  Change from Baseline Monthly Health Expenditure at 6 months

Secondary Outcomes (4)

• Clinical Outcome of Diabetes Mellitus

  Change from Baseline HbA1c at 6 months

• Clinical Outcome of Hypertension

  Change from Baseline Resting Mean Blood Pressure at 6 months

• Clinical outcome of dyslipidemia

  Change from Baseline serum cholesterol and LDL at 6 months

• Clinical outcome of bronchial Asthma

  Change from Baseline spirometry levels at 6 months

Study Arms (2)

Health Microinsurance Scheme

EXPERIMENTAL

Households owning the HMI package, entitling them to visit and receive treatment from the selected primary care clinic

Other: HMI

Out-Of-Pocket

NO INTERVENTION

Households who visit the selected primary care clinic, but pay by Out-Of-Pocket

Interventions

HMI OTHER

A defined priced package of primary care services, including investigation and treatment such as procedures and medication, available at a selected clinic for 6 months

Also known as: Health Microinsurance Scheme

Health Microinsurance Scheme

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Households were located in the study area
• Method of payment to clinic is by out-of-pocket
• This is household's regular choice of primary care provider.
• Patient has been seen in the clinic since at least the past two years i.e from before Jan 1, 2014

You may not qualify if:

• Households had members who died in the year 2014.
• Households had members who were away from this place of residence for work/transferred for more than 1 month in 2014.
• Households had members who had regular follow-up in public facilities for chronic disease.
• Households with members who have switched methods of payment in the last year- (e.g newly bought insurance or retired and lost health benefits so paying OOP)
• Patients who refuse consent

Sponsors & Collaborators

• Chulalongkorn University: lead

Study Officials

• Dr Murallitharan Munisamy

  College of Public Health Sciences Chulalongkorn University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr Murallitharan Munisamy

CONTACT

+60123173575; murallimd@gmail.com

Dr Tharini Thanapalan

CONTACT

+60123550810; tharini29@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Research Fellow

Study Record Dates

• First Submitted: February 22, 2016
• First Posted: March 2, 2016
• Study Start: April 1, 2016
• Primary Completion: September 1, 2016
• Study Completion: December 1, 2016
• Last Updated: March 10, 2016

Record last verified: 2016-03

Data Sharing

• IPD Sharing: Will share