Incentives for Primary Care Use in a Safety Net Setting

NCT02922855 | Completed

• 2 other identifiers: HM200000021R01HS022534
• Study Type: interventional
• Target: 1,228
• Locations: 0 countries
• Sites: N/A

Brief Summary

A randomized controlled trial (RCT) of incentives for an initial primary care visit within 6 months of enrollment in a health care coverage program. Study subjects are drawn from a low-income adult population that gains coverage and access to community-based primary care services under a program administered by an academic safety-net hospital. The investigators will offer financial incentives to encourage an initial primary care visit within 6 months of enrollment and evaluate whether the primary care visit altered subsequent health seeking behavior and influenced patient satisfaction and other outcomes such as self-reported health status.

Conditions

Health Care Utilization; Primary Care Physician; Uninsured

Outcome Measures

Primary Outcomes (1)

• The number of Primary Care Physician visits will be assessed using medical claims record data.

  The number of primary care visits to a primary care physician will be collected from medical claims record data.

  This will be assessed in the 6 months following study enrollment.

Secondary Outcomes (1)

• The time to a Primary Care Physician will be assessed using medical claims record data.

  This will be assessed in the 6 months following study enrollment.

Study Arms (4)

Contemporaneous Control

NO INTERVENTION

This group is our 'usual care' control group. They were not contacted for an interview and were not offered an incentive to visit their primary care physician.

$0 group

ACTIVE COMPARATOR

This group completed a baseline interview but was not offered any incentive if they visited their primary care physician.

Behavioral: 0 dollars group

$25 group

EXPERIMENTAL

This group completed a baseline interview and was offered $25 they visited their primary care physician within 6 months.

Behavioral: 25 dollars group

$50 group

EXPERIMENTAL

This group completed a baseline interview and was offered $50 they visited their primary care physician within 6 months.

Behavioral: 50 dollars group

Interventions

0 dollars group BEHAVIORAL

Those assigned to the $0 group will not receive an incentive for visiting their PCP.

$0 group

50 dollars group BEHAVIORAL

Those assigned to the $50 group will receive $50 if they visit their PCP within 6 months of study enrollment.

$50 group

25 dollars group BEHAVIORAL

Those assigned to the $25 group will receive $25 if they visit their PCP within 6 months of study enrollment.

$25 group

Eligibility Criteria

• Age: 21 Years - 64 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Adults between ages 21-64 years
• No prior enrollment in VCC for the past 12 months
• English or Spanish speaking, and
• Can be contacted by mail and telephone (preferably) or willing to be interviewed in person.

You may not qualify if:

• Unable to be contacted by phone/mail
• Cannot provide consent
• No longer located in catchment area

Sponsors & Collaborators

• Virginia Commonwealth University: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

MeSH Terms

Conditions

Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Cathy Bradley, Phd

  PI

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 28, 2016
• First Posted: October 4, 2016
• Study Start: January 1, 2014
• Primary Completion: November 8, 2016
• Study Completion: November 8, 2016
• Last Updated: June 12, 2018

Record last verified: 2018-06

Data Sharing

• IPD Sharing: Will not share