Enhancing TB control and the quality of primary health care through the realignment of provider incentives in China
Completed
- Conditions
- Infections and InfestationsTuberculosisPrimary health care, tuberculosis, diabetes, heart disease
- Registration Number
- ISRCTN58713975
- Lead Sponsor
- Bill & Melinda Gates Foundation (USA)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 600000
Inclusion Criteria
Intervention:
The intervention is a government policy change to the provider payment system at the primary care level. Providers participating are those village clinics and township health centres located in the two pilot counties. There are no other pre-determined intervention inclusion criteria.
Outcomes:
For measures of quality of care, individuals seeking outpatient care at primary care level of the health system. For measures of efficiency and caseload, village clinics and township health centres located in the two pilot counties.
Exclusion Criteria
Does not meet the inclusion criteria
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcomes are a set of process measures for following key tracer conditions: tuberculosis, hypertension, urinary tract infection, common cold, and pelvic inflammatory disease. The indicators reflect local standards defined by clinical guidelines.<br><br>Primary outcomes will be measured through a management information system that has been setup for the purposes of the research study and records information on every outpatient consultation in the study area. Outcomes will be measured at 6, 12 and 18 months.
- Secondary Outcome Measures
Name Time Method 1. Health care expenditure per outpatient visit (patient measure)<br>2. Outpatient caseload (village clinic measure)<br>3. Self-reported patient satisfaction index (population measure)<br>4. Percentage of working hours spent providing services in village clinic (doctor measure)<br><br>Secondary outcomes will be measured using data from a survey of households in the study area, survey of village doctors, and the health insurance information system.