Health InsuranceNCT00421629
Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
A study testing After-sales service and supportive supervision (AfterSS), Prospective reimbursement (PR) and Both (AfterSS and PR) in people with Health Insurance, run by London School of Hygiene and Tropical Medicine at 1 site in India.
Trial summary
The purpose of this study is to assesses interventions aimed at improving the distributional impact of a community based health insurance scheme in rural India. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Health Insurance
- What is being tested?
- After-sales service and supportive supervision (AfterSS), Prospective reimbursement (PR) and Both (AfterSS and PR)
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 688 participants
- Where
- 1 siteIndia
- Study dates
- Oct 2003to Apr 2006
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Adult, Older adult
Subdistrict Inclusion Criteria:
- 500 or more female (>=18 y of age) SEWA Insurance members in 2003
Subdistrict Exclusion Criteria:
- All members were mandatorily enrolled in the scheme by a donor agency
- Ahe sub-district had no general hospital of 25 beds or more
Individual Inclusion Criteria:
- All female and male members of SEWA Insurance for 2004 and 2005
Individual Exclusion Criteria:
- Those whose home could not be found based on given address data
Trial locations and contacts
1 site in 1 country.
About this study
The purpose of this study is to assesses interventions aimed at improving the distributional impact of a community based health insurance scheme in rural India.
Read the detailed description
Community based health insurance is often cited as a means of improving access and financial protection in developing countries, but such schemes may not benefit the poorest. We evaluate alternative strategies for improving the uptake of benefits of a community based health insurance scheme by its poorest members.
Comparisons: Three groups are compared to standard insurance scheme members (Control). One group is provided with after-sale service and supportive supervision (AfterSS). A second group is provided with prospective reimbursement (PR). A third group is provided with these two interventions together (Both).
- Conditions
- Health Insurance
- Being tested
- After-sales service and supportive supervision (AfterSS), Prospective reimbursement (PR), Both (AfterSS and PR)
- Keywords
- health insurance, hospitalization insurance, community based health insurance, health care access, developing countries, randomized controlled trials
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
After-sales service and supportive supervision (AfterSS)Behavioural
Prospective reimbursement (PR)Behavioural
Both (AfterSS and PR)Behavioural
What is being measured
The primary outcome is the main question the study is designed to answer.
socioeconomic status of claimants relative to the membership base in their subdistricts of residence
Secondary outcomes (3)
enrolment rates in Vimo SEWA
mean socioeconomic of the insured relative to the general rural population
rate of insurance claim submission
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Jan 2007 (estimated)
- Study startOct 2003
- Study completionApr 2006
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Health InsuranceStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Enrolment
- 688 participants
Sponsor and investigators
- Lead sponsor
- London School of Hygiene and Tropical Medicine
- Sponsor type
- University, hospital or other
- Collaborators
- Wellcome Trust
- Investigators
- Anne J Mills, MA DHSA PhD, Principal investigator, London School of Hygiene and Tropical MedicineMichael K Ranson, MD MPH PHD, Study director, London School of Hygiene and Tropical Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00421629
- Sponsor's protocol ID
- PHHPBD25
- Other IDs
- GR067926MA
- Status last verified
- Jan 2007
- First submitted
- 10 Jan 2007
- Last updated
- 12 Jan 2007
- Results posted
- No
Publications
Ranson MK, Sinha T, Chatterjee M, Acharya A, Bhavsar A, Morris SS, Mills AJ. Making health insurance work for the poor: learning from the Self-Employed Women's Association's (SEWA) community-based health insurance scheme in India. Soc Sci Med. 2006 Feb;62(3):707-20. doi: 10.1016/j.socscimed.2005.06.037. Epub 2005 Jul 28.
PubMed 16054740Sinha T, Ranson MK, Chatterjee M, Acharya A, Mills AJ. Barriers to accessing benefits in a community-based insurance scheme: lessons learnt from SEWA Insurance, Gujarat. Health Policy Plan. 2006 Mar;21(2):132-42. doi: 10.1093/heapol/czj010. Epub 2005 Dec 22.
PubMed 16373360Ranson MK, Sinha T, Morris SS, Mills AJ. CRTs--cluster randomized trials or "courting real troubles": challenges of running a CRT in rural Gujarat, India. Can J Public Health. 2006 Jan-Feb;97(1):72-5. doi: 10.1007/BF03405220.
PubMed 16512334Morris SS, Ranson MK, Sinha T, Mills AJ. Measuring improved targeting of health interventions to the poor in the context of a community-randomised trial in rural India. Contemp Clin Trials. 2007 Jul;28(4):382-90. doi: 10.1016/j.cct.2006.10.008. Epub 2006 Oct 14.
PubMed 17126613Ranson MK, Sinha T, Gandhi F, Jayswal R, Mills AJ. Helping members of a community-based health insurance scheme access quality inpatient care through development of a preferred provider system in rural Gujarat. Natl Med J India. 2006 Sep-Oct;19(5):274-82.
PubMed 17203684
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2007. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Experimental Study to Assess Interventions Aimed at Improving the Equity Impact of Community-Based Health Insurance
- ClinicalTrials.gov ID
- NCT00421629
- Acronym / sponsor ID
- PHHPBD25
- Conditions
- Health Insurance
- Keywords
- health insurance, hospitalization insurance, community based health insurance, health care access, developing countries, randomized controlled trials
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 688 participants
- Lead sponsor
- London School of Hygiene and Tropical MedicineUniversity, hospital or other
- Collaborators
- Wellcome Trust
- Study start
- Oct 2003
- Study completion
- Apr 2006
- First posted
- 12 Jan 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assesses interventions aimed at improving the distributional impact of a community based health insurance scheme in rural India.
Detailed description
Community based health insurance is often cited as a means of improving access and financial protection in developing countries, but such schemes may not benefit the poorest. We evaluate alternative strategies for improving the uptake of benefits of a community based health insurance scheme by its poorest members.
Comparisons: Three groups are compared to standard insurance scheme members (Control). One group is provided with after-sale service and supportive supervision (AfterSS). A second group is provided with prospective reimbursement (PR). A third group is provided with these two interventions together (Both).
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| After-sales service and supportive supervision (AfterSS) | Behavioural | – |
| Prospective reimbursement (PR) | Behavioural | – |
| Both (AfterSS and PR) | Behavioural | – |
Primary outcome
socioeconomic status of claimants relative to the membership base in their subdistricts of residence
3 secondary outcomes
enrolment rates in Vimo SEWA
mean socioeconomic of the insured relative to the general rural population
rate of insurance claim submission
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jan 2007.
- Background: PubMed 16054740Ranson MK, Sinha T, Chatterjee M, Acharya A, Bhavsar A, Morris SS, Mills AJ. Making health insurance work for the poor: learning from the Self-Employed Women's Association's (SEWA) community-based health insurance scheme in India. Soc Sci Med. 2006 Feb;62(3):707-20. doi: 10.1016/j.socscimed.2005.06.037. Epub 2005 Jul 28.
- Background: PubMed 16373360Sinha T, Ranson MK, Chatterjee M, Acharya A, Mills AJ. Barriers to accessing benefits in a community-based insurance scheme: lessons learnt from SEWA Insurance, Gujarat. Health Policy Plan. 2006 Mar;21(2):132-42. doi: 10.1093/heapol/czj010. Epub 2005 Dec 22.
- Background: PubMed 16512334Ranson MK, Sinha T, Morris SS, Mills AJ. CRTs--cluster randomized trials or "courting real troubles": challenges of running a CRT in rural Gujarat, India. Can J Public Health. 2006 Jan-Feb;97(1):72-5. doi: 10.1007/BF03405220.
- Background: PubMed 17126613Morris SS, Ranson MK, Sinha T, Mills AJ. Measuring improved targeting of health interventions to the poor in the context of a community-randomised trial in rural India. Contemp Clin Trials. 2007 Jul;28(4):382-90. doi: 10.1016/j.cct.2006.10.008. Epub 2006 Oct 14.
- Background: PubMed 17203684Ranson MK, Sinha T, Gandhi F, Jayswal R, Mills AJ. Helping members of a community-based health insurance scheme access quality inpatient care through development of a preferred provider system in rural Gujarat. Natl Med J India. 2006 Sep-Oct;19(5):274-82.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anne J Mills, MA DHSA PhD principal investigator
London School of Hygiene and Tropical Medicine
Michael K Ranson, MD MPH PHD study director
London School of Hygiene and Tropical Medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing After-sales service and supportive supervision (AfterSS), Prospective reimbursement (PR) and Both (AfterSS and PR) in people with Health Insurance, run by London School of Hygiene and Tropical Medicine at 1 site in India.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Jan 2007. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
socioeconomic status of claimants relative to the membership base in their subdistricts of residence. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00421629, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jan 2007.