Effectiveness of health microinsurance scheme in private primary care in Malaysia

Effectiveness of a health microinsurance scheme in improving health equity and clinical outcomes for private primary care in Kuala Lumpur, Malaysia

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN10261528

Enrollment

342

Registered

2016-02-25

Start date

2016-04-01

Completion date

Unknown

Last updated

2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Financing primary healthcare Not Applicable Financing primary healthcare

Interventions

From each clinic, the list of patients who pay Out-Of-Pocket for consultation/treatment (current practice in Private Primary Care clinics in Malaysia) are compiled by family. These are patients who ar

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Households were located in the study area 2. Method of payment to clinic is by out-of-pocket 3. Members of the household’s regular choice of primary care provider 4. Patient has been seen in the clinic within the past two years provided with a fully-paid Health Microinsurance Scheme for 6 months. This scheme covers all their treatment and consultation costs, including drugs at the experimental clinic site. Participants are allowed to visit and receive all treatment and services at the clinic as and when they require it.

Exclusion criteria

Exclusion criteria: 1. Households with members who died in the year 2014 2. Households with members who were away from this place of residence for work/transferred for more than 1 month in 2014 3. Households with members who had regular follow-up in public facilities for chronic disease 4. 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) 5. Patients who refuse consent

Design outcomes

Primary

Measure	Time frame
Health-seeking behaviour is measured as the delay in seeking care in days at baseline and 6 months.	—

Secondary

Measure	Time frame
1. Monthly household health expenditure is measured using the self-estimated in Ringgit Malaysia (RM) at baseline and 6 months 2. Quantifiable validated results for chronic diseases (such as HbA1c for DM, mean resting blood pressure for hypertension, Total serum cholesterol and LDL for dyslipidemia, spirometry for Bronchial Asthma) are recorded at baseline and 6 months	—

Countries

Malaysia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026