Impact evaluation of rural village doctor training in Yunnan Province, China

Village doctor training and the quality of primary care in Yunnan province: A randomized controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN14264710

Enrollment

330

Registered

2017-07-21

Start date

2017-07-20

Completion date

Unknown

Last updated

2023-09-18

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

Conditions

Primary Care Quality Mental and Behavioural Disorders Primary Care Quality

Interventions

The study involves 330 rural village clinicians in Yunnan Province, China. Following an initial baseline survey (conducted in July 2017), participating village clinicians are randomly allocated to a c

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Aged 18 or older 2. Male or female 3. Employed as a village clinician in study area

Exclusion criteria

Exclusion criteria: No exclusion criteria.

Design outcomes

Primary

Measure	Time frame
1. Clinician knowledge is measured using clinical vignettes presenting specific disease cases to providers at two months after the conclusion of each training programme 2. Practice of correct clinical management is measured using identical disease cases presented by unannounced standardized patients at two months after the conclusion of each training programme Performance in vignettes and interactions with standardized patients are assessed in comparison to established national and international standards of care. Specific measures include adherence to pre-determined checklists of recommended questions and exams given each disease case, whether provided diagnoses are correct, partially correct, or incorrect and whether treatments are correct, partially correct, or incorrect (including drug prescriptions, referral, and patient instructions).	—

Measure

Time frame

1. Clinician knowledge is measured using clinical vignettes presenting specific disease cases to providers at two months after the conclusion of each training programme 2. Practice of correct clinical management is measured using identical disease cases presented by unannounced standardized patients at two months after the conclusion of each training programme Performance in vignettes and interactions with standardized patients are assessed in comparison to established national and international standards of care. Specific measures include adherence to pre-determined checklists of recommended questions and exams given each disease case, whether provided diagnoses are correct, partially correct, or incorrect and whether treatments are correct, partially correct, or incorrect (including drug prescriptions, referral, and patient instructions).

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Secondary

Measure	Time frame
1. Clinician acceptance of offer to participate in training is measured using their response to the phone call of inviting them to attend the training at four weeks after baseline training 2. Clinician attendance at training sessions is measured using two outcomes during the training period. One is that whether clinican attends the training or not using clincian's registration into the training on the beginning day of the training. The other is share of sessions that clinician attends, which is measured using time sheets through the whole training. 3. Clinician scores on verbally-administered exams testing subject knowledge is measured using the subject matter test in the survey at baseline, midpoint and endpoint 4. Clinician patient load is measured using a questionnaire survey (specifically asking each clinican how amny patients visited them in the past month at baseline, midpoint and endpoint 5. patient perceptions of clinician quality is measured using household survey at midpoint survey (depending on funding to support a household survey) 6. Clinician income from medical services provided is measured using questionnaire (specifically asking about net revenue in the past year and the share of net revenue they take) at baseline, midpoint and endpoint	—

Measure

Time frame

1. Clinician acceptance of offer to participate in training is measured using their response to the phone call of inviting them to attend the training at four weeks after baseline training 2. Clinician attendance at training sessions is measured using two outcomes during the training period. One is that whether clinican attends the training or not using clincian's registration into the training on the beginning day of the training. The other is share of sessions that clinician attends, which is measured using time sheets through the whole training. 3. Clinician scores on verbally-administered exams testing subject knowledge is measured using the subject matter test in the survey at baseline, midpoint and endpoint 4. Clinician patient load is measured using a questionnaire survey (specifically asking each clinican how amny patients visited them in the past month at baseline, midpoint and endpoint 5. patient perceptions of clinician quality is measured using household survey at midpoint survey (depending on funding to support a household survey) 6. Clinician income from medical services provided is measured using questionnaire (specifically asking about net revenue in the past year and the share of net revenue they take) at baseline, midpoint and endpoint

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Countries

China

Outcome results

None listed

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