Enhancing TB control and the quality of primary health care through the realignment of provider incentives in China

Enhancing TB control and the quality of primary health care through the realignment of provider incentives in China: a cluster randomised trial of capitation with performance payments

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN58713975

Enrollment

600000

Registered

2012-10-03

Start date

2010-01-01

Completion date

Unknown

Last updated

2015-01-13

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

Conditions

Primary health care, tuberculosis, diabetes, heart disease Infections and Infestations Tuberculosis

Interventions

The intervention consists of a capitation budget with pay-for-performance. In the control arm, the default system is in place in which health providers are paid on a fee for service basis. The capita

Eligibility

Sex/Gender

All

Inclusion criteria

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

Exclusion criteria: Does not meet the inclusion criteria

Design outcomes

Primary

Measure	Time frame
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. 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.	—

Measure

Time frame

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. 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.

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Secondary

Measure	Time frame
1. Health care expenditure per outpatient visit (patient measure) 2. Outpatient caseload (village clinic measure) 3. Self-reported patient satisfaction index (population measure) 4. Percentage of working hours spent providing services in village clinic (doctor measure) 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.	—

Measure

Time frame

1. Health care expenditure per outpatient visit (patient measure) 2. Outpatient caseload (village clinic measure) 3. Self-reported patient satisfaction index (population measure) 4. Percentage of working hours spent providing services in village clinic (doctor measure) 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.

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Countries

China

Outcome results

None listed

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