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Intervention Protocol

Changes in out-of-pocket payments on utilisation of health care services

  1. Susan M Dovey2,
  2. David S Meyers3,
  3. Robert L Phillips4,
  4. Leeann M Morton5,
  5. George E Fryer2

Editorial Group: Cochrane Effective Practice and Organisation of Care Group

Published Online: 20 JAN 2010

DOI: 10.1002/14651858.CD003029

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Author Information

  1. 2

    American Academy of Family Physicians, The Robert Graham Center: Policy Studies in Family Practice and Primary Care, Washington DC, USA

  2. 3

    Agency for Healthcare Research and Quality (AHRQ), Center for Primary Care, Prevention, and Clinical Partnerships, Rockville, MD, USA

  3. 4

    American Academy of Family Physicians, The Robert Graham Center: Policy Studies in Family Practice and Primary Care, Washington, D.C., USA

  4. 5

    Otago District Health Board, Department of Women and Children's Health, Dunedin, New Zealand

Publication History

  1. Published Online: 20 JAN 2010

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Abstract

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  2. Abstract

This is the protocol for a review and there is no abstract. The objectives are as follows:

The five main objectives of this review are:
1. To assess whether utilisation of a health service increases, decreases, or stays the same when out-of-pocket payments for a health service are removed;
2. To assess whether utilisation of a health service increases, decreases, or stays the same when out-of-pocket payments for a health service are introduced;
3. To assess whether utilisation of a health service increases, decreases, or stays the same when out-of-pocket payments for a health service are increased or decreased;
4. To assess whether health status of patients using a health service increases, decreases, or stays the same when out-of-pocket payments for a health service change;
5. To assess whether patient satisfaction with a health service increases, decreases, or stays the same when out-of-pocket payments for a health service change.

Specific hypotheses:

Health service utilisation

1. Health service use increases when out-of-pocket payments by patients using the service are reduced or removed;
2. Health service use decreases when out-of-pocket payments by patients using the service are increased or introduced;

Health status

3. Health status of patients using a health service increases when patient out-of-pocket payments decrease;

Patient satisfaction

4. Patient satisfaction with a health service increases when patient out-of-pocket payments decrease.

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