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Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States

In September 2018, India launched Pradhan Mantri Jan Arogya Yojana (PM-JAY), a nationally implemented government-funded health insurance scheme to improve access to quality inpatient care, increase financial protection, and reduce unmet need for the most vulnerable population groups. This protocol d...

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Autores principales: Allegri, Manuela De, Srivastava, Swati, Strupat, Christoph, Brenner, Stephan, Parmar, Divya, Parisi, Diletta, Walsh, Caitlin, Mahajan, Sahil, Neogi, Rupak, Ziegler, Susanne, Basu, Sharmishtha, Jain, Nishant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663328/
https://www.ncbi.nlm.nih.gov/pubmed/33114480
http://dx.doi.org/10.3390/ijerph17217812
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author Allegri, Manuela De
Srivastava, Swati
Strupat, Christoph
Brenner, Stephan
Parmar, Divya
Parisi, Diletta
Walsh, Caitlin
Mahajan, Sahil
Neogi, Rupak
Ziegler, Susanne
Basu, Sharmishtha
Jain, Nishant
author_facet Allegri, Manuela De
Srivastava, Swati
Strupat, Christoph
Brenner, Stephan
Parmar, Divya
Parisi, Diletta
Walsh, Caitlin
Mahajan, Sahil
Neogi, Rupak
Ziegler, Susanne
Basu, Sharmishtha
Jain, Nishant
author_sort Allegri, Manuela De
collection PubMed
description In September 2018, India launched Pradhan Mantri Jan Arogya Yojana (PM-JAY), a nationally implemented government-funded health insurance scheme to improve access to quality inpatient care, increase financial protection, and reduce unmet need for the most vulnerable population groups. This protocol describes the methodology adopted to evaluate implementation processes and early effects of PM-JAY in seven Indian states. The study adopts a mixed and multi-methods concurrent triangulation design including three components: 1. demand-side household study, including a structured survey and qualitative elements, to quantify and understand PM-JAY reach and its effect on insurance awareness, health service utilization, and financial protection; 2. supply-side hospital-based survey encompassing both quantitative and qualitative elements to assess the effect of PM-JAY on quality of service delivery and to explore healthcare providers’ experiences with scheme implementation; and 3. process documentation to examine implementation processes in selected states transitioning from either no or prior health insurance to PM-JAY. Descriptive statistics and quasi-experimental methods will be used to analyze quantitative data, while thematic analysis will be used to analyze qualitative data. The study design presented represents the first effort to jointly evaluate implementation processes and early effects of the largest government-funded health insurance scheme ever launched in India.
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spelling pubmed-76633282020-11-14 Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States Allegri, Manuela De Srivastava, Swati Strupat, Christoph Brenner, Stephan Parmar, Divya Parisi, Diletta Walsh, Caitlin Mahajan, Sahil Neogi, Rupak Ziegler, Susanne Basu, Sharmishtha Jain, Nishant Int J Environ Res Public Health Protocol In September 2018, India launched Pradhan Mantri Jan Arogya Yojana (PM-JAY), a nationally implemented government-funded health insurance scheme to improve access to quality inpatient care, increase financial protection, and reduce unmet need for the most vulnerable population groups. This protocol describes the methodology adopted to evaluate implementation processes and early effects of PM-JAY in seven Indian states. The study adopts a mixed and multi-methods concurrent triangulation design including three components: 1. demand-side household study, including a structured survey and qualitative elements, to quantify and understand PM-JAY reach and its effect on insurance awareness, health service utilization, and financial protection; 2. supply-side hospital-based survey encompassing both quantitative and qualitative elements to assess the effect of PM-JAY on quality of service delivery and to explore healthcare providers’ experiences with scheme implementation; and 3. process documentation to examine implementation processes in selected states transitioning from either no or prior health insurance to PM-JAY. Descriptive statistics and quasi-experimental methods will be used to analyze quantitative data, while thematic analysis will be used to analyze qualitative data. The study design presented represents the first effort to jointly evaluate implementation processes and early effects of the largest government-funded health insurance scheme ever launched in India. MDPI 2020-10-26 2020-11 /pmc/articles/PMC7663328/ /pubmed/33114480 http://dx.doi.org/10.3390/ijerph17217812 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Protocol
Allegri, Manuela De
Srivastava, Swati
Strupat, Christoph
Brenner, Stephan
Parmar, Divya
Parisi, Diletta
Walsh, Caitlin
Mahajan, Sahil
Neogi, Rupak
Ziegler, Susanne
Basu, Sharmishtha
Jain, Nishant
Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States
title Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States
title_full Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States
title_fullStr Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States
title_full_unstemmed Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States
title_short Mixed and Multi-Methods Protocol to Evaluate Implementation Processes and Early Effects of the Pradhan Mantri Jan Arogya Yojana Scheme in Seven Indian States
title_sort mixed and multi-methods protocol to evaluate implementation processes and early effects of the pradhan mantri jan arogya yojana scheme in seven indian states
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7663328/
https://www.ncbi.nlm.nih.gov/pubmed/33114480
http://dx.doi.org/10.3390/ijerph17217812
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