Clinical Trial: Out-of Pocket Payments With Lymphedema in France

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Observational

Official Title: Out-of Pocket Payments in Patients With Lymphedema in France and Inequities of Access ti Healthcare

Brief Summary:

Lymphedema is a frequent and chronic condition posing a high burden on patients. Clinical guidelines emphasize the role of compression therapy by prescription medical devices. Even in a mandatory publicly funded health insurance system, out-of-pocket payments (OOPP) may exist due to the price and reimbursement setting processes. OOPP may threaten the equity of care and drive patients to forgo care. Our aim was to analyze the distributive effects of OOPP for lymphedema patients in France.

A prospective, multicenter study will be conducted in France in 2014 on patients with lymphedema. Household ability to pay will be specified by net income and OOPP will be assessed prospectively over 6 months for outpatient care (visits, drugs, medical devices, nursing care, biological tests, imaging, physiotherapy and transportations). Both mandatory and voluntary health insurance reimbursements will be considered. We will combine concentration curves and concentration indices to assess the distributive effects.

Detailed Summary:
Sponsor: University Hospital, Montpellier

Current Primary Outcome: The mean monthly out-of-pocket payment as assessed by an online self-questionnaire [ Time Frame: 6 months ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

Original Secondary Outcome:

Information By: University Hospital, Montpellier

Dates:
Date Received: September 2, 2016
Date Started: September 2014
Date Completion: December 2017
Last Updated: December 6, 2016
Last Verified: August 2016