Research Article

Payment Reforms for Prehospital Care Services in a Middle Income Country: Assessing Implementation and Patient Outcomes Using a Mixed-Methods Approach

Table 4

Time flow of claim data under double system compared with single system adjusted by project-year of participating.

Operation descriptionAverage time taken
Direct pay + E-claim systemDirect-pay system onlyE-claim system only
(95% CI)p-value(95% CI)p-value(95% CI)p-value

Call taking to complete submission of financial claims (days)-16.91(-42.87, 9.06)0.202-11.88(-37.11, 13.35)0.356-9.36(-41.75, 23.03)0.571
 Call taking to initial submission by EDC (hours)6.00(-3.24, 15.24)0.2032.00(-6.98, 10.98)0.662-2.18(-13.71, 9.36)0.712
 Complete submission by EDC (days)-9.28(-30.33, 11.78)0.388-8.24(-28.7, 12.22)0.430-6.44(-32.7, 19.83)0.631
 Complete submission by EMS units (days)-17.02(-39.86, 5.82)0.144-12.43(-34.63, 9.76)0.272-13.77(-42.26, 14.73)0.344
Percentages of financial claim completed in time (%)23.49(5.11, 41.85)0.01216.18(-1.67, 34.02)0.0765.28(-17.64, 28.19)0.652

= coefficient adjusted by projects and year taking into account intraprovincial variation.