The investigators conduct a large-scale randomized controlled trial in Finland by sending three types of information letters to households to examine whether the reminder letters affect healthcare use. All letters remind of the importance of seeking care to treat potential health problems. This study has two primary objectives are: to evaluate the effects of an information nudge reminding on the importance of diagnosing and treating health problems and to evaluate the effects of additionally providing information on the fact that primary care nurse visits have become exempt from copayments. Main outcomes include the number of primary care nurse visits and general practitioner (GP) visits in a six-month follow-up.
This study has two main objectives: (i) to evaluate the effect of an information nudge reminding on the importance of diagnosing and treating health problems and (ii) to evaluate the effect of providing information on the fact that primary care nurse visits have become exempt from co-payments.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE
Enrollment
47,398
Reminders
Finnish Institute for Health and Welfare
Helsinki, Finland
Number of nurse visits (as recorded in the Finnish National Register of Primary Health Care Visits)
Time frame: Six months starting from the date the letters are sent
Number of doctor visits (as recorded in the Finnish National Register of Primary Health Care Visits)
Time frame: Six months starting from the date the letters are sent
Number of referrals to specialized care (as recorded in the Finnish National Register of Primary Health Care Visits)
Time frame: Six months starting from the date the letters are sent
Number of drug prescriptions for newly initiated therapies (as recorded in the Finnish national register for prescribed medicines)
Time frame: Six months starting from the date the letters are sent
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