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Table 3 Healthcare utilization for 12 months pre and post-enrolment

From: Integrated complex care coordination for children with medical complexity: A mixed-methods evaluation of tertiary care-community collaboration

 

Cost , $, per patient per month

Visits , #, per patient per 12 months

 

Pre Mean (SD)

Pre Median (IQR)

Post Mean (SD)

Post Median (IQR)

*P value

Pre Mean (SD)

Pre Median (IQR)

Post Mean (SD)

Post Median (IQR)

**P value

Total (n=81 a )

          

Overall

$1439 (3511)

$244 (982)

$369 (708)

$131 (355)

0.007

20 (24)

8 (24)

14 (16)

10 (13)

0.009

ER

$23 (35)

$14 (35)

$15 (23)

$0 (19)

0.004

1.35 (1.8)

1 (2)

1 (1.5)

0 (2)

0.05

Outpatient b

$70 (103)

$42 (70)

$82 (64)

$64 (56)

0.0008

6.9 (10.3)

4 (6)

9.0 (6.7)

8 (7)

0.05

Inpatient c

$1343 (3494)

$0 (907)

$273 (677)

$0 (295)

0.0005

11.7 (21.4)

0 (13)

3.7 (11.3)

0 (4)

0.0005

Tertiary Care

(SickKids)

(n=81)

        

Overall

$1145 (3499)

$41 (406)

$230 (629)

$50 (193)

0.07

11 (21)

3 (8)

6 (13)

3 (8)

0.03

ER

$11 (27)

$0 (9)

$5 (15)

$0 (0)

0.03

0.5 (1)

0 (1)

0.3 (0.8)

0 (0)

0.08

Outpatient

$42 (63)

$20 (59)

$51 (54)

$41 (63)

0.06

2.6 (3.1)

1 (4)

3.8 (3.8)

3 (5)

0.002

Inpatient

$1092 (3477)

$0 (311)

$172 (605)

$0 (60)

0.005

8.0 (19.3)

0 (3)

2.3 (10.4)

0 (1)

0.006

Community Hospitals

(Orillia and Brampton)

(n=81)

        

Overall

$293 (659)

$40 (234)

$140 (220)

$39 (183)

0.7

9 (14)

3 (9)

7 (7)

6 (8)

0.24

ER

$12 (21)

$0 (14)

$9 (15)

$0 (14)

0.07

0.9 (0.7)

0 (1)

0.7 (1.1)

0 (1)

0.24

Outpatient

$28 (64)

$6 (24)

$31 (25)

$23 (28)

<0.0001

4.4 (9.9)

1 (4)

5.3 (4.4)

5 (5)

0.38

Inpatient

$252 (653)

$0 (187)

$100 (205)

$0 (125)

0.2

3.8 (9.9)

0 (3)

1.4 (2.8)

0 (2)

0.036

  1. * Statistical analyses for cost using Wilcoxon signed-rank test.
  2. ** Statistical analyses for visit number using paired t-test.
  3. ER = emergency room.
  4. a All patients enrolled in the study, cost reflective of all patients, including those who did not utilize services at least once during the study period.
  5. b Outpatient costs and visits are reflected by clinic visits plus day surgery.
  6. c Inpatient visits are reflected by bed days.