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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.