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Table 2 Short to mid-term health care use and costs in surgical patients

From: The Newfoundland and Labrador Bariatric Surgery Cohort Study: Rational and Study Protocol

Cost Category Units of Resources Newfoundland & Labrador Source Details Newfoundland & Labrador Costing Source Time Frame
1. Inpatient encounters # of hospitalizations (acute care) Length-of-stay (LOS) Newfoundland and Labrador Centre for Health Information (NLCHI) Clinical Database Management System (CDMS), based on the Discharge Abstract Database (DAD) includes LOS, procedures performed, associated diagnoses, RIW and complexity values NLCHI/Canadian Institute for Health Information (CIHI) methodology to cost acute care encounters using resource-intensity-weights (RIW) and complexity values Provided by fiscal year. Referenced to time zero (date of surgery)
2. Outpatient encounters # encounters # procedures NLCHI CDMS (based on DAD) includes surgical day care procedures NLCHI/CIHI methodology to cost surgical day care encounters Provided by fiscal year. Referenced to time zero
3. Physician Fees (Fee for Service) # of encounters Provider specialty Service provided Medical Care Plan (MCP) Physician Claims MCP Physician Claims Provided by fiscal year. Referenced to time zero
4. Physician Fees (self-report) # of encounters Provider specialty Service provided Patient interview (standardized case report form) Estimated using MCP Physician Claims Information obtained every 6 months
5. Medications Name dosage, frequency & duration Patient interview (standardized case report form) NL Drug (Provincial Formulary) Information obtained every 6 months
6. Transfer Payments Unemployment insurance Disability benefits Patient interview (standardized case report form) Patient Reported Information obtained every 6 months
8. Employment status, absenteeism Employment status in past year (# hours/week, # weeks) Absenteeism in past year (# days) Annual income (by quintile) Patient interview (standardized case report form) Average wage rate by age, sex and region from Statistics Canada Information obtained every 6 months
9. Weight Loss Interventions Weight loss program, meal replacements, physical trainer, exercise programs, alternative therapies (Binary Y/N) Patient interview (standardized case report form) Patient reported out of pocket cost Costs lists of rehabilitation supplies & equipment Information obtained every 6 months
10. Mobility and Medical Mobility aids, home modification/renovations, rehabilitation, paid personal assistance (household activities and home productivity, driving) (Binary Y/N) Patient interview (standardized case report form) Patient reported out of pocket cost/co-payments for medical services Costs lists of rehabilitation supplies & equipment Information obtained every 6 months
  1. DAD Discharge Abstract Database, LOS Length of stay, CIHI Canadian Institute for Health Information, CDMS Clinical Database Management System, RIW Resource Intensity Weight, MCP Newfoundland and Labrador Medical Care Plan, EH Eastern Health