Table 2.
Average number of healthcare encounters per month since NICU discharge by social need or clinical characteristic (Means).
| Encounter Type (count/month, SD) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Social Needs | Phone1 | p | ED | p | Hospitalizations | p | Total | p | No-Show (%) | p |
| Any Social Need | 0.22 | 0.15 | 0.02 | 0.01 | <0.001 | |||||
| Present | 1.56 (2.37) | 0.16 (.30) | 0.14 (.26) | 0.92 (1.65) | 12.50 (10.90) | |||||
| Absent | 0.99 (2.07) | 0.11 (.36) | 0.07 (.24) | 0.45 (1.47) | 3.34 (5.24) | |||||
| Food-Security Need | 0.07 | 0.34 | 0.64 | 0.15 | 0.003 | |||||
| Present | 3.06 (3.47) | 0.16 (.31) | 0.15 (.34) | 1.23 (2.21) | 12.10 (8.67) | |||||
| Absent | 0.93 (1.92) | 0.11 (.35) | 0.08 (.24) | 0.47 (1.42) | 4.30 (6.99) | |||||
| Housing-Security | ||||||||||
| /Utilities-Insecurity Need | 0.10 | 0.53 | 0.15 | 0.22 | 0.007 | |||||
| Present | --2 | 0.24 (.44) | 0.18 (.35) | 1.19 (2.28) | 13.2 (12.0) | |||||
| Absent | 0.94 (1.86) | 0.11 (.34) | 0.08 (.24) | 0.48 (1.43) | 4.3 (6.5) | |||||
| Transportation-Security | ||||||||||
| Need | 0.22 | 0.33 | 0.005 | 0.002 | <0.001 | |||||
| Present | 1.56 (2.37) | 0.14 (.28) | 0.13 (.19) | 1.24 (1.93) | 13.85 (11.78) | |||||
| Absent | 0.99 (2.07) | 0.12 (.36) | 0.08 (.25) | 0.44 (1.43) | 3.82 (5.82) | |||||
| Clinical and Social Characteristics | ||||||||||
| Preferred Language | 0.62 | 0.74 | 0.18 | 0.63 | 0.62 | |||||
| English | 0.97 (1.89) | 0.12 (.36) | 0.09 (.26) | 0.51 (1.43) | 4.97 (7.62) | |||||
| Other | 3.50 (4.95) | 0.06 (.11) | 0 (0) | 0.83 (2.32) | 5.44 (5.83) | |||||
| Insurance | 0.18 | 0.95 | 0.48 | 0.80 | <0.001 | |||||
| Medicaid | 0.80 (1.67) | 0.13 (.41) | 0.08 (.20) | 0.50 (1.37) | 7.68 (8.52) | |||||
| Any Private | 1.98 (2.95) | 0.10 (.25) | 0.09 (.30) | 0.58 (1.71) | 1.46 (3.38) | |||||
| Medical Complexity | 0.33 | 0.03 | <0.001 | 0.11 | ||||||
| Yes | -- | 0.21(.56) | 0.17 (.35) | 1.51 (2.56) | 6.06 (8.18) | |||||
| No | -- | 0.08(.21) | 0.05 (.18) | 0.15 (.32) | 4.53 (7.20) | |||||
| Gestational Age | 0.20 | 0.98 | 0.76 | 0.42 | 0.19 | |||||
| <= 32 weeks | 1.36 (2.21) | 0.13 (.42) | 0.10 (.28) | 0.69 (1.84) | 5.33 (7.40) | |||||
| > 32 weeks | 0.74 (1.99) | 0.11 (.25) | 0.07 (.20) | 0.36 (1.02) | 4.65 (7.59) | |||||
aPhone encounters per month were only calculated for subset of patients with medical complexity, assigned to the Transitional Medical Home program (described in the methods) and provided with 24/7 phone pager access.
bToo few data points exist in this subcategory to calculate the true average.