TABLE 4—
US Indian Health Service Treatment Costs for American Indian Adults, by Diabetes Status: US Indian Health Service, Phoenix Service Unit, Arizona, October 1, 2004–September 30, 2005
| All Adults |
Adults With Diabetes |
Adults Without Diabetes |
|||||
| Total Costs, $ | Mean Costs, $ (95% CI) | Total Costs, $ | Mean Costs, $ (95% CI) | Total Costs, $ | Mean Costs, $ | Adjusted Mean Costs, $ (95% CI)a | |
| Indian Health Service providers | |||||||
| Inpatient hospital | 17 890 324 | 558 (509, 607) | 7 412 964 | 2122 (1798, 2445) | 10 477 360 | 367 | 505 (468, 542) |
| Outpatient | |||||||
| Emergency | 10 094 488 | 315 (309, 321) | 1 899 728 | 544 (519, 569) | 8 194 760 | 287 | 277 (271, 283) |
| Primary care | 12 143 880 | 379 (369, 388) | 3 977 400 | 1138 (1094, 1183) | 8 166 480 | 286 | 376 (368, 384) |
| Specialty care | 4 702 455 | 147 (141, 153) | 1 509 651 | 432 (397, 467) | 3 192 804 | 112 | 170 (164, 176) |
| Eye care | 1 616 208 | 50 (49, 52) | 656 304 | 188 (179, 197) | 959 904 | 34 | 51 (49, 53) |
| Foot care | 1 977 075 | 62 (58, 65) | 1 044 441 | 299 (275, 323) | 932 634 | 33 | 48 (46, 50) |
| Dental | 3 937 836 | 123 (119, 127) | 1 119 546 | 320 (300, 340) | 2 818 290 | 99 | 115 (111, 119) |
| Behavioral health | 1 773 582 | 55 (52, 59) | 318 594 | 91 (75, 107) | 1 454 988 | 51 | 60 (56, 64) |
| Education or care management | 1 294 387 | 40 (38, 43) | 1 059 703 | 303 (282, 325) | 234 684 | 8 | 9 (8, 10) |
| All outpatient services | 37 539 911 | 1171 (1151, 1192) | 11 585 367 | 3316 (3213, 3419) | 25 954 544 | 909 | 1107 (1089, 1125) |
| Pharmacy: prescriptions and supplies | 10 493 014 | 327 (320, 335) | 4 730 272 | 1354 (1313, 1394) | 5 762 742 | 202 | 343 (337, 349) |
| All services | 65 923 249 | 2057 (1993, 2121) | 23 728 603 | 6791 (6394, 7189) | 42 194 646 | 1478 | 1955 (1906, 2004) |
| Contract health service providers | |||||||
| Inpatient hospital | 2 596 222 | 81 (61, 101) | 1 234 474 | 353 (213, 493) | 1 361 748 | 48 | 74 (58, 90) |
| Outpatient | 4 081 191 | 127 (113, 142) | 1 876 925 | 537 (429, 646) | 2 204 266 | 77 | 111 (101, 121) |
| All services | 6 677 413 | 208 (180, 237) | 3 111 399 | 890 (687, 1094) | 3 566 014 | 125 | 185 (165, 205) |
| All providers | |||||||
| Inpatient hospital | 20 486 546 | 639 (586, 692) | 8 647 438 | 2475 (2124, 2826) | 11 839 108 | 415 | 579 (540, 618) |
| Outpatient | 41 621 102 | 1299 (1273, 1324) | 13 462 292 | 3853 (3706, 4000) | 28 158 810 | 986 | 1218 (1198,1238) |
| Pharmacy | 10 493 014 | 327 (320, 335) | 4 730 272 | 1354 (1313, 1394) | 5 762 742 | 202 | 343 (337, 349) |
| All services | 72 600 662 | 2265 (2194, 2336) | 26 840 002 | 7682 (7239, 8124) | 45 760 660 | 1602 | 2140 (2087, 2193) |
| Row % | 100.0 | 37.0 | 63.0 | ||||
Note. CI = confidence interval. Numbers may not sum to totals because of rounding.
a
We used direct adjustment to adjust the mean for differences in age and gender between adults with and without diabetes.