Table 4.
Estimated mean (SE) healthcare service resources used and associated costs per patient by factor
| Monitored group (N=200) |
Control group (n=201) |
|||||
|---|---|---|---|---|---|---|
| Number used | Cost, £ | Number used | Cost, £ | Mean cost Difference, £ (95% CI*) | p Value* | |
| GP consultations | ||||||
| Surgery consultations | 3.61 (0.19) | 130.00 (7.00) | 2.70 (0.21) | 97.11 (7.46) | 32.89 (14.55 to 51.04) | <0.001 |
| Phone consultations | 0.57 (0.08) | 12.43 (1.78) | 0.49 (0.09) | 10.69 (1.98) | 1.74 (−2.74 to 6.09) | 0.447 |
| Home consultations | 0.06 (0.03) | 7.74 (3.24) | 0.09 (0.04) | 10.39 (4.52) | −2.65 (−11.91 to 5.27) | 0.553 |
| Total consultations | 4.24 (0.23) | 150.17 (8.90) | 3.27 (0.27) | 118.19 (10.52) | 31.97 (8.38 to 54.22) | 0.004 |
| Practice nurse consultations | ||||||
| Surgery consultations | 1.90 (0.18) | 22.75 (2.11) | 1.41 (0.14) | 16.88 (1.71) | 5.86 (1.14 to 11.00) | 0.016 |
| Phone consultations | 0.69 (0.09) | 3.28 (0.42) | 0.15 (0.05) | 0.71 (0.25) | 2.57 (1.75 to 3.45) | <0.001 |
| Home consultations | 0.02 (0.01) | 0.41 (0.28) | 0.01 (0.01) | 0.30 (0.27) | 0.11 (−0.38 to 0.77) | 0.704 |
| Total consultations | 2.61 (0.21) | 26.43 (2.27) | 1.57 (0.17) | 17.89 (1.88) | 8.54 (3.46 to 14.15) | 0.002 |
| District nurse consultations | 0.04 (0.02) | 0.67 (0.41) | 0.15 (0.11) | 3.94 (3.05) | −3.26 (−11.94 to 0.39) | 0.249 |
| NHS24 consultations | 0.10 (0.03) | 4.03 (1.39) | 0.05 (0.02) | 2.12 (0.79) | 1.91 (−0.42 to 4.95) | 0.139 |
| LUCS consultations | 0.07 (0.02) | 4.34 (1.39) | 0.04 (0.02) | 2.48 (1.16) | 1.86 (−0.89 to 4.83) | 0.193 |
| Medication | 24.07 (2.12) | 23.59 (2.20) | 0.48 (−5.83 to 6.40) | 0.868 | ||
| Accident and emergency visits | 0.07 (0.02) | 6.70 (2.24) | 0.10 (0.03) | 9.74 (2.98) | −3.04 (−8.87 to 2.47) | 0.286 |
| Subtotal excluding tele-monitoring | 216.41 (11.66) | 177.95 (15.15) | 38.46 (5.59 to 69.87) | 0.019 | ||
| Tele-monitoring service and device | 70.77 | 70.77 | ||||
| Total healthcare costs | 287.18 (11.66) | 177.95 (15.15) | 109.23 (76.36 to 140.63) | <0.001 | ||
*p Values (two-tailed) for significant difference from zero and Bias corrected CI estimated by non-parametric bootstrap (10 000 replications).
GP, general practitioner; LUCS, Lothian Unscheduled Care Service (out of hours GP or nurse consultations); NHS, National Health Service.