Table 3: Home care services and costs* by phase of care† and stage of disease at diagnosis.
| Phase; variable | All stages | Stage I | Stage II | Stage III | Stage IV | Not staged |
|---|---|---|---|---|---|---|
|
Initial care |
n = 31 237 |
n = 4 940 |
n = 6 707 |
n = 7 277 |
n = 3 571 |
n = 8 742 |
| Used home care services, no. (%) |
18 574 (59.5) |
2 009 (40.7) |
4 034 (60.1) |
5 665 (77.8) |
2 733 (76.5) |
4 133 (47.3) |
| No. of visits per 30 d |
||||||
| Mean (95% CI) |
3.4 (3.4–3.5) |
2.1 (1.9–2.2) |
3.3 (3.2–3.5) |
4.1 (4.0–4.3) |
4.8 (4.6–5.0) |
3.2 (3.0–3.3) |
| Median (IQR) |
1 (0–5) |
0 (0–2) |
1 (0–4) |
3 (0–5) |
3 (0–6) |
0 (0–4) |
| Cost per 30 d, $ |
||||||
| Mean (95% CI) |
323 (318–329) |
191 (181–201) |
309 (299–320) |
407 (397–418) |
477 (459–495) |
276 (266–287) |
| Median (IQR) |
165 (0–469) |
0 (0–256) |
152 (0–453) |
302 (104–545) |
348 (86–654) |
0 (0–379) |
|
Continuing care |
n = 27 861 |
n = 4 507 |
n = 6 137 |
n = 6 543 |
n = 2 629 |
n = 8 045 |
| Used home care services, no. (%) |
14 501 (52.0) |
1 216 (27.0) |
2 797 (45.6) |
4 697 (71.8) |
2 154 (81.9) |
3 637 (45.2) |
| No. of visits per 30 d |
||||||
| Mean (95% CI) |
2.2 (2.1–2.3) |
1.0 (1.0–1.2) |
2.1 (1.9–2.2) |
2.7 (2.6–2.9) |
4.5 (4.2–4.8) |
1.8 (1.7–1.9) |
| Median (IQR) |
0 (0–2) |
0 (0–0) |
0 (0–1) |
1 (0–3) |
2 (0–5) |
0 (0–1) |
| Cost per 30 d, $ |
||||||
| Mean (95% CI) |
160 (156–165) |
71 (64–78) |
142 (132–151) |
211 (201–221) |
370 (349–391) |
115 (108–121) |
| Median (IQR) |
10 (0–158) |
0 (0–13) |
0 (0–117) |
69 (0–247) |
202 (53–452) |
0 (0–79) |
|
Terminal care |
n = 11 271 |
n = 454 |
n = 1 078 |
n = 1 640 |
n = 3 613 |
n = 4 486 |
| Used home care services, no. (%) |
7 619 (67.6) |
237 (52.2) |
724 (67.2) |
1 202 (73.3) |
2 866 (79.3) |
2 590 (57.7) |
| No. of visits per 30 d |
||||||
| Mean (95% CI) |
6.9 (6.7–7.1) |
4.2 (3.5–5.0) |
6.3 (5.8–6.9) |
6.9 (6.4–7.5) |
8.4 (8.0–8.8) |
6.2 (5.9–6.5) |
| Median (IQR) |
2 (0–9) |
0 (0–5) |
2 (0–9) |
3 (0–9) |
5 (1–11) |
1 (0–8) |
| Cost per 30 d, $ |
||||||
| Mean (95% CI) |
616 (597–635) |
372 (301–443) |
523 (475–571) |
578 (539–618) |
795 (759–831) |
533 (502–565) |
| Median (IQR) | 271 (0–835) | 41 (0–492) | 238 (0–731) | 286 (0–819) | 489 (107–1 057) | 124 (0–675) |
Note: CI = confidence interval, IQR = interquartile range. *In 2009 Canadian dollars. †Initial phase of care = 180 days after diagnosis, terminal phase = 180 days before death, continuing = interval between initial and terminal phases.