Table 2.
Cost variables, resources used and average cost per patient for the control group and the intervention group for the period between the initial inpatient admission and 6 months following discharge (AUD$2012/13)
| Mean resource utilization per patient for the period between the initial inpatient admission and 6 months following discharge (SD; range) a | Mean cost per patient for the period between the initial inpatient admission and 6 months following discharge (SD; range) a $2012/13 | Difference between groups for resource utilization | Difference between groups for costs | |||
|---|---|---|---|---|---|---|
| Intervention | Control | Intervention | Control | Intervention minus control (95% CI) | Intervention minus control (95% CI) | |
| (n = 496) | (n = 500) | (n = 496) | (n = 500) | |||
| Initial inpatient rehabilitation admission (length of stay) | 21.2 | 23.1 | 13,320 | 14,302 | −1.9 | −981 |
| (15.7; 4 to 144) | (20.2; 1 to 236) | (10,041; 2,652 to 93,095) | (12,168; 1,459 to 137,387) | (−4.1 to 0.4) | (−2,408 to 445) | |
| Hospital readmissions in primary health service (length of stay) | 5.8 | 9.5 | 5,550 | 8,019 | −3.6* | −2,469* |
| (17.1; 0 to 144) | (26.8; 0 to 195) | (15,084; 0 to 167,322) | (21,529; 0 to 176,202) | (−6.5 to −0.7) | (−4,849 to −1,214) | |
| Hospital readmissions in other health services (length of stay) | 1.3 | 1.8 | 1,360 | 1,717 | −0.5 | −357 |
| (5.7; 0 to 63) | (9.7; 0 to 160) | (5,912; 0 to 67,095) | (9,215; 0 to 157,840) | (−1.4 to 0.5) | (−1,319 to 606) | |
| Total Medicare claims | 17.5 | 16.7 | 1,059 | 975 | 0.8 | 84 |
| (24.7; 0 to 194) | (22.3; 0 to 191) | (2,102; 0 to 24,019) | (1,897; 0 to 26,724) | (−2.3 to 3.8) | (−173 to 340) | |
| Benefit paid | 881 | 835 | 46 | |||
| (1,393; 0 to 12,932) | (1,266; 0 to 11,689) | (−121 to 214) | ||||
| Out-of-pocket | 178 | 140 | 37 | |||
| (836; 0 to 11,087) | (823; 0 to 15,035) | (−69 to 144) | ||||
| Total non-Medicare health care visits | 17.2 | 18.4 | 934 | 1,022 | −1.3 | −89 |
| (32.5; 0 to 380) | (33.5; 0 to 369) | (1,911; 0 to 17,370) | (2,264; 0 to 29,304) | (−5.5 to 3.0) | (−357 to 180) | |
| Physiotherapists | 9.0 | 9.1 | 439 | 441 | −0.1 | −3 |
| (16.3; 0 to180) | (13.2; 0 to 108) | (788; 0 to 8,730) | (638; 0 to 5,238) | (−1.9 to 1.8) | (−94 to 89) | |
| Occupational therapists | 1.9 | 2.1 | 82 | 90 | −0.2 | −8 |
| (8.3; 0 to 140) | (7.3; 0 to 72) | (351; 0 to 5,921) | (308; 0 to 3,045) | (−1.2 to 0.8) | (−50 to34) | |
| Other allied health | 2.5 | 2.6 | 116 | 120 | −0.1 | −4 |
| (9.2; 0 to 100) | (9.4; 0 to 88) | (432; 0 to 4,659) | (442; 0 to 4,138) | (−1.3 to 1.1) | (−60 to 52) | |
| Community nurse | 3.7 | 4.7 | 297 | 371 | −0.9 | −74 |
| (18.3; 0 to 182) | (25.4; 0 to 366) | (1,462; 0 to 14,504) | (2,027; 0 to 29,167) | (−4.0 to 2.1) | (−268 to 120) | |
| Total pharmaceuticals (PBS) claims | 28.6 | 31.4 | 1,246 | 1,325 | −2.8 | −79 |
| (21.9; 0 to 259) | (24.1; 0 to 279) | (1,644; 0 to 37,430) | (1,848; 0 to 48,717) | (−5.8 to 0.2) | (−194 to 35) | |
| Benefit paid | 1,087 | 1,168 | −81 | |||
| (1,608; 0 to 37,183) | (1,810; 0 to 48,093) | (−193 to 31) | ||||
| Out-of-pocket | 158 | 157 | 2 | |||
| (126; 0 to 1,411) | (114; 0 to 1,314) | (−14 to 17) | ||||
| Over-the-counter medications | 1.4 | 1.5 | 39 | 37 | −0.01 | 2 |
| (1.5; 0 to 8) | (1.5; 0 to 8) | (80; 0 to 1,117) | (67; 0 to 931) | (−0.2 to 0.2) | (−7 to 12) | |
| Formal (paid) carers (hours) | 11.3 | 11.2 | 388 | 385 | 0.1 | 3 |
| (32.5; 0 to 247) | (27.1; 0 to 182) | (1,113; 0 to 8,457) | (929; 0 to 6,232) | (−3.7 to 3.9) | (−128 to 134) | |
| Informal (unpaid) carers (hours) | 387.7 | 462.4 | 13,274 | 15,833 | −74.7* | −2,559* |
| (1,055; 0 to 4,654) | (1,146; 0 to 5,616) | (36,135; 0 to 159,353) | (39,232; 0 to 192,292) | (−146.7 to −2.8) | (−5,022 to −96) | |
| Total | 37,170 | 43,615 | −6,445 | |||
| (44,351; 3,713 to 231,733) | (49,806; 3,723 to 256,182) | (−9,522 to −3,368) | ||||
| t-test p = 0.036* | ||||||
| MWU p = 0.010* | ||||||
Sources of price information: hospital admissions in primary health service: variable cost; hospital admissions in other health services; acute hospital $1,065/night, rehabilitation hospital $751/night; Non-Medicare claims: variable; physiotherapy: $48.50/visit boccupational therapy: $42.29/visit bspeech therapy: $46.59/visit bother allied health: $47.02/visit bcommunity nurse: $79.69/visit bPharmaceutical Benefits Scheme (PBS) claims: variable; over–the-counter medications: variable; formal and informal carers: $34.24/hourb.
*p ≤ 0.05. adeath weights have been applied to this data set to represent time in the study pertaining to patient death. bTAC [13]. MWU, Mann–Whitney U test.