Table 2.
INTERVENTION COSTS, $ | ||||||||
---|---|---|---|---|---|---|---|---|
Hours | Rate | Cost | Fringe | Total | Per Intervention Patient (N=123) | |||
FIXED INTERVENTION COST | ||||||||
DCM Training | 40 | 48 | 1,910 | 477 | 2,387 | 19 | ||
Total Fixed | 40 | 48 | 1,910 | 477 | 2,387 | 19 | ||
VARIABLE INTERVENTION COST | ||||||||
Psychiatrist (Weekly Meetings) | 28 | 107 | 2,998 | 749 | 3,747 | 30 | ||
Pharmacist (Weekly Meetings) | 25 | 63 | 1,586 | 396 | 1,982 | 16 | ||
Pharmacist (Consultations) | 30 | 63 | 1,878 | 470 | 2,348 | 19 | ||
DCM (Weekly Meetings) | 28 | 48 | 1,341 | 335 | 1,676 | 14 | ||
DCM (Baseline Encounter) | 179 | 48 | 8,522 | 2,130 | 10,652 | 87 | ||
DCM (Follow-up Encounters | 766 | 48 | 36,569 | 9,142 | 45,711 | 372 | ||
Total Variable | 1056 | 52,893 | 13,223 | 66,116 | 538 | |||
TOTAL INTERVENTION COST | ||||||||
Total | 1096 | 54,802 | 13,701 | 68,503 | 557 | |||
HEALTHCARE UTILIZATION COSTS, $ | ||||||||
Pre-intervention (Mean) | Post-intervention (Mean) | |||||||
Usual Care | Intervention | X2 p>|t| | KW* p>|t| | Usual Care | Intervention | X2 p>|t| | KW* p>|t| | |
PHARMACY | ||||||||
HIV | 6,109 | 5,797 | 0.936 | 0.223 | 6,372 | 4,550 | 0.467 | 0.134 |
Depression | 215 | 116 | 0.232 | 0.637 | 265 | 157 | 0.278 | 0.737 |
Other | 2,393 | 2,209 | 0.616 | 0.580 | 1,698 | 1,481 | 0.490 | 0.226 |
TOTAL | 8,718 | 8,122 | 0.881 | 0.326 | 8,335 | 6,188 | 0.396 | 0.342 |
OUTPATIENT | ||||||||
Substance abuse | 283 | 337 | 0.760 | 0.869 | 389 | 202 | 0.168 | 0.721 |
Other specialty | 685 | 458 | 0.174 | 0.573 | 707 | 754 | 0.804 | 0.845 |
Primary care | 328 | 384 | 0.565 | 0.887 | 282 | 293 | 0.902 | 0.568 |
Mental health | 672 | 657 | 0.942 | 0.610 | 1,188 | 994 | 0.451 | 0.849 |
Infectious disease | 2,648 | 2,624 | 0.907 | 0.950 | 2,585 | 3,427 | 0.003 | 0.006 |
Ancillary (laboratory, radiography, etc.) | 11,044 | 10,153 | 0.822 | 0.650 | 10,744 | 7,931 | 0.293 | 0.907 |
TOTAL | 18,561 | 15,362 | 0.481 | 0.964 | 20,093 | 16,456 | 0.303 | 0.788 |
INPATIENT | ||||||||
TOTAL | 5386 | 4622 | 0.693 | 0.312 | 6738 | 4795 | 0.424 | 0.630 |
PATIENT COSTSc | ||||||||
TOTAL | 3 | 5 | 0.439 | 0.642 | 3 | 3 | 0.664 | 0.333 |
TOTAL, $ | ||||||||
TOTAL maina | 27,286 | 23,504 | 0.646 | 0.745 | 28,447 | 22,657 | 0.310 | 0.725 |
TOTAL secondaryb | 32,667 | 28,111 | 0.593 | 0.637 | 35,168 | 27,443 | 0.225 | 0.827 |
Main analysis consisted of pharmacy, outpatient, and patient costs only
Secondary analysis consisted of pharmacy, outpatient, inpatient, and patient costs
Patient costs include wait and travel time incurred by patients to receive care
Kruskal-Wallis