TABLE III.
Factors associated with average hospital costs per blocka in the last month of life
Factor | British Columbia | Ontario | Nova Scotia | |||
---|---|---|---|---|---|---|
|
|
|
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RR | CL | RR | CL | RR | CL | |
Each block closer to death | 1.92 | 1.85, 1.99 | 1.68 | 1.63, 1.73 | 2.10 | 1.84, 2.41 |
Nursing cost per block | ||||||
$0 (0 hours) | 0.33 | 0.28, 0.39 | 0.53 | 0.49, 0.56 | 0.87 | 0.50, 1.51 |
>$0–$87 (>0 to 1 hours) | Reference | Reference | Reference | |||
>$87–$174 (>1 to 2 hours) | 0.89 | 0.83, 0.95 | 0.78 | 0.74, 0.83 | 0.91 | 0.68, 1.23 |
>$174–$348 (>2 to 4 hours) | 0.79 | 0.74, 0.84 | 0.71 | 0.67, 0.75 | 1.10 | 0.80, 1.52 |
>$348–$522 (>4 to 6 hours) | 0.74 | 0.68, 0.80 | 0.60 | 0.56, 0.63 | 0.86 | 0.63, 1.19 |
>$522–$697 (>6 to 8 hours) | 0.69 | 0.63, 0.76 | 0.69 | 0.64, 0.74 | 0.80 | 0.51, 1.26 |
>$697–$870 (>8 to 10 hours) | 0.71 | 0.62, 0.81 | 0.71 | 0.65, 0.76 | 0.59 | 0.34, 1.02 |
>$870 (>10 hours) | 0.71 | 0.63, 0.81 | 0.45 | 0.42, 0.48 | 0.62 | 0.45, 0.84 |
Age group | ||||||
<30 Years | 0.81 | 0.58, 1.14 | 1.86 | 1.46, 2.36 | 10.82 | 6.61, 17.72 |
30–39 Years | 1.33 | 1.11, 1.59 | 1.66 | 1.43, 1.92 | 1.49 | 0.72, 3.05 |
40–49 Years | 1.38 | 1.23, 1.55 | 1.47 | 1.36, 1.58 | 1.42 | 0.26, 2.18 |
50–59 Years | 1.13 | 1.04, 1.22 | 1.24 | 1.17, 1.31 | 1.28 | 0.96, 1.71 |
60–69 Years | 1.12 | 1.05, 1.20 | 1.12 | 1.07, 1.18 | 0.91 | 0.70, 1.17 |
70–79 Years | Reference | Reference | Reference | |||
80–89 Years | 0.90 | 0.84, 0.97 | 0.82 | 0.78, 0.87 | 0.63 | 0.47, 0.84 |
≥90 Years | 0.80 | 0.68, 0.94 | 0.71 | 0.62, 0.81 | 0.63 | 0.40, 1.00 |
Sex | ||||||
Women | 0.95 | 0.90, 1.01 | 0.98 | 0.94, 1.02 | 0.83 | 0.67, 1.03 |
Men | Reference | Reference | Reference | |||
Comorbidity score | ||||||
0 | Reference | Reference | Reference | |||
≥1 | 1.09 | 1.02, 1.17 | Reference | 0.95, 1.05 | 1.15 | 0.90, 1.47 |
Missing | 0.92 | 0.87, 0.97 | 0.89 | 0.85, 0.93 | 0.89 | 0.71, 1.11 |
Community size | ||||||
<10,000 | Reference | Reference | Reference | |||
10,000–99,999 | 0.97 | 0.88, 1.06 | 1.05 | 0.99, 1.11 | 1.06 | 0.82, 1.38 |
100,000–499,999 | 0.81 | 0.73, 0.89 | 0.80 | 0.76, 0.85 | 0.91 | 0.74, 1.13 |
500,000–1,499,999 | NA | 0.64 | 0.60, 0.68 | NA | ||
>1,500,000 | 1.06 | 0.97, 1.16 | 0.80 | 0.76, 0.84 | NA |
Boldface type indicates statistical significance (<0.05). Also controlled for income quintile and cancer type (data not shown).
RR = relative rate of average hospital cost; CL = confidence limits; NA = not applicable.