Table 3.
Community Care | Navigate | |||||||
---|---|---|---|---|---|---|---|---|
Meanb | SE | Meanb | SE | Difference | % Difference | t | P | |
Low DUP | ||||||||
Service use (average nights or visits per patient per 6-month interval) | ||||||||
All inpatient/residential days | 4.96 | 3.08 | 6.48 | 2.82 | 1.5 | 30.65 | 0.36 | .72 |
Mental health or medical surgical inpatient days | 5.36 | 2.53 | 3.58 | 2.38 | −1.8 | −33.21 | 0.51 | .61 |
Residential/nursing home days | 0.26 | 1.99 | 3.2 | 1.79 | 2.9 | 1130.77 | 1.10 | .27 |
All outpatient visits | 16.86 | 3.09 | 27.39 | 2.82 | 10.5 | 62.46 | 2.52 | .01 |
Emergency department visits | 0.44 | 0.08 | 0.28 | 0.06 | −0.2 | −36.36 | 1.52 | .13 |
Medical surgical outpatient visits | 1.17 | 0.61 | 1.69 | 0.54 | 0.5 | 44.44 | 0.64 | .52 |
Mental health outpatient visits | 15.14 | 2.85 | 25.33 | 2.59 | 10.2 | 67.31 | 2.65 | .01 |
Costs (per 6 months) | ||||||||
All mental health and medical surgical inpatient costs | $6661 | 2867 | $2883 | 2706 | −$3778 | −56.72 | 0.96 | .34 |
Residential and nursing home costs | $19 | 98 | $159 | 87 | $140 | 736.84 | 1.06 | .29 |
Outpatient service costs | $1499 | 252 | $2096 | 232 | $597 | 39.83 | 1.74 | .08 |
Total medication costs | $1460 | 354 | $2189 | 336 | $729 | 49.93 | 1.49 | .14 |
Total medication costs using generic costs for APS | $277 | 64 | $385 | 60 | $108 | 38.99 | 1.23 | .22 |
Total costs (services and medication) | $9549 | 2901 | $7295 | 2738 | −$2254 | −23.60 | 0.57 | .57 |
Total costs (services and medication plus training costs) | $9262 | 2748 | $7894 | 2571 | −$1368 | −14.77 | 0.36 | .72 |
Total costs (services and medication using generic APS costs plus training costs) | $8160 | 2737 | $6074 | 2560 | −$2086 | −25.56 | 0.56 | .58 |
High DUP | ||||||||
Service use (average nights or visits per patient per 6-month interval) | ||||||||
All inpatient/residential days | 3.24 | 1.72 | 8.49 | 1.61 | 5.3 | 162.04 | 1.38 | .17 |
Mental health or medical surgical inpatient days | 2.32 | 1.24 | 4.03 | 1.16 | 1.7 | 73.71 | 1.01 | .31 |
Residential/nursing home days | 0.83 | 0.99 | 2.59 | 0.92 | 1.8 | 212.05 | 1.31 | .19 |
All outpatient visits | 24.03 | 3.27 | 26.84 | 3.12 | 2.8 | 11.69 | 0.63 | .53 |
Emergency department visits | 0.59 | 0.13 | 0.58 | 0.12 | 0.0 | −1.69 | 0.10 | .92 |
Medical surgical outpatient visits | 2.44 | 0.55 | 1.62 | 0.52 | −0.8 | −33.61 | 1.09 | .27 |
Mental health outpatient visits | 21.15 | 3.21 | 24.61 | 3.07 | 3.5 | 16.36 | 0.78 | .44 |
Costs (per 6 months) | ||||||||
All mental health and medical surgical inpatient costs | $2889 | 1282 | $4709 | 1177 | $1820 | 63.00 | 1.05 | .29 |
Residential and nursing home costs | $48 | 56 | $147 | 52 | $99 | 206.25 | 1.30 | .19 |
Outpatient service costs | $1808 | 242 | $2087 | 232 | $279 | 15.43 | 0.84 | .4 |
Total service costs (excluding medications) | $4759 | 1328 | $7009 | 1222 | $2250 | 47.28 | 1.25 | .21 |
Total medication costs | $1198 | 208 | $1943 | 196 | $745 | 62.19 | 2.62 | .009 |
Total medication costs using generic costs for APS | $433 | 69 | $348 | 65 | −$85 | −19.63 | 0.90 | .37 |
Total costs (services and medication) | $5989 | 1320 | $9018 | 1213 | $3029 | 50.58 | 1.70 | .09 |
Total costs (services and medication plus training costs) | $5973 | 1417 | $9812 | 1303 | $3839 | 64.27 | 2.00 | .05 |
Total costs (services and medication using generic APS costs plus training costs) | $5189 | 1557 | $8257 | 1449 | $3068 | 59.13 | 1.45 | .15 |
Note: aMixed models included terms for treatment and categorical time with random intercepts for individual and site: 6-month least square means over 24 months.
bLeast square means from mixed models. Totals may not add up to sum of components because separate models were conducted for each variable.