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. 2022 Mar 10;22:175. doi: 10.1186/s12888-022-03759-9

Table 4.

Three-year total weighted costs ($) associated with adequacy of mental health care in older adults with an anxiety disorder or depression

Mean cost unadjusted
n = 338
Wald χ2 p-value Mean cost adjusted
n = 338a
Wald χ2 p-value
Receipt of minimally adequate care Receipt of minimally adequate care
Yes No Yes No
Health system perspective
 Emergency department (ED) visits 1011 610 9.655 0.002 985 528 10.859 0.001
 Inpatient
  Hospitalization stay – Mental health 2412 1327 6.185 0.013 969 113 36.456 < 0.001
  Hospitalization stay – Other diagnoses 3515 3041 0.434 0.510 3712 2330 2.795 0.095
  Day surgeries 1208 674 8.060 0.005 886 553 3.575 0.059
 Total inpatient 7135 5042 3.702 0.054 6643 4079 5.032 0.025
 Outpatient
  Outpatient visits – Mental health, local community service center 29 1 1341.819 < 0.001 2 1 50.665 < 0.001
  Outpatient visits – Mental health, outpatient clinic 24 7 86.320 < 0.001 12 2 104.651 < 0.001
  Outpatient visits – Other diagnoses 1810 1177 20.585 < 0.001 1749 1181 14.383 < 0.001
 Total outpatient 1863 1185 25.255 < 0.001 1810 1190 18.172 < 0.001
 Medications – paid by the public plan 8038 4869 45.169 < 0.001 6016 4773 9.500 0.002
 Physician fees 5187 3803 23.327 < 0.001 4987 3763 17.777 < 0.001
 Total cost 23,234 15,509 32.368 < 0.001 20,700 14,948 20.400 < 0.001
Patient perspective
 Psychotherapies 3 4 3.797 0.051 1 2 3.859 0.049
 Lost in productivity
  ED visits 474 286 10.962 < 0.001 461 248 12.420 < 0.001
  Inpatient stay 790 570 2.895 0.089 696 428 3.624 0.057
  Outpatient visits 283 184 24.539 < 0.001 274 185 17.315 < 0.001
 Medications – paid by the patient 1733 1599 2.736 0.098 1684 1612 0.711 0.399
 Total cost 3283 2643 16.931 < 0.001 3166 2630 11.869 0.001
Societal perspective
 Total cost 26,517 18,152 32.572 < 0.001 23,888 17,622 20.666 < 0.001
Sensitivity analysisb
Societal perspective
 Total cost 26,517 18,152 32.572 < 0.001 19,657 17,031 5.662 0.017

Significant results are in bold (p < 0.05)

aAdjusted for: age, education, social and material deprivation indexes, cognitive functioning, number of chronic diseases, psychological distress, health-related quality of life and the number of days alive during the study period

bFurther adjusted for societal costs incurred during the three years preceding the baseline interview