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Table 3 Mean costs and use by health service type, population segment, and SES, 2015/16a

From: Population segments as a tool for health care performance reporting: an exploratory study in the Canadian province of British Columbia

 

Segment 1 Low need (n = 2,807,725)

Segment 2 Multiple morbidities (n = 450,197)

Segment 3 Medically complex (n = 117,636)

Segment 4 Frail (n = 65,835)

Overall

High SES

Low SES

Overall

High SES

Low SES

Overall

High SES

Low SES

Overall

High SES

Low SES

Mean Costs ($)

 Total FP Care (any location)

185

181

191

602

580

632

657

627

692

907

889

927

 Cost of Specialist Care

222

224

219

742

750

731

1431

1401

1465

828

846

808

 Inpatient Hospital Care

421

389

470

2203

2075

2378

5130

4625

5712

6741

6505

7011

 Day surgeries

117

123

108

350

361

335

364

373

354

204

218

189

 ED visit (estimated facility cost)

103

95

116

223

207

245

433

380

495

352

334

372

 Prescription Medicines (PharmaCare + Private paid)

411

405

421

1702

1663

1755

2766

2605

2951

1766

1731

1805

 Total Costsa

1460

1418

1525

5822

5636

6075

10,782

10,010

11,670

10,798

10,523

11,112

Use (#)

 FP visits (any location)

4.5

4.4

4.7

11.7

11.3

12.3

13.9

13.2

14.7

19.6

19.3

20.1

 Hospital separations per 100 population

5.4

5.1

5.9

19.7

18.7

20.9

41.5

37.2

46.5

47.7

45.9

49.7

 ED Visits per 100 population

35.3

32.6

39.4

76.2

70.7

83.7

147.9

129.5

168.9

120.0

114.0

126.9

 Filled classes of medication

2.4

2.4

2.4

7.3

7.1

7.6

8.5

8.2

8.8

9.1

8.9

9.3

Selected attributes of primary care measures

Access

 Access outside office hours: % patients with FP billing outside office hours

2.6

2.5

2.7

4.2

4.0

4.4

6.0

5.8

6.3

9.3

9.0

9.7

Continuity of Care

 UPC Index (Mean, range 0–1)

0.7

0.7

0.7

0.8

0.8

0.8

0.7

0.7

0.7

0.8

0.8

0.8

 Coordination

            

 % patients seeing < 5 FP physicians

95.2

95.4

95.0

91.8

92.2

91.3

88.1

88.6

87.6

93.2

93.5

93.0

  1. All p < 0.05, ED emergency department, FP family physician, SES socioeconomic status (low SES income quintiles 1, 2, high SES income quintiles 3, 4, 5.); UPC usual provider of care
  2. aTotal costs includes: Total FP Care, inpatient hospital care, prescription medicines, plus medical & surgical specialist care, day surgeries and ED visits