Table 4 Healthcare resource utilization and charges observed during the pre-index and post-index periods by healthcare setting
Both private practitioner and hospital patient mean (SE) | Private practitioner only patient mean (SE) | Hospital only patient mean (SE) | |||||||
|---|---|---|---|---|---|---|---|---|---|
Total | 50-64 Years | >65 Years | Total | 50-64 Years | >65 Years | Total | 50-64 Years | >65 Years | |
(N = 385) | (N = 242) | (N = 143) | (N = 5,490) | (N = 3,523) | (N = 1,967) | (N = 643) | (N = 402) | (N = 241) | |
Panel A: Pre-Index Resource Utilization | |||||||||
Outpatient | |||||||||
Visits | 2.1 (0.2) | 2.4 (0.3) | 1.6 (0.2) | 1.6 (0.0) | 2.7 (0.1) | 1.7 (0.1) | 0.2 (0.0) | 0.2 (0.0) | 0.3 (0.1) |
Diagnostic imaging | 0.3 (0.0) | 0.4 (0.1) | 0.3 (0.1) | 0.3 (0.0) | 0.3 (0.0) | 0.3 (0.0) | 0.1 (0.0) | 0.1 (0.0) | 0.1 (0.0) |
Lab tests | 0.3 (0.1) | 0.3 (0.1) | 0.2 (0.1) | 0.3 (0.0) | 0.3 (0.0) | 0.3 (0.0) | 0.0 (0.0) | 0.0 (0.0) | 0.0 (0.0) |
Respiratory treatments | 0.4 (0.1) | 0.4 (0.1) | 0.2 (0.1) | 0.3 (0.0) | 0.4 (0.0) | 0.2 (0.0) | 0.0 (0.0) | 0.0 (0.0) | 0.0 (0.0) |
Inpatient (including emergency department data) | |||||||||
Visits | 0.1 (0.0) | 0.1 (0.0) | 0.1 (0.0) | na | na | na | 0.1 (0.0) | 0.1 (0.0) | 0.1 (0.0) |
Diagnostic imaging | 0.1 (0.0) | 0.1 (0.0) | 0.1 (0.1) | na | na | na | 0.1 (0.0) | 0.1 (0.0) | 0.1 (0.0) |
Lab tests | 0.1 (0.0) | 0.1 (0.1) | 0.0 (0.0) | na | na | na | 0.1 (0.0) | 0.0 (0.0) | 0.1 (0.0) |
Medications | 9.8 (5.3) | 10.5 (7.7) | 8.7 (5.7) | na | na | na | 9.5 (3.3) | 7.4 (4.7) | 12.9 (4.4) |
Systemic antibiotics | 1.2 (0.8) | 1.2 (1.1) | 1.3 (1.2) | na | na | na | 0.9 (0.5) | 0.7 (0.7) | 1.1 (0.8) |
Asthma | 0.8 (0.4) | 0.8 (0.5) | 0.6 (0.6) | na | na | na | 0.7 (0.3) | 0.6 (0.3) | 0.8 (0.4) |
All other medications | 7.9 (4.3) | 8.5 (6.1) | 6.8 (4.9) | na | na | na | 8.0 (2.8) | 6.1 (3.7) | 11.0 (3.9) |
Panel B: Pre-Index Charges, 2010 Dollars | |||||||||
Outpatient | |||||||||
Visits | 420 (37.4) | 470 (49.0) | 331 (55.6) | 225 (9.4) | 214 (6.5) | 244 (23.5) | 228 (25.9) | 226 (29.7) | 230 (48.4) |
Diagnostic imaging | 50 (7.2) | 55 (9.0) | 43 (12.0) | 35 (1.9) | 38 (2.5) | 30 (2.9) | 38 (6.3) | 37 (6.0) | 39 (13.7) |
Lab tests | 15 (6.0) | 19 (9.3) | 9 (3.8) | 12 (0.9) | 13 (1.1) | 10 (1.4) | 4 (1.7) | 5 (2.6) | 2 (1.5) |
Respiratory treatments | 25 (4.7) | 31 (6.8) | 14 (5.2) | 19 (1.2) | 23 (1.7) | 13 (1.5) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
All other | 371 (101.4) | 434 (140.3) | 263 (134.6) | 76 (4.7) | 76 (5.7) | 78 (8.4) | 345 (83.4) | 312 (92.3) | 399 (160.9) |
All Outpatient Charges | 932 (130.1) | 1,080 (172.7) | 683 (192.2) | 497 (48.4) | 496 (62.0) | 499 (77.2) | 892 (103.3) | 907 (117.9) | 868 (193.6) |
Inpatient (including emergency department data) | |||||||||
Visits | 284 (115.9) | 296 (135.8) | 265 (211.8) | na | na | na | 322 (81.6) | 270 (87.0) | 409 (162.5) |
Diagnostic imaging | 38 (15.8) | 33 (15.6) | 48 (33.5) | na | na | na | 38 (10.1) | 33 (10.2) | 48 (20.9) |
Lab tests | 12 (9.6) | 18 (15.2) | 2 (1.8) | na | na | na | 9 (5.8) | 11 (9.1) | 5 (2.7) |
Medications | 364 (214.3) | 337 (271.9) | 410 (349.5) | na | na | na | 0 (0.0) | 229 (164.2) | 409 (220.0) |
Systemic antibiotics | 160 (106.7) | 118 (107.3) | 231 (223.0) | na | na | na | 296 (131.6) | 71 (64.6) | 177 (135.1) |
Asthma | 27 (13.9) | 30 (17.9) | 22 (22.2) | na | na | na | 111 (64.7) | 19 (10.8) | 25 (14.5) |
All other medications | 177 (102.7) | 189 (150.5) | 157 (108.2) | na | na | na | 21 (8.7) | 138 (91.5) | 207 (80.0) |
All other charges | 691 (293.0) | 722 (406.6) | 639 (387.9) | na | na | na | 164 (64.5) | 557 (248.5) | 1,500 (502.3) |
All Inpatient Charges | 1,390 (635.5) | 1,406 (836.0) | 1,364 (966.1) | na | na | na | 1,576 (446.2) | 1,099 (509.9) | 2,372 (832.0) |
All Inpatient and Outpatient Charges | 2,323 (661.5) | 2,485 (878.3) | 2,048 (984.6) | na | na | na | 2,468 (469.9) | 2,006 (540.6) | 3,239 (870.1) |
Panel C: Post-Index Resource Utilization | |||||||||
Outpatient | |||||||||
Visits | 2.9 (0.2) | 3.0 (0.3) | 2.8 (0.3) | 2.4 (0.0) | 2.3 (0.1) | 2.5 (0.1) | 0.5 (0.1) | 0.5 (0.1) | 0.6 (0.1) |
Diagnostic imaging | 0.5 (0.1) | 0.5 (0.1) | 0.4 (0.1) | 0.4 (0.0) | 0.4 (0.0) | 0.4 (0.0) | 0.2 (0.0) | 0.2 (0.0) | 0.2 (0.0) |
Lab tests | 0.6 (0.1) | 0.6 (0.1) | 0.5 (0.1) | 0.6 (0.0) | 0.7 (0.0) | 0.5 (0.0) | 0.3 (0.0) | 0.3 (0.1) | 0.3 (0.1) |
Respiratory treatments | 0.5 (0.1) | 0.6 (0.1) | 0.4 (0.1) | 0.5 (0.0) | 0.5 (0.0) | 0.4 (0.0) | 0.0 (0.0) | 0.0 (0.0) | 0.0 (0.0) |
Inpatient (including emergency department data) | |||||||||
Visits | 0.3 (0.0) | 0.3 (0.1) | 0.3 (0.0) | na | na | na | 0.4 (0.0) | 0.4 (0.0) | 97 (0.0) |
Diagnostic imaging | 0.6 (0.2) | 0.7 (0.3) | 0.4 (0.1) | na | na | na | 0.7 (0.1) | 0.8 (0.2) | 134 (0.1) |
Lab tests | 0.9 (0.2) | 0.9 (0.3) | 0.9 (0.3) | na | na | na | 1.0 (0.1) | 0.9 (0.2) | 261 (0.2) |
Medications | 59.9 (15.3) | 72.5 (23.5) | 38.5 (10.1) | na | na | na | 95.9 (24.7) | 114.8 (38.9) | 15,497 (10.9) |
Systemic antibiotics | 6.4 (2.9) | 8.8 (4.6) | 2.4 (0.7) | na | na | na | 6.1 (1.8) | 7.3 (2.9) | 981 (0.8) |
Asthma | 7.5 (2.4) | 8.5 (3.7) | 5.7 (1.8) | na | na | na | 6.6 (1.5) | 6.5 (2.3) | 1,593 (1.3) |
All other medications | 46.0 (11.2) | 55.2 (17.1) | 30.3 (7.2) | na | na | na | 83.2 (23.4) | 100.9 (37.0) | 12,923 (9.6) |
Panel D: Post-Index Charges, 2010 Dollars | |||||||||
Outpatient | |||||||||
Visits | 626 (45.9) | 632 (59.0) | 615 (72.8) | 331 (7.5) | 324 (8.8) | 344 (13.5) | 489 (45.5) | 469 (44.5) | 523 (95.7) |
Diagnostic imaging | 91 (13.8) | 82 (15.3) | 107 (26.8) | 52 (2.5) | 56 (3.3) | 46 (3.6) | 51 (6.6) | 44 (6.4) | 61 (13.7) |
Lab tests | 36 (5.3) | 38 (6.6) | 33 (8.9) | 26 (1.4) | 31 (2.1) | 17 (1.4) | 29 (4.9) | 32 (6.6) | 25 (7.2) |
Respiratory treatments | 39 (7.3) | 48 (10.7) | 25 (7.8) | 32 (1.8) | 37 (2.5) | 23 (2.2) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
All other | 514 (112.5) | 460 (113.5) | 603 (233.2) | 94 (50.0) | 101 (6.8) | 82 (6.8) | 600 (101.7) | 560 (102.1) | 668 (210.2) |
All Outpatient Charges | 1,436 (167.0) | 1,378 (181.1) | 1,519 (329.7) | 1,337 (195.9) | 1,533 (299.3) | 987 (106.7) | 1,576 (146.0) | 1,554 (146.2) | 1,613 (304.2) |
Inpatient (including emergency department data) | |||||||||
Visits | 2,162 (413.2) | 2,533 (624.7) | 1,535 (343.3) | na | na | na | 2,460 (327.6) | 2,427 (472.6) | 2,516 (376.4) |
Diagnostic imaging | 157 (31.0) | 184 (46.6) | 111 (26.9) | na | na | na | 230 (44.9) | 256 (68.8) | 186 (33.9) |
Lab tests | 127 (32.4) | 149 (49.1) | 90 (26.6) | na | na | na | 140 (23.0) | 145 (34.0) | 133 (23.3) |
Medications | 2,106 (595.6) | 2,917 (937.4) | 734 (195.1) | na | na | na | 2,652 (615.5) | 3,423 (972.8) | 1,366 (233.6) |
Systemic antibiotics | 422 (139.2) | 571 (218.7) | 171 (54.6) | na | na | na | 530 (140.6) | 646 (220.5) | 338 (72.2) |
Asthma | 182 (52.3) | 209 (78.2) | 136 (48.3) | na | na | na | 155 (32.7) | 160 (48.2) | 147 (33.7) |
All other medications | 1,502 (443.9) | 2,137 (699.6) | 427 (125.5) | na | na | na | 1,967 (479.0) | 2,617 (757.9) | 881 (186.0) |
All other charges | 6,117 (1,752.1) | 7,893 (2,745.5) | 3,112 (773.4) | na | na | na | 7,560 (1,742.8) | 9,167 (2,748.1) | 4,881 (759.1) |
All Inpatient Charges | 10,669 (2,710.9) | 13,675 (4,237.2) | 5,582 (1,284.0) | na | na | na | 13,042 (2,627.6) | 15,417 (4,122.6) | 9,080 (1,342.5) |
All Inpatient and Outpatient Charges | 12,105 (2,732.5) | 15,062 (4,265.6) | 7,102 (1,349.0) | na | na | na | 14,618 (2,633.4) | 16,971 (4,128.3) | 10,693 (1,376.0) |