Table 2 Short to mid-term health care use and costs in surgical patients
From: The Newfoundland and Labrador Bariatric Surgery Cohort Study: Rational and Study Protocol
Cost Category | Units of Resources | Newfoundland & Labrador Source Details | Newfoundland & Labrador Costing Source | Time Frame |
|---|---|---|---|---|
1. Inpatient encounters | # of hospitalizations (acute care) Length-of-stay (LOS) | Newfoundland and Labrador Centre for Health Information (NLCHI) Clinical Database Management System (CDMS), based on the Discharge Abstract Database (DAD) includes LOS, procedures performed, associated diagnoses, RIW and complexity values | NLCHI/Canadian Institute for Health Information (CIHI) methodology to cost acute care encounters using resource-intensity-weights (RIW) and complexity values | Provided by fiscal year. Referenced to time zero (date of surgery) |
2. Outpatient encounters | # encounters # procedures | NLCHI CDMS (based on DAD) includes surgical day care procedures | NLCHI/CIHI methodology to cost surgical day care encounters | Provided by fiscal year. Referenced to time zero |
3. Physician Fees (Fee for Service) | # of encounters Provider specialty Service provided | Medical Care Plan (MCP) Physician Claims | MCP Physician Claims | Provided by fiscal year. Referenced to time zero |
4. Physician Fees (self-report) | # of encounters Provider specialty Service provided | Patient interview (standardized case report form) | Estimated using MCP Physician Claims | Information obtained every 6Â months |
5. Medications | Name dosage, frequency & duration | Patient interview (standardized case report form) | NL Drug (Provincial Formulary) | Information obtained every 6Â months |
6. Transfer Payments | Unemployment insurance Disability benefits | Patient interview (standardized case report form) | Patient Reported | Information obtained every 6Â months |
8. Employment status, absenteeism | Employment status in past year (# hours/week, # weeks) Absenteeism in past year (# days) Annual income (by quintile) | Patient interview (standardized case report form) | Average wage rate by age, sex and region from Statistics Canada | Information obtained every 6Â months |
9. Weight Loss Interventions | Weight loss program, meal replacements, physical trainer, exercise programs, alternative therapies (Binary Y/N) | Patient interview (standardized case report form) | Patient reported out of pocket cost Costs lists of rehabilitation supplies & equipment | Information obtained every 6Â months |
10. Mobility and Medical | Mobility aids, home modification/renovations, rehabilitation, paid personal assistance (household activities and home productivity, driving) (Binary Y/N) | Patient interview (standardized case report form) | Patient reported out of pocket cost/co-payments for medical services Costs lists of rehabilitation supplies & equipment | Information obtained every 6Â months |