Clinical Study

The Quality of Life of a Multidiagnosis Group of Special Needs Children: Associations and Costs

Table 7

Mean 6-month cost of child use of Health and Social Services Utilization by Physical Quality of Life.

Physical ProblemsTest Statistic: Kruskal
2 ( ) 2 ( )Wallis Test
MeanS.D.MeanS.D.χ 2

Direct Costs

Primary Care Provider visits
(a) Family Physician/Walk in Clinic (Primary care)75.68118.8460.8489.280.303.582
(b) Emergency Room visits74.44169.7953.54134.481.952.162
(c) 911 calls0.744.090.11.514.938.026
(d) Ambulance Service10.1148.33115.527.394.007

Primary Care Provider Services160.97237.55115.48181.482.894.089

Physician Specialist visits
(e) Adolescent Medicine Allergist1.4613.340.475.080.511.475
(f) Cardiologist4.818.652.828.545.899.015
(g) Dermatologist0.564.47003.791.052
(h) Ears/Nose/Throat Specialist8.5823.299.0422.180.371.543
(i) Endocrinologist3.8820.912.2517.250.990.320
(j) Gastroentologist3.217.391.0211.094.117.042
(l) Infectious Disease/HIV Specialist0.294.04001.258.262
(m) Hematologist or Oncologist5.1226.761.7823.896.392.011
(n) Nephrologist3.1817.30.284.346.171.013
(o) Neurosurgeon Orthopedics/Neurologist36.4678.5210.6847.3630.259.000
(p) Ophthalmologist18.1938.615.6719.9620.363.000
(q) Pediatrician106.89400.5256.2797.165.044.025
(r) Psychiatrist17.33117.934.2438.73.756.053
(s) Respirologist6.444.172.819.490.967.326
(t) Rheumatologist6.7288.251.2716.190.054.816
(u) Rehabilitation Doctor000.264.030.795.373
(v) Surgeon (general, dental)1.168.421.8512.010.290.590
(w) Surgeon (orthopedic)10.5736.891.9413.6212.056.001
(x) Surgeon (neurological)2.2416.970.253.932.622.105
(y) Other health professional visit cost75.57178.7634.94136.2628.183.000

Physician Specialist cost312.59545.41137.78204.4438.598.000

Other Health and/or Social services providers
(a) Physiotherapist627.511138.9119.28530.3586.461.000
(b) Massage Therapist35.74264.713.9331.963.381.066
(c) Occupational Therapist558.71392378.31746.291.074.300
(d) Speech Language Pathologist435.081021.5505.68904.370.852.356
(e) Chiropractor23.77153.399.4751.661.512.219
(f) Psychologist44.74270.932.81144.440.000.993
(g) Podiatrist/Chiropodist8.9570.473.227.361.019.313
(h) Nutritionist/Dietician48.69184.2215.6781.7611.371.001
(i) Nurse Practitioner13.89133.920.354.211.266.260
(j) Visiting Nurses (Home Care/PHN/VON/SEN)790.814803.123.56220.269.263.002
(k) Private Nurse373.264767.4002.522.112
(l) Optometrist18.541.3431.8152.991.001.317
(m) Dentist129.14160.2126.89134.770.029.864
(n) Social Worker26.84135.231.15231.60.000.997
(o) Children’s Aid Worker0018.8221.074.012.045
(p) Adolescence/School Counselor2.5227.41346.450.603.437
(q) Family Counselor5.3642.569.94119.030.006.939
(r) Mental Health Counselor16.38225.7414.52188.350.596.440
(s) Homemaker/Personal Support Worker1312.78672.2197.322002.116.596.000
(t) Child/Daycare471.871783.1660.73453.22.938.087
(u) Subsidized Daycare38.64343.6653.73454.040.014.905
(v) Naturopath/Homeopath3.3724.2910.1452.353.071.080
(w) Complementary Therapy27.95244.50.778.811.249.264
(aa) Police00112.261.594.207
(dd) Social and Recreation Programs109393507514468363896.479.011
(ee) Community Support Programs5.9281.6217.07144.621.882.170
(ff) Special Education Services1270.81445.4945.461350.85.130.024
(gg) Other Special Education Supports139.26693.48146.91435.033.541.060
(hh) Others Social and Health providers970.354889.1960.183402.80.560.454

Other Health and Social providers cost183403933718790373670.067.796

Community Support Services
(a) Groups/Peer Support0.181.660.131.941.522.217
(c) Transportation Services22.8762.93.1522.3320.245.000
Other community Support Services30.99127.4637.57162.390.031.859

Total Community Support Services54.04137.3740.84163.178.006.005

Outpatient lab tests
(a) Blood27.6877.8910.436.3617.090.000
(b) Specimens6.3731.892.349.473.920.048
(c) Scopes000.6510.040.795.373
(d) X-rays10.930.643.7814.9711.765.001
(e) Scans10.5637.24.222.54.994.025
(f) Breathing tests1.296.530.64.742.339.126
(g) ECG1.356.130.171.817.654.006
(h) EEG2.4111.51.6710.980.947.331
(i) EMG1.6115.65002.522.112
(l) Other outpatient tests18.9767.8711.8145.250.955.329

Outpatient laboratory tests81.15172.9735.6277.7617.343.000

Medications, treatments and Supplies/Aids
Medication628.841982218.17720.1421.649.000
Treatment costs total157.34198315.05151.711.170.279
Supply and device cost1691.58221.975.76366.778.729.000

Medication, treatments, supplies, device, aids2477.68844308.98859.9763.309.000

Direct Costs excluding Hospital stay, Day surgery
Direct Costs excluding Hospital214264055519429373901.712.191

Hospital, Day surgery facility
Hospital Cost413.551474.3296.952467.86.643.010
Day Surgery Facility Stay cost2063.5810.0443.773.257.071
Respite682.272170.7257.97952.267.280.007

Direct Costs including Hospital stay, Day surgery
Total Direct Costs including Hospital/respite225424052519994374483.010.083