Lifetime costs for preventive medical services: a model

J Fam Pract. 1999 Sep;48(9):706-10.

Abstract

Background: Cost effectiveness and other issues relating to preventive health services have been widely discussed, but a computer search of the literature elicited no reports in which the lifetime cost of a patient's preventive services was calculated. The purpose of our study was to calculate the total lifetime cost of preventive medical services for idealized versions of male and female patients.

Methods: We used the preventive screening recommendations of the US Preventive Services Task Force as our standard. We developed a model using idealized patients who were asymptomatic, had no risk factors, and lived healthful lifestyles. We determined the typical charges in a specified marketplace for the office visits, procedures, laboratory tests, and purchases required to comply with the screening recommendations.

Results: Lifetime charges ranged from $5432.60 to $7529.60 for men and from $15,307.10 to $18,525.10 for women.

Conclusions: Knowledge of the lifetime costs of preventive services may influence the decisions of patients, physicians, and insurance plans when purchasing or providing these services.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Ambulatory Care / economics
  • Child
  • Child, Preschool
  • Computer Simulation
  • Fees and Charges
  • Female
  • Health Care Costs*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Models, Theoretical
  • Practice Guidelines as Topic
  • Preventive Health Services / economics*
  • Preventive Health Services / standards
  • United States