Case Study Comparison Health Care Cost for High Blood Pressure

CaseStudyComparison:Health CareCostforHighBloodPressure

CaseStudyComparison:Health CareCostforHighBloodPressure

Thehealthcarecostsofaddressinghighbloodpressureof an oldadultpatientcan bedividedinto four majorcategories.Thefirstcategoryis thecostof laboratorytestingandscreening. On average,thetotalcostsof testingandregularscreening of hypertension is $ 230 per year(Price, 2014). Theaveragetestingandscreening costsper yearper patientincludeequipment,personnel,travel,supplies,andadministrativecosts.

Thesecondcategoryof costsis medication,which includesthecostof administeringdrugsto patientssufferingfrom hypertension. Healthcareproviders prescribea combinationof differentdrugsforpatientswith hypertension. Thesecan be categorizedinto severalgroups,includingbeta blockers, calcium channelblockers, aceinhibitors, loopdiuretics, ARBs, centralalpha agonists, thiazide diuretics, catecholamine depletors,arteriolar vasodilators, andACEinhibitors among others (GoodRX Incorporation, 2015).Themedicationprescribeddependson theconditionof thepatient,buttheannualaveragecostis $ 398 (Davis, 2012). Thecostof medicationmay alsovarydependingon thetypeof drugsprescribedforpatients.

Thethirdcategoryis thecostof ambulatory services.Ambulatoryinvolvemonitoring of bloodpressurereadingsfora periodof 24 hours,whilethepatientis in thenormalenvironment,which givesa correctreflectionof thebloodpressure.Theaveragecostof ambulatory servicesper annum is $ 488 (Davis, 2012). Theneedto useoscillometry orascultatorydevicesinflatesthecostof ambulatory services.

Thelastcategoryisreferredto as miscellaneouscostsandtheannualaveragecostof thiscategoryof expensesis $ 1.23. Therefore,theannualcostof treatinghighbloodpressureper patientis as shownin Table 1.

Table1: Total annual cost of treating high blood pressure per patient

Item

Amount ($)

Lab test and screening

230.00

Medication

398.00

Ambulatory services

488.00

Miscellaneous

1.23

Total

1,117.23

Table1 showthatambulatory servicesaccountforthelargestproportionof thecostof treatinghighbloodpressure.

References

Davis,E. (2012). Expendituresfor hypertension among adults age 18 and older, 2009: Estimates forthe U.S. civilian non-institutionalized population.Rockville, MD: Medical Expenditure Panel Survey.

GoodRXIncorporation (2015). Hypertension. GoodRXIncorporation.Retrieved February 28, 2015, from http://www.goodrx.com/hypertension

Nguyen,B. (2014). Direct costs per hypertension inpatient by diseaseclassification and cost category. BMChealth services research,14, 514-518.

Price,C. (2014, July 7). NHS health checks’ costs twice as much asopportunistic testing. Pulse.Retrieved February 28, 2015, fromhttp://www.pulsetoday.co.uk/clinical/cardiovascular/nhs-health-checks-costs-twice-as-much-as-opportunistic-testing/20007086.article#.VPHc545QLIU