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Related Experiment Videos

Legislative interventions to increase access to screening mammography.

M M McKinney1, K M Marconi

  • 1Bureau of Health Resources Development, Health Resources and Services Administration, Rockville, MD 20857.

Journal of Community Health
|December 1, 1992
PubMed
Summary

Low screening mammogram rates persist despite proven benefits. Cost is a significant barrier, influencing legislative action for insurance coverage and impacting women

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Area of Science:

  • Public Health
  • Health Services Research
  • Oncology

Background:

  • Early detection significantly reduces breast cancer mortality.
  • Despite recommendations, screening mammogram utilization remains low.
  • Cost is a potential barrier to routine mammography screening.

Purpose of the Study:

  • Examine cost as a barrier to routine screening mammography.
  • Analyze state legislative efforts to mandate mammography as a health insurance benefit.
  • Investigate the relationship between income, insurance, and mammography use.

Main Methods:

  • Review of "knowledge, attitudes, and behavior" studies on mammography.
  • Analysis of descriptive studies correlating income and mammography use.
  • Examination of state mammography reimbursement laws and insurance coverage variations.

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Main Results:

  • Conflicting findings on cost as a self-reported barrier, yet income correlates positively with use.
  • State laws mandating screening mammography benefits vary widely.
  • Geographic variations exist in private health insurance coverage, impacting eligibility for mandated benefits.

Conclusions:

  • Cost remains an indirect but significant barrier to screening mammography.
  • State legislative action is crucial for expanding insurance coverage for mammograms.
  • Awareness of coverage and insurance plan type influence access to screening mammography.