Mammographic screening: how to operate successfully at low cost

Area of Science:

• Radiology
• Public Health

Background:

• Mammographic screening for asymptomatic women requires cost-effective strategies distinct from diagnostic mammography.
• Detecting unsuspected abnormalities is the primary goal of screening, allowing for simplified procedures.

Purpose of the Study:

• To present a model for low-cost mammographic screening for asymptomatic women.
• To demonstrate the financial feasibility and operational efficiency of a streamlined screening program.

Main Methods:

• Streamlining operational procedures to maximize patient throughput.
• Implementing computerization for record-keeping and image interpretation.
• Operating a prototype screening program with a focus on large-scale efficiency.

Main Results:

• A prototype low-cost screening program demonstrated feasibility at $50 per patient with 15 patients daily.
• Economies of scale and computerization contribute to significant cost savings.
• Revenue from additional diagnostic mammograms and biopsy procedures offsets lower screening fees.

Conclusions:

• Low-cost mammographic screening is operationally feasible and financially viable.
• Streamlined processes and technology are key to reducing screening costs.
• This model supports wider access to mammographic screening for asymptomatic populations.