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Related Experiment Videos

A workplace breast cancer screening program. Costs and components

P Schrammel1, R I Griffiths, C B Griffiths

  • 1Program for Medical Technology and Practice Assessment, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses
|February 6, 1999
PubMed
Summary
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Workplace breast cancer screening is cost-effective for early detection. While referrals for benign conditions add costs, workplace programs save money compared to off-site screening, especially when considering employee productivity.

Area of Science:

  • Oncology
  • Occupational Health
  • Health Economics

Background:

  • Breast cancer screening offers early detection and saves lives.
  • Employer-sponsored health benefits increasingly include periodic screening and workplace programs.
  • Evaluating the economic impact of workplace screening is crucial for employers.

Purpose of the Study:

  • To determine employer costs associated with workplace breast cancer screening.
  • To analyze costs of referrals for suspicious findings and initial treatment of malignancies.
  • To compare workplace screening costs against hypothetical off-site screening costs.

Main Methods:

  • Collected cost data from an established employer-based breast cancer screening program (1989-1995).
  • Compared costs within the program to a hypothetical cohort screened off-site.

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  • Included costs of mammograms, clinical breast exams, referrals, and initial treatment.

    • Main Results:

    • The workplace program screened 1,416 women, performing ~2,500 mammograms and ~2,773 exams.
    • 292 referrals led to 12 malignancy detections (8 Stage I, 3 Stage II, 1 Stage III).
    • Total workplace program cost was $582,573; hypothetical off-site cost was $1,067,948. Employee lost productivity comprised ~47% of referral/treatment costs.

    Conclusions:

    • Workplace breast cancer screening is more efficient than off-site screening for early detection.
    • Referrals for benign or no disease constituted a significant portion of program costs.
    • Reducing unnecessary referrals could further enhance the efficiency of workplace screening programs.