Utilization of Screening Mammograms in the Medicare Population Before and After the Affordable Care Act Implementation.
J Aging Health
; 32(1): 25-32, 2020.
Article
em En
| MEDLINE
| ID: mdl-30246588
ABSTRACT
Objective:
This study examined screening mammograms in women aged 65 to 74 years and 75+ years before and after the Affordable Care Act (ACA) implementation.Method:
This repeated cross-sectional study of community-dwelling women age 65+ years without a history of breast cancer or mastectomy utilized the Medicare Current Beneficiary Survey and Medicare fee-for-service claims data from 2001 to 2013. We used covariate-adjusted logistic regression with generalized estimating equations, stratified by age group.Results:
The adjusted odds of screening mammograms in women aged 65-74 (n = 742) and 75+ years (n = 681) were lower in 2013 (odds ratio [OR] 0.75, 95% confidence interval [CI] [0.67, 0.83]; OR 0.67, 95% CI [0.60, 0.75], respectively) than the odds of screening mammograms in 2001.Discussion:
Annual screening mammograms decreased in women aged 65 to 74 years and 75+ years, despite increased access from the ACA implementation. Future research as to why women are no longer receiving screening mammograms, such as changes in physician specialty guidelines, is warranted.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Mamografia
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Aceitação pelo Paciente de Cuidados de Saúde
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Programas de Rastreamento
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Patient Protection and Affordable Care Act
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article