Assessing the effectiveness of Medicaid in breast and cervical cancer prevention.
Assessing the effectiveness of Medicaid in breast and cervical cancer prevention.
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评估医疗补助在预防乳腺癌和宫颈癌方面的有效性。
DOI：
10.1097/00124784-200307000-00009
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
Koroukian,SiranM
中科院分区：
文献类型：
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作者：
Koroukian,SiranM
大多数以前比较医疗补助和非医疗补助人群确诊时癌症阶段的研究都没有考虑到患者参加医疗补助计划的时间与癌症诊断的初始日期之间的关系。这项研究的结果表明，在乳腺癌或宫颈癌确诊前至少3个月参加该计划的医疗补助受益人在确诊时出现远处转移的可能性明显低于那些在癌症确诊前、确诊时或确诊后不久参加该计划的人。虽然这些结果积极地反映了医疗补助计划在癌症预防方面的有效性，但它们也为进一步加强医疗补助人群中的癌症筛查工作提供了支持。
Most previous studies comparing stage of cancer at diagnosis between Medicaid and non-Medicaid populations have not accounted for the patient's timing of enrollment in the Medicaid program in relation to the initial date of cancer diagnosis. Findings from this study indicate that Medicaid benefi ciaries having enrolled in the program at least 3 months before breast or cervical cancer diagnosis are significantly less likely to be seen with distant metastases on diagnosis than those enrolling in the Medicaid program shortly before, on, or after cancer diagnosis. Although these results reflect positively on the effectiveness of the Medicaid program in cancer prevention, they also provide support to further enhance cancer-screening efforts in the Medicaid population.