Affordable Care Act Changes To Medicare Led To Increased Diagnoses Of Early-Stage Colorectal Cancer Among Seniors
Affordable Care Act Changes To Medicare Led To Increased Diagnoses Of Early-Stage Colorectal Cancer Among Seniors
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DOI：
10.1377/hlthaff.2016.0607
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发表时间：
2017-01-01
期刊：
影响因子：
9.7
通讯作者：
Yao, Nengliang Aaron
中科院分区：
文献类型：
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作者：
Lissenden, Brett;Yao, Nengliang Aaron
《平价医疗法案》（ACA）帮助数百万美国人更负担得起和更容易获得预防性医疗，包括推荐的癌症筛查。使用来自监测，流行病学和最终结果（SEER）计划的基于人群的数据，我们估计了ACA政策变化的影响，以促进在更早和更可治疗的阶段诊断癌症。我们估计，ACA导致2011-13年期间美国老年人中早期结直肠癌的诊断增加了8，400（8%）。然而，ACA对同一时期早期乳腺癌的诊断数量没有明显的影响。很可能ACA最初对结直肠癌诊断的影响大于乳腺癌，因为结直肠癌的自付费用下降幅度大于乳腺癌筛查。
The Affordable Care Act (ACA) helped make preventive care, including recommended cancer screening, more affordable and accessible for millions of Americans. Using population-based data from the Surveillance, Epidemiology, and End Results (SEER) Program, we estimated the impact of ACA policy changes to facilitate the diagnosis of cancer at an earlier and more treatable stage. We estimated that the ACA resulted in an increase of 8,400 (8 percent) diagnoses of early-stage colorectal cancer among US seniors in the period 2011-13. However, the ACA had no distinguishable effect on the number of diagnoses of early-stage breast cancer over the same time period. It is likely that the ACA initially affected the diagnosis of colorectal cancer more than that of breast cancer because the decrease in out-of-pocket spending was larger for colorectal than for breast cancer screening.