Project Impact: Massachusetts Health Care Reform and Mammography Screening

描述（由申请人提供）：筛查是一种重要的癌症监测工具，监测其使用对于更好地了解如何减少和消除乳腺癌差异非常重要。重要的是，筛查工作，特别是在城市，低SEP人群和有色人种人群中，平衡并保持高水平。人们普遍认为，马萨诸塞州的医疗改革将对那些以前没有保险的人的癌症筛查率产生积极影响。在医疗改革之前，没有保险的妇女通过妇女健康网络（一个联邦和州资助的项目）和移动乳房x光检查车获得乳房x光检查的机会有限。通过使用索赔数据来评估乳房x光检查的使用，并使用焦点小组来评估筛查经验的差异，我们将全面评估立法对以前没有保险的妇女的影响。

DESCRIPTION (provided by applicant): Screening is an important cancer surveillance tool and monitoring its use is important to better understand how to reduce and eliminate breast cancer disparities. It is important that screening efforts, particularly among urban, low SEP populations and populations of color equalize and remain high. It is widely believed that health care reform in Massachusetts will have a positive impact on cancer screening rates among those who have previously been uninsured. Prior to the health care reform, uninsured women had limited access to mammography screening through the Women's Health Network, a federal and state funded program, and through mobile mammography vans. By using claims data to evaluate mammography utilization and focus groups to assess differences in the screening experience, we will provide a comprehensive assessment of the impact of the legislation on women who were previously uninsured.