Targeting services to reduce social inequalities in utilisation: an analysis of breast cancer screening in New South Wales.
BACKGROUND
Many jurisdictions have used public funding of health care to reduce or remove price at the point of delivery of services. Whilst this reduces an important barrier to accessing care, it does nothing to discriminate between groups considered to have greater or fewer needs. In this paper, we consider whether active targeted recruitment, in addition to offering a 'free' service, is associated with a reduction in social inequalities in self-reported utilization of the breast screening services in NSW, Australia.


METHODS
Using the 1997 and 1998 NSW Health Surveys we estimated probit models on the probability of having had a screening mammogram in the last two years for all women aged 40-79. The models examined the relative importance of socio-economic and geographic factors in predicting screening behaviour in three different needs groups - where needs were defined on the basis of a woman's age.


RESULTS
We find that women in higher socio-economic groups are more likely to have been screened than those in lower groups for all age groups. However, the socio-economic effect is significantly less among women who were in the actively targeted age group.


CONCLUSIONS
This indicates that recruitment and follow-up was associated with a modest reduction in social inequalities in utilisation although significant income differences remain.
Birch
Stephen
S
Centre for Health Economics Research and Evaluation, University of Technology Sydney, PO Box 123 Broadway, Sydney, Australia. birch@mcmaster.ca
Haas
Marion
M
Savage
Elizabeth
E
Van Gool
Kees
K