title: The impact of insurance coverage during insurance reform on diagnostic resolution of cancer screening abnormalities.
abstract: We examined the impact of Massachusetts insurance reform on the care of women at six community health centers with abnormal breast and cervical cancer screening to investigate whether stability of insurance coverage was associated with more timely diagnostic resolution. We conducted Cox proportional hazards models to predict time from cancer screening to diagnostic resolution, examining the impact of 1) insurance status at time of screening abnormality, 2) number of insurance switches over a three-year period, and 3) insurance history over a three-year period. We identified 1,165 women with breast and 781 with cervical cancer screening abnormalities. In the breast cohort, Medicaid insurance at baseline, continuous public insurance, and losing insurance predicted delayed resolution. We did not find these effects in the cervical cohort. These data provide evidence that stability of health insurance coverage with insurance reform nationally may improve timely care after abnormal cancer screening in historically underserved women.
authors.forename: Alok
authors.initials: A
authors.lastname: Kapoor
authors.forename: Tracy A
authors.initials: TA
authors.lastname: Battaglia
authors.forename: Alexis P
authors.initials: AP
authors.lastname: Isabelle
authors.forename: Amresh D
authors.initials: AD
authors.lastname: Hanchate
authors.forename: Richard L
authors.initials: RL
authors.lastname: Kalish
authors.forename: Sharon
authors.initials: S
authors.lastname: Bak
authors.forename: Rebecca G
authors.initials: RG
authors.lastname: Mishuris
authors.forename: Swati M
authors.initials: SM
authors.lastname: Shroff
authors.forename: Karen M
authors.initials: KM
authors.lastname: Freund
mesh_terms: D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000191:economics*; D055088:Early Detection of Cancer / Q000191:economics / Q000706:statistics & numerical data; D005260:Female; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D006801:Humans; D019458:Insurance Coverage / Q000191:economics / Q000331:legislation & jurisprudence*; D008404:Massachusetts; D017057:Medically Uninsured / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000191:economics*; D055815:Young Adult