The effects of organized screening programs on the demand for mammography in Switzerland.
The objective of this study is to estimate the causal effect of organized mammography screening programs on the proportion of women between 50 and 69 years of age who have ever used mammography. We exploit the gradual implementation of organized screening programs in nine Swiss cantons using a difference-in-difference approach. An analysis of four waves of the Swiss Health Survey shows that 3.5-5.4% points of the 87.9% utilization rate in cantons with screening programs in 2012 can be attributed to these organized programs. This effect indicates that organized programs can motivate women who have never done mammography to initiate screening.
Institute of Economic Research, University of Neuchâtel, Rue A.-L. Breguet 2, 2000, Neuchâtel, Switzerland. markpletscher@gmx.ch.|Winterthur Institute of Health Economics, Zurich University of Applied Sciences, Gertrudstrasse 15, 8400, Winterthur, Switzerland. markpletscher@gmx.ch.
Mark
M
Pletscher
D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D001943:Breast Neoplasms / Q000175:diagnosis*; D003153:Community Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008327:Mammography / Q000706:statistics & numerical data*; D008875:Middle Aged; D012907:Smoking / Q000453:epidemiology; D012959:Socioeconomic Factors; D013557:Switzerland / Q000453:epidemiology
Difference-in-difference; Mammography; Screening; Switzerland