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Mammography Screening in a Large Health System Following the U.S. Preventive Services Task Force Recommendations and the Affordable Care Act

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  • Heidi D Nelson
  • Roshanthi Weerasinghe
  • Lian Wang
  • Gary Grunkemeier

Abstract

Background: Practice recommendations for mammography screening were issued by the U.S. Preventive Services Task Force in 2009 and expansion of insurance coverage was provided under the Patient Protection and Affordable Care Act soon thereafter, yet the influence of these changes on screening practices in the United States is not known. Methods: To determine changes in mammography screening and their associations with new practice recommendations and the Affordable Care Act, we examined patient-level data from 249,803 screening mammograms from January 1, 2008 through December 31, 2012 in a large community-based health system in the northwestern United States. Associations were determined by an intervention analysis of time-series data method. Results: Among women screened, 64% were age 50-74 years; 84% self-identified as white race; 62% had commercial insurance; and 70% were seen in facilities located in metropolitan areas. Practice recommendations were associated with decreased screening volumes among women age

Suggested Citation

  • Heidi D Nelson & Roshanthi Weerasinghe & Lian Wang & Gary Grunkemeier, 2015. "Mammography Screening in a Large Health System Following the U.S. Preventive Services Task Force Recommendations and the Affordable Care Act," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-11, June.
    • Handle: RePEc:plo:pone00:0131903
    DOI: 10.1371/journal.pone.0131903
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    References listed on IDEAS

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    1. Amy T Wang & Jiaquan Fan & Holly K Van Houten & Jon C Tilburt & Natasha K Stout & Victor M Montori & Nilay D Shah, 2014. "Impact of the 2009 US Preventive Services Task Force Guidelines on Screening Mammography Rates on Women in Their 40s," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-6, March.
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    1. Hale Koç & Owen O’Donnell & Tom Van Ourti, 2018. "What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands," IJERPH, MDPI, vol. 15(9), pages 1-13, September.

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