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The effectiveness of a population-based skin cancer screening program: evidence from Germany

Author

Listed:
  • Micha Kaiser

    (University of Hohenheim)

  • Jörg Schiller

    (University of Hohenheim)

  • Christopher Schreckenberger

    (University of Hohenheim)

Abstract

In this paper, we analyze how a nationwide population-based skin cancer screening program (SCS) implemented in Germany in 2008 has impacted the number of hospital discharges following malignant skin neoplasm diagnosis and the malignant melanoma mortality rate per 100,000 inhabitants. Our panel data, drawn from the Eurostat database, cover subregions in 22 European countries, measured at the lowest nomenclature of territorial units for statistics (NUTS) level for 2000–2013. Applying fixed effects methods, we find a significantly positive and robust effect of the German SCS on the number of patients diagnosed with malignant skin neoplasm. However, the program does not significantly influence the melanoma mortality rate. This finding conflicts with the decreased melanoma mortality rate found for the pilot SCS program in northern Germany. Our results indicate that Germany’s nationwide SCS program is effective in terms of a higher diagnosis rate for malignant skin neoplasms and thus may contribute to an improvement in the early detection of skin cancer.

Suggested Citation

  • Micha Kaiser & Jörg Schiller & Christopher Schreckenberger, 2018. "The effectiveness of a population-based skin cancer screening program: evidence from Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(3), pages 355-367, April.
    • Handle: RePEc:spr:eujhec:v:19:y:2018:i:3:d:10.1007_s10198-017-0888-4
    DOI: 10.1007/s10198-017-0888-4
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    References listed on IDEAS

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    1. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    2. Sabates, Ricardo & Feinstein, Leon, 2006. "The role of education in the uptake of preventative health care: The case of cervical screening in Britain," Social Science & Medicine, Elsevier, vol. 62(12), pages 2998-3010, June.
    3. Deb, Partha & Gallo, William T. & Ayyagari, Padmaja & Fletcher, Jason M. & Sindelar, Jody L., 2011. "The effect of job loss on overweight and drinking," Journal of Health Economics, Elsevier, vol. 30(2), pages 317-327, March.
    4. Nora Eisemann & Annika Waldmann & Claus Garbe & Alexander Katalinic, 2015. "Development of a Microsimulation of Melanoma Mortality for Evaluating the Effectiveness of Population-Based Skin Cancer Screening," Medical Decision Making, , vol. 35(2), pages 243-254, February.
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    Cited by:

    1. Carpenter, Christopher S. & Churchill, Brandyn F. & Marcus, Michelle, 2023. "Bad lighting: Effects of youth indoor tanning prohibitions," Journal of Health Economics, Elsevier, vol. 88(C).

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    More about this item

    Keywords

    Cancer prevention; Fixed effect; Melanoma; Screening; Skin cancer;
    All these keywords.

    JEL classification:

    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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