Perceptions of insurance coverage for screening mammography among women in need of screening

摘要: Breast carcinoma remains the second leading cause of cancer death among women in U.S. The American Cancer Society estimated that 40,580 died and another 215,990 were diagnosed with breast 2004 alone.1 Screening mammography is viewed as an important means detecting early,2 utilization has increased over past decade. Yet 2002, nearly 25% age ≥ 40 years had not received a mammogram within 2 years,3 40% low-income never mammogram.4 As efforts are made to further increase screening, it becomes more understand various barriers receiving mammograms. Insurance cost noticeably salient concerns reported by who do receive Studies repeatedly show health insurance status type significantly predictive use,5–11 although these effects vary.12,13 Cost also been shown be barrier widely studied.14–22 However, our knowledge little attention paid considering context actual coverage information.23 varies considerably coverage. Women private or Medicaid typically fully covered for screening mammogram. insured Medicare 80% coverage, leaving responsible pay approximately $30 out-of-pocket, depending on where they live. dually have anything. Uninsured full must take advantage reduced programs such Cervical Control Program. Data from population minority patients rural clinic North Carolina at least year used explore issues possible reasons nonadherence guidelines. These data included number questions regarding relation use. results here implications providers policymakers attempting promote use mammograms > need