Differences in Breast Cancer Diagnosis and Treatment:Experiences of Insured and Uninsured Patients in a Safety Net Setting
To explore how well the safety net performs at eliminating differences in diagnosis and treatment of insured and uninsured women with breast cancer, we compared insured and uninsured women treated in a safety net setting. Controlling for socioeconomic characteristics, uninsured women are more likely...
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Veröffentlicht in: | NBER Working Paper Series 2008-03, p.13875 |
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creator | Bradley, Cathy J Farrell, Nicholas Shickle, Lisa M Neumark, David |
description | To explore how well the safety net performs at eliminating differences in diagnosis and treatment of insured and uninsured women with breast cancer, we compared insured and uninsured women treated in a safety net setting. Controlling for socioeconomic characteristics, uninsured women are more likely to be diagnosed with advanced disease, requiring more extensive treatment relative to insured women, and also experience delays in initiating and completing treatment. The findings suggest that, despite the safety net system, uninsured women with breast cancer are likely to require more costly treatment and to have worse outcomes, relative to insured women with breast cancer. |
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Controlling for socioeconomic characteristics, uninsured women are more likely to be diagnosed with advanced disease, requiring more extensive treatment relative to insured women, and also experience delays in initiating and completing treatment. The findings suggest that, despite the safety net system, uninsured women with breast cancer are likely to require more costly treatment and to have worse outcomes, relative to insured women with breast cancer.</description><identifier>ISSN: 0898-2937</identifier><identifier>DOI: 10.3386/w13875</identifier><language>eng</language><publisher>Cambridge, Mass: National Bureau of Economic Research</publisher><subject>Breast cancer ; Cancer therapies ; Censuses ; Cervical cancer ; Chemotherapy ; Disease control ; Economic theory ; Economics of Health ; Health care policy ; Health insurance ; Health services utilization ; Hospital administration ; Indigent care ; Mammography ; Medical diagnosis ; Medical screening ; Socioeconomic factors ; Uninsured people ; Womens health</subject><ispartof>NBER Working Paper Series, 2008-03, p.13875</ispartof><rights>Copyright National Bureau of Economic Research, Inc. 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The findings suggest that, despite the safety net system, uninsured women with breast cancer are likely to require more costly treatment and to have worse outcomes, relative to insured women with breast cancer.</description><subject>Breast cancer</subject><subject>Cancer therapies</subject><subject>Censuses</subject><subject>Cervical cancer</subject><subject>Chemotherapy</subject><subject>Disease control</subject><subject>Economic theory</subject><subject>Economics of Health</subject><subject>Health care policy</subject><subject>Health insurance</subject><subject>Health services utilization</subject><subject>Hospital administration</subject><subject>Indigent care</subject><subject>Mammography</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Socioeconomic factors</subject><subject>Uninsured people</subject><subject>Womens health</subject><issn>0898-2937</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>NBR</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNo90MFOwzAMANAcQGIM-ABOkTgX0mRNXW6wDZg0AdLGuUpaZ8rE0pFkgvH1ROuEL1bsZ0cyIVc5uxUC5N13LqAsTsiAQQUZr0R5Rs5DWDPGAVg-IL8Tawx6dA0Gah199KhCpGOVCp5OrFq5LthAlWvpMvXiBl28n_5s0dt-qDN05sLOY3tAH84eX-8qJhIPaxVdKINxT18x0gXGaN3qgpwa9Rnw8piHZPk0XY5fsvnb82z8MM-w5DwzjUTORFsaWeVtI1lbalOAVEJyKIqmkpXBlksJTBfYjEBr1mglFDMAupJiSG76tVvffe0wxHrd7bxLP9a5BKhyVhY8KdorbDpnQ731dqP8vs7ZSKYAXiZy3ROn0f-D_sLiD5L3b4Q</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Bradley, Cathy J</creator><creator>Farrell, Nicholas</creator><creator>Shickle, Lisa M</creator><creator>Neumark, David</creator><general>National Bureau of Economic Research</general><general>National Bureau of Economic Research, Inc</general><scope>CZO</scope><scope>MPB</scope><scope>NBR</scope><scope>XD6</scope><scope>OQ6</scope><scope>3V.</scope><scope>7WY</scope><scope>7WZ</scope><scope>7XB</scope><scope>87Z</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>F~G</scope><scope>K60</scope><scope>K6~</scope><scope>L.-</scope><scope>M0C</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>20080301</creationdate><title>Differences in Breast Cancer Diagnosis and Treatment:Experiences of Insured and Uninsured Patients in a Safety Net Setting</title><author>Bradley, Cathy J ; 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Controlling for socioeconomic characteristics, uninsured women are more likely to be diagnosed with advanced disease, requiring more extensive treatment relative to insured women, and also experience delays in initiating and completing treatment. The findings suggest that, despite the safety net system, uninsured women with breast cancer are likely to require more costly treatment and to have worse outcomes, relative to insured women with breast cancer.</abstract><cop>Cambridge, Mass</cop><pub>National Bureau of Economic Research</pub><doi>10.3386/w13875</doi></addata></record> |
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subjects | Breast cancer Cancer therapies Censuses Cervical cancer Chemotherapy Disease control Economic theory Economics of Health Health care policy Health insurance Health services utilization Hospital administration Indigent care Mammography Medical diagnosis Medical screening Socioeconomic factors Uninsured people Womens health |
title | Differences in Breast Cancer Diagnosis and Treatment:Experiences of Insured and Uninsured Patients in a Safety Net Setting |
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