Personalized Targeted Mailing Increases Mammography among Long-Term Noncompliant Medicare Beneficiaries: A Randomized Trial

Objectives. The study purpose was to increase mammography screening among older women by identifying female Medicare beneficiaries without a recent mammogram and assesses the cost-effectiveness of a personalized targeted mailing encouraging them to have a mammogram. Methods. A randomized paired cont...

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Veröffentlicht in:Medical care 2003-03, Vol.41 (3), p.375-385
Hauptverfasser: Van Harrison, R., Janz, Nancy K., Wolfe, Robert A., Tedeschi, Philip J., Chernew, Michael, Stross, Jeoffrey K., Huang, Xuelin, McMahon, Laurence F.
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Sprache:eng
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Zusammenfassung:Objectives. The study purpose was to increase mammography screening among older women by identifying female Medicare beneficiaries without a recent mammogram and assesses the cost-effectiveness of a personalized targeted mailing encouraging them to have a mammogram. Methods. A randomized paired controlled trial included 1229 pairs of women matched on zip code, race, and urban or rural county. Postintervention mammography claims were measured from November 1997 through December 1998. The subjects were female Medicare beneficiaries age ≥ 70, living in Michigan for ≥ 5 years, having no significant comorbidity likely to affect screening, and no mammogram for ≥ 5 years. Intervention subjects received a personally addressed letter from the Medical Director of Michigan Medicare with materials emphasizing the individual's lack of use of the Medicare mammography screening benefit, reasons for screening, and how to be screened. Results. Women who received the mailing were 60% more likely to have a subsequent mammogram (OR 1.6, P
ISSN:0025-7079
1537-1948
DOI:10.1097/01.MLR.0000053020.30060.F2