Analysis of the cost-effectiveness of mammography promotion by volunteers in rural communities

被引:37
作者
Andersen, MR
Hager, M
Su, C
Urban, N
机构
[1] Fred Hutchinson Canc Res Ctr, Seattle, WA 98109 USA
[2] MIT, Cambridge, MA 02139 USA
关键词
D O I
10.1177/109019802237942
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The Community Trial of Breast Cancer Screening Pro motion assessed the effectiveness and cost-effectiveness of mammography promotion by community volunteer groups in ru rat areas using three different intervention approaches: individual counseling. community activities, and a combined intervention including both. Societal costs of the interventions were calculated and used in conjunction with measures of effectiveness to calculate cost-effectiveness in terms of cost per additional mammogram and cost per year of life saved. Methods of collecting and using cost information to assess the cost-effectiveness of community interventions are described. The Community Activities intervention was found to be the most cost-effective, at approximately $2.000 for each additional regular mammography user in the community. The cost per year of life saved associated with mammography promotion was approximately $56,000 per year of life saved. Exploratory analyses suggest that the most cost-effective method of promoting mammography use may vary with the target population.
引用
收藏
页码:755 / 770
页数:16
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