Awardee-specific economic costs of providing cancer screening and health promotional services to medically underserved women eligible in the National Breast and Cervical Cancer Early Detection Program

Subramanian, Sujha; Ekwueme, Donatus U.; Miller, Jacqueline W.; Khushalani, Jaya S.; Trogdon, Justin G.; Wong, Faye L.

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Awardee-specific economic costs of providing cancer screening and health promotional services to medically underserved women eligible in the National Breast and Cervical Cancer Early Detection Program

Published Date:

May 20 2019

Source:

Cancer Causes Control. 30(8):827-834

Language:

English

Public Access Version Available on: February 01, 2020

Please check back on the date listed above.

Details:

Personal Authors:

Subramanian, Sujha ; Ekwueme, Donatus U. ; Miller, Jacqueline W. ; Khushalani, Jaya S. ; Trogdon, Justin G. ; ... More ▼

Keywords:

[+]

Pubmed ID:

31111278

Pubmed Central ID:

PMC6676482

Description:

Objectives

To estimate awardee-specific costs of delivering breast and cervical cancer screening services in their jurisdiction and to assess potential variation in the cost of key activities across awardees.

Methods

We developed the cost assessment tool to collect resource use and cost data from the National Breast and Cervical Cancer Early Detection Program awardees for 3 years between 2006 and 2010 and generated activity-based cost estimates. We estimated awardee-specific cost per woman served for all activities, clinical screening delivery services, screening promotion interventions, and overarching program support activities.

Results

The total cost per woman served by the awardees varied greatly from $205 (10th percentile) to $499 (90th percentile). Differences in the average (median) cost per person served for clinical services, health promotion interventions, and overarching support activities ranged from $51 to $125.

Conclusions

The cost per woman served varied across awardee and likely reflected underlying differences across awardees in terms of screening infrastructure, population served, and barriers to screening uptake. Collecting information on contextual factors at the awardee, health system, provider, and individual levels may assist in understanding this variation in cost.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

CC999999/Intramural CDC HHS/Intramural CDC HHS/United States
Contract No. 200-2002-00575 TO 06/NCCDPHP CDC HHS/National Center for Chronic Disease Prevention and Health Promotion/United States
200-2008-27958 TO 9/NCCDPHP CDC HHS/National Center for Chronic Disease Prevention and Health Promotion/United States

Main Document Checksum:

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