Mammographic screening: measurement of the cost in a population based programme in Victoria, Australia

Hurley, Susan F., Livingston, Patricia M., Thane, Noel and Quang, Lichun 1994, Mammographic screening: measurement of the cost in a population based programme in Victoria, Australia, Journal of epidemiology & community health, vol. 48, no. 4, pp. 391-399.

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Title Mammographic screening: measurement of the cost in a population based programme in Victoria, Australia
Author(s) Hurley, Susan F.
Livingston, Patricia M.ORCID iD for Livingston, Patricia M.
Thane, Noel
Quang, Lichun
Journal name Journal of epidemiology & community health
Volume number 48
Issue number 4
Start page 391
End page 399
Total pages 9
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 1994-08
ISSN 0143-005X
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Summary STUDY OBJECTIVES: To estimate the cost per woman participating in a mammographic screening programme, and to describe methods for measuring costs. DESIGN: Expenditure, resource usage, and throughput were monitored over a 12 month period. Unit costs for each phase of the screening process were estimated and linked with the probabilities of each screening outcome to obtain the cost per woman screened and the cost per breast cancer detected. SETTING: A pilot, population based Australian programme offering free two-view mammographic screening. PARTICIPANTS: A total of 5986 women aged 50-69 years who lived in the target area, were listed on the electoral roll, had no previous breast cancer, and attended the programme. RESULTS: Unit costs for recruitment, screening, and recall mammography were $17.54, $60.04, and $175.54, respectively. The costs of clinical assessment for women with subsequent clear, benign, malignant (palpable), and malignant (impalpable) diagnoses were $173.71, $527.29, $436.62, and $567.22, respectively. The cost per woman screened was $117.70, and the cost per breast cancer detected was $11,550. CONCLUSIONS: The cost per woman screened is a key variable in assessment of the cost effectiveness of mammographic screening, and is likely to vary between health care settings. Its measurement is justified if decisions about health care services are to be based on cost effectiveness criteria.
Language eng
Field of Research 1117 Public Health And Health Services
1604 Human Geography
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©1994, BMJ Publishing
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