Lissenden Brett, Yao Nengliang Aaron
Brett Lissenden (
Nengliang "Aaron" Yao is an assistant professor in the Department of Public Health Sciences, University of Virginia.
Health Aff (Millwood). 2017 Jan 1;36(1):101-107. doi: 10.1377/hlthaff.2016.0607.
The Affordable Care Act (ACA) helped make preventive care, including recommended cancer screening, more affordable and accessible for millions of Americans. Using population-based data from the Surveillance, Epidemiology, and End Results (SEER) Program, we estimated the impact of ACA policy changes to facilitate the diagnosis of cancer at an earlier and more treatable stage. We estimated that the ACA resulted in an increase of 8,400 (8 percent) diagnoses of early-stage colorectal cancer among US seniors in the period 2011-13. However, the ACA had no distinguishable effect on the number of diagnoses of early-stage breast cancer over the same time period. It is likely that the ACA initially affected the diagnosis of colorectal cancer more than that of breast cancer because the decrease in out-of-pocket spending was larger for colorectal than for breast cancer screening.
《平价医疗法案》（ACA）帮助数百万美国人更能负担得起并更容易获得预防性医疗服务，包括推荐的癌症筛查。利用监测、流行病学和最终结果（SEER）计划的基于人群的数据，我们估计了ACA政策变化对在更早且更可治疗阶段促进癌症诊断的影响。我们估计，ACA导致2011 - 13年期间美国老年人中早期结直肠癌的诊断增加了8400例（8%）。然而，在同一时期，ACA对早期乳腺癌的诊断数量没有明显影响。ACA最初对结直肠癌诊断的影响可能比对乳腺癌诊断的影响更大，因为结直肠癌筛查的自付费用下降幅度大于乳腺癌筛查。
