Breen N, Brown M L
Applied Research Branch, National Cancer Institute, Bethesda, MD 20892.
Milbank Q. 1994;72(3):431-50.
Data from the National Survey of Mammography Facilities are used to explore the efficiency of service delivery by mammography facilities. Screening mammography generally costs $100 or more. This study outlines principles recommended to lower unit costs of screening mammography and examines the extent to which facilities surveyed employed them. It reports charges, volume, and other facility characteristics, comparing them with the assumptions regarding these features in a study by the Physician Pricing Review Commission. That study, sponsored by the federal government, concluded that screening mammography can be delivered for around $60; however, only 14 percent of the facilities achieved the requisite volume of 15 or more mammograms per day. Facilities must become more efficient in order to charge the lower rates. This case study may have relevance for other potentially expensive preventive measures and medical procedures.
国家乳房X光检查设施调查的数据被用于探究乳房X光检查设施的服务提供效率。乳房X光筛查通常花费100美元或更多。本研究概述了为降低乳房X光筛查单位成本而推荐的原则，并考察了接受调查的设施采用这些原则的程度。它报告了收费、检查量以及其他设施特征，并将它们与医师定价审查委员会一项研究中关于这些特征的假设进行比较。由联邦政府赞助的该研究得出结论，乳房X光筛查的费用可以控制在60美元左右；然而，只有14%的设施达到了每天15例或更多乳房X光检查的必要检查量。设施必须提高效率才能收取更低的费用。本案例研究可能与其他潜在昂贵的预防措施和医疗程序相关。
