Borràs J M, Espinas J A, Beemsterboer P M, Granados A, de Koning H J
Catalan Institute of Oncology.
Int J Technol Assess Health Care. 1998 Spring;14(2):268-76. doi: 10.1017/s0266462300012241.
A breast cancer screening program mainly aims at reducing mortality. However, it also has an effect, often not assessed, on the utilization of health care resources that is relevant to health care policy making. Using a simulation model, this paper forecasts the impact of introducing a breast cancer screening program on the utilization of resources for the primary therapy of breast cancer. The most important consequences from a health care point of view will be an increased use of breast-conserving therapy and an increased need for postoperative radiotherapy; there will also be a higher number of women diagnosed with noninvasive breast cancer. The results of this study could provide support for health care decision making by showing the consequences of policy decisions on the introduction of screening programs for health care utilization.
乳腺癌筛查项目主要旨在降低死亡率。然而，它对医疗保健资源的利用也有影响，而这种影响往往未被评估，这与医疗保健政策制定相关。本文使用一个模拟模型预测引入乳腺癌筛查项目对乳腺癌初级治疗资源利用的影响。从医疗保健的角度来看，最重要的后果将是保乳治疗的使用增加以及术后放疗需求的增加；被诊断为非侵袭性乳腺癌的女性数量也会增加。这项研究的结果可以通过展示政策决策对引入筛查项目以用于医疗保健利用的后果，为医疗保健决策提供支持。
