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首页> 外文期刊>Journal of health economics >The impact of financing of screening tests on utilization and outcomes: The case of amniocentesis
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The impact of financing of screening tests on utilization and outcomes: The case of amniocentesis

机译：筛查测试资金对利用率和结果的影响：羊膜穿刺术

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We use a 1993 policy change in Israel's public healthcare system that lowered the eligibility age for amniocentesis to 35 to study the effects of financing of screening tests. Financing is found to have increased amniocentesis testing by about 35%. At ages above the eligibility threshold, utilization rates rose to roughly 33%, reflection nearly full takeup among prospective users of amniocentesis. Additionally, whereas below the age-35 threshold amniocentesis utilization rates increase with maternal age, this relation is muted above this age. Finally, no evidence is found that financing affects outcomes such as pregnancy terminations and births of children with Down syndrome. These results support the view that women above the eligibility threshold tend to refrain from acquiring inexpensive information about their degree of risk that absent the financing they would acquire, and instead, undergo the accurate and costly test regardless of additional information that noninvasive screening would provide. (C) 2016 Elsevier B.V. All rights reserved.
机译：我们使用1993年以色列公共医疗体系中的一项政策变更，将羊膜腔穿刺术的资格年龄降低到35岁，来研究筛查测试经费筹措的效果。发现融资使羊膜穿刺术测试增加了约35％。在超过资格门槛的年龄段，利用率提高到大约33％，这反映了羊膜腔穿刺术的潜在使用者几乎全部吸收。此外，尽管低于35岁阈值的羊膜穿刺术使用率随产妇年龄的增加而增加，但在该年龄以上这种关系被忽略。最后，没有证据表明筹资会影响诸如妊娠终止和唐氏综合症儿童的出生等结局。这些结果支持这样一种观点，即高于合格阈值的妇女倾向于避免获取缺乏其可能缺乏的融资风险程度的廉价信息，而是接受准确而昂贵的测试，而与无创筛查所提供的其他信息无关。 （C）2016 Elsevier B.V.保留所有权利。

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