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首页> 外文期刊>Journal of women’s health >The welcome to medicare visit: A missed opportunity for cancer screening among women?
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The welcome to medicare visit: A missed opportunity for cancer screening among women?

机译：医疗保险之行的欢迎：女性是否错过了进行癌症筛查的机会？

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摘要

Background: On January 1, 2005, Medicare began covering a Welcome to Medicare visit (WMV) for new enrollees with fee-for-service (FFS) Medicare (Parts A and B). The new benefit was expected to increase demand for mammography and Pap tests among women transitioning onto Medicare. This study examined whether Medicare's coverage of a WMV influenced the use of mammography and Pap tests among women aged 65 and 66 years with FFS Medicare. Methods: Medicare Current Beneficiary Survey (MCBS) data from 2001 to 2007 were linked with Medicare claims. Utilization rates for preventive visits, mammography, and Pap tests were measured among women entering Medicare. Multivariate logistic regressions were estimated to quantify the effects of the new Medicare benefit on the use of these screening tests, controlling for patient characteristics. Results: Regression-adjusted mammography and Pap test rates did not increase after WMV coverage was introduced. The 2005 reform had nonsignificant trivial effects on the use of both tests, most likely because few of the women who were eligible for a WMV took advantage of it. Conclusions: Medicare coverage of a WMV had no impact on mammography screenings or Pap tests among women who were eligible for the benefit.
机译：背景：自2005年1月1日起，Medicare开始为新注册的有服务付费（FFS）Medicare（部分A和B）的新成员参加“欢迎访问Medicare”（WMV）。预计新的好处将增加过渡到Medicare的女性对X线摄影和巴氏涂片检查的需求。这项研究检查了65岁和66岁的FFS Medicare患者中，Medicare对WMV的覆盖范围是否影响了乳房X线照片和巴氏涂片检查的使用。方法：将2001年至2007年的Medicare当前受益人调查（MCBS）数据与Medicare索赔相关联。测量了进入Medicare的妇女的预防性就诊，乳腺摄影和巴氏涂片检查的使用率。估计了多元逻辑回归，以量化新的Medicare福利对这些筛查测试的使用的影响，从而控制患者的特征。结果：引入WMV覆盖后，回归调整的乳腺摄影和巴氏试验率没有增加。 2005年的改革对两种测试的使用均无显着影响，最可能的原因是，有资格获得WMV的女性中很少有人利用它。结论：WMV的Medicare覆盖范围对符合受益条件的女性的乳房X线照片筛查或巴氏涂片检查没有影响。

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