caa a22 4500 469048654 CHVBK 20180323132824.0 cr unu---uuuuu 170328e19921201xx s 000 0 eng 10.1007/BF01323996 doi (NATIONALLICENCE)springer-10.1007/BF01323996 Legislative interventions to increase access to screening mammography [Elektronische Daten] [Martha McKinney, Katherine Marconi] Although numerous studies have established that breast cancer mortality can be significantly reduced through early detection, only a small percentage of women obtain screening mammograms at intervals recommended by the National Cancer Institute, the American Cancer Society, and other major medical organizations. This paper examines the importance of cost as a barrier to routine screening and the state legislative movement to make screening mammography a basic health insurance benefit. Mammography "knowledge, attitudes, and behavior” studies offer conflicting findings on the extent to which cost enters into the decision to have a mammogram. Women seldom report cost as a major reason for postponing or failing to have a mammogram; yet, descriptive studies show a consistently positive relationship between income and mammography use. State mammography reimbursement laws vary greatly with respect to whether screening mammography is a required or optional benefit, payment limits, and eligibility and referral requirements. Although state-specific data on the percentage of women with private health insurance are not available, 1987 National Medical Expenditure Survey estimates for U.S. Census geographic divisions suggest that the New England, East North Central, West North Central, Middle Atlantic, and Mountain states have the highest percentages of women who are privately-insured and, thus, potentially eligible for legislated mammography benefits. Access to screening mammography also is likely to be influenced by the proportion of employer-sponsored health plans that are self-insured and, therefore, exempt from minimum benefit mandates and the extent to which women are aware of the screening coverage. Human Sciences Press, Inc., 1992 McKinney Martha Bureau of Health Resources Development, Health Resources and Services Administration, Room 11-11, Parklawn Building, 5600 Fishers Lane, 20857, Rockville, MD aut Marconi Katherine aut Journal of Community Health Kluwer Academic Publishers-Human Sciences Press 17/6(1992-12-01), 333-349 0094-5145 17:6<333 1992 17 10900 https://doi.org/10.1007/BF01323996 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01323996 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- McKinney Martha Bureau of Health Resources Development, Health Resources and Services Administration, Room 11-11, Parklawn Building, 5600 Fishers Lane, 20857, Rockville, MD aut NATIONALLICENCE 700 1- Marconi Katherine aut NATIONALLICENCE 773 0- Journal of Community Health Kluwer Academic Publishers-Human Sciences Press 17/6(1992-12-01), 333-349 0094-5145 17:6<333 1992 17 10900 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer