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The logistics of complying with current American Cancer Society breast cancer screening recommendations in a large health maintenance organization, serving more than 50,000 women age 40 or older, are described. An alternative screening approach estimated to be at least as health-effective as the American Cancer Society recommendations has been developed and appears to solve the problem and is financially feasible. Cost-effectiveness depends on optimal use of mammography and health-care personnel resources. The authors show how the start-up and maintenance costs of an organized program can be offset by future cost savings resulting from reduced long-term disability in patients diagnosed at Stages 0-1 as opposed to Stages 2 and later. Careful selection of the delivery model before implementation can make a breast cancer screening program cost-effective as well as health-effective.
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
May 2000,
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne,
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
August 1989,
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A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
January 2000,
European journal of radiology,
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
April 1992,
Cancer,
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
January 1994,
BMJ (Clinical research ed.),
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
February 2011,
AIDS policy & law,
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
October 1996,
European journal of cancer (Oxford, England : 1990),
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
April 2010,
Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico,
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
January 1999,
Modern healthcare,
A P Carter, and
R S Thompson, and
R V Bourdeau, and
J Andenes, and
H Mustin, and
H Straley
December 1980,
AORN journal,
