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- Title
Budget impact analysis of breast cancer screening in Italy: The role of new technologies.
- Authors
Foglia, Emanuela; Marinelli, Sissi; Garagiola, Elisabetta; Ferrario, Lucrezia; Depretto, Catherine; Cartia, Francesco; Ferranti, Claudio; Porazzi, Emanuele; Scaperrotta, Gianfranco
- Abstract
Although mammography screening significantly reduces breast cancer mortality, women could present different morphological characteristics that do not allow the correct vision of their breasts and the detection of cancer, resulting in a delay of diagnosis and an increase in the risk of mortality. The present study aims at analyzing potential areas of improvement of the current screening programs and then hypothesizing alternative technologies to use within the diagnostic phase, from an economic point of view. A Budget Impact Analysis approach was implemented, considering the Italian National Healthcare Service perspective, and representing the healthcare expenditure evolution, over three years. In the Budget Impact Analysis model, two distinct phases of the screening programs were considered: (1) the screening/diagnosis phase and (2) the phase related to cancer care and treatments of patients. The results provide clinicians and policy makers with a rational method to forecast economic resources in the screening programs in a general context of limited resources. In particular, results of the Budget Impact Analysis showed that, while the introduction of the ABUS InveniaTM technology into the screening programs would lead to an increase in the screening phase expenditure, it would generate an economic advantage related to the patients treatment and care.
- Subjects
ITALY; BREAST tumor diagnosis; MAMMOGRAMS; BREAST tumors; BUDGET; CANCER patients; CANCER patient medical care; COMPARATIVE studies; ECONOMIC aspects of diseases; REPORTING of diseases; FORECASTING; HOSPITALS; LIFE expectancy; MEDICAL care; MEDICAL care use; MEDICAL care costs; NATIONAL health services; SCIENTIFIC observation; POLICY sciences; QUALITY assurance; TECHNOLOGY; TIME; ULTRASONIC imaging; WOMEN'S health; COST analysis; GOVERNMENT programs; HUMAN services programs; HEALTH &; social status; DESCRIPTIVE statistics; EARLY detection of cancer
- Publication
Health Services Management Research, 2020, Vol 33, Issue 2, p66
- ISSN
0951-4848
- Publication type
Article
- DOI
10.1177/0951484819870963