ArticleHealth services research2017
Socioeconomic Differences in Use of Low-Value Cancer Screenings and Distributional Effects in Medicare.
Article in Health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Influence of Sociodemographic and Lifestyle Factors on Depression and Anxiety in Patients with Rheumatoid Arthritis in Saudi Arabia.International journal of environmental research and public health · 2025Article
- Decomposing socioeconomic differences in self-rated health and healthcare expenditure by chronic conditions and social determinants.International journal for equity in health · 2025Article
- Racial and Ethnic Differences in Low-Value Care Among Older Adults in a Large Statewide Health System.Journal of the American Geriatrics Society · 2025Article
- Associations of care continuity and care coordination with the overuse of healthcare services: a nationwide population-based study.BMC health services research · 2024Article
- Improving healthcare value: The need to explicitly address equity in high-value care.Journal of hospital medicine · 2024Article
- Presenting a Comprehensive Definition of Unnecessary Healthcare Services and Their Drivers: A Systematic Review and Meta-synthesis.Medical journal of the Islamic Republic of Iran · 2023Review
- A scoping review of de-implementation frameworks and models.Implementation science : IS · 2021Article
- External Validation of and Factors Associated with the Overuse Index: a Nationwide Population-Based Study from Taiwan.Journal of general internal medicine · 2021Article
- Relationships of Family History-related Factors and Causal Beliefs to Cancer Risk Perception and Mammography Screening Adherence Among Medically Underserved Women.Journal of health communication · 2020Article
- Effectiveness of Medicare cost-sharing elimination for Cancer screening on utilization.BMC health services research · 2019Article
- Promoting Health Equity through De-Implementation Research.Ethnicity & disease · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveConsuming low-value health care not only highlights inefficient resource use but also brings an important concern regarding the economics of disparities. We identify the relation of socioeconomic characteristics to the use of low-value cancer screenings in Medicare fee-for-service (FFS) settings, and quantify the amount subsidized from nonusers and taxpayers to users of these screenings. DATA SOURCES: 2007-2013 Medicare Current Beneficiary Survey, Medicare FFS claims, and the Area Health Resource Files. STUDY
designOur sample included enrollees in FFS Part B for the entire calendar year. We excluded beneficiaries with a claims-documented or self-reported history of targeted cancers, or those enrolled in Medicaid or Medicare Advantage plans. We identified use of low-value Pap smears, mammograms, and prostate-specific antigen tests based on established algorithms, and estimated a logistic model with year dummies separately for each test. DATA COLLECTION/EXTRACTION
methodsSecondary data analyses. PRINCIPAL
findingsWe found a statistically significant positive association between privileged socioeconomic characteristics and use of low-value screenings. Having higher income and supplemental private insurance strongly predicted more net subsidies from Medicare.
conclusionsFFS enrollees who are better off in terms of sociodemographic characteristics receive greater subsidies from taxpayers for using low-value cancer screenings.
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Registered trials
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