The effect of organised breast screening on mammography use
Evidence from France
Abstract: In 2004, France introduced a national program of organized breast cancer screening. Using data from multiple waves of a nationally representative biennial survey of the French population, we estimate the effect of organized screening on the percentage of women obtaining a mammogram. The analysis uses difference-in-differences methods to exploit the fact that the program was targeted at women in a specific age group: 50 to 74 years old. We find that organized screening significantly raised mammography rates among women in the target age range.Estimated effects are particularly large for women with less education and lower incomes, suggesting that France's organized screening program has reduced socioeconomic disparities in access to mammography.
Presenter: Professor Thomas Buchmueller is a Research Associate of the National Bureau of Economic Research and is an elected member of the Board of Directors of the American Society of Health Economists. In 2011-12, he served as the Senior Health Economist at the White House Council of Economic Advisers. Prior to joining the Ross School in 2006, Buchmueller was a Professor at the University of California-Irvine’s Paul Merage School of Business. Other prior academic appointments include: Professeur Invité at the University of Bordeaux (2015-16), Packer Policy Fellow at the University of Technology Sydney’s Centre for Health Economic Research and Evaluation (2006-2007), Visiting Scholar at the Federal Reserve Bank of San Francisco (2005-2006), and Visiting Research Scholar at INSEAD (2001-02).
Professor Buchmueller is a health economist who is an expert on the economics of health insurance and related public policies. He has done extensive research on the link between health insurance and the labor market in the U.S., consumer demand for health insurance, the interaction between public policies and private insurance markets, and health care reform. In addition to his research on U.S. policy topics, he has published studies on the economics of health insurance in France, Australia and the Netherlands. Much of his current research focuses on health care reform in the U.S., with a particular emphasis on the effect of the Affordable Care Act’s insurance coverage expansions on patients and provider organizations.
Professor Buchmueller received his Ph.D. in economics from the University of Wisconsin-Madison and his B.A., also in economics, from Carleton College.