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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w26162 |
来源ID | Working Paper 26162 |
Screening and Selection: The Case of Mammograms | |
Liran Einav; Amy Finkelstein; Tamar Oostrom; Abigail J. Ostriker; Heidi L. Williams | |
发表日期 | 2019-08-19 |
出版年 | 2019 |
语种 | 英语 |
摘要 | Debates over whether and when to recommend screening for a potential disease focus on the causal impact of screening for a typical individual covered by the recommendation, who may differ from the typical individual who responds to the recommendation. We explore this distinction in the context of recommendations that breast cancer screening start at age 40. The raw data suggest that responders to the age 40 recommendation have less cancer than do women who self-select into screening at earlier ages. Combining these patterns with a clinical oncology model allows us to infer that responders to the age 40 recommendation also have less cancer than women who never screen, suggesting that the benefits of recommending early screening are smaller than if responders were representative of covered individuals. For example, we estimate that shifting the recommendation from age 40 to age 45 results in over three times as many deaths if responders were randomly drawn from the population than under the estimated patterns of selection. These results highlight the importance of considering the characteristics of responders when making and designing recommendations. |
主题 | Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w26162 |
来源智库 | National Bureau of Economic Research (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/583836 |
推荐引用方式 GB/T 7714 | Liran Einav,Amy Finkelstein,Tamar Oostrom,et al. Screening and Selection: The Case of Mammograms. 2019. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
w26162.pdf(617KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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