Browse

Feasible economic strategies to improve screening compliance for colorectal cancer in Korea

Cited 0 time in Web of Science Cited 0 time in Scopus
Authors
Park, Sang Min; Yun, Young Ho; Kwon, Soonman
Issue Date
2005-03
Publisher
Baishideng Publishing Group Co. Limited
Citation
WORLD JOURNAL OF GASTROENTEROLOGY Vol.11 No.11, pp. 1587-1593
Keywords
의약학Cost-effectiveness analysisColorectal cancerScreeningComplianceNational health insuranceCoverageReimbursement
Abstract
Aim: While colorectal cancer (CRC) is an ideal target for population screening, physician and patient attitudes contribute to low levels of screening uptake. This study was carried out to find feasible economic strategies to improve the CRC screening compliance in Korea. Methods: The natural history of a simulated cohort of 50-year-old Korean in the general population was modeled with CRC screening until the age of 80 years. Cases of positive results were worked up with colonoscopy. After polypectomy, colonoscopy was repeated every 3 years. Baseline screening compliance without insurance coverage by the national health insurance (NHI) was assumed to be 30%. If NHI covered the CRC screening or the reimbursement of screening to physicians increased, the compliance was assumed to increase. We evaluated 16 different CRC screening strategies based on Markov model. Results: When the NHI did not cover the screening and compliance was 30%, non-dominated strategies were colonoscopy every 5 years (COL5) and colonoscopy every 3 years (COL3). In all scenarios of various compliance rates with raised coverage of the NHI and increased reimbursement of colonoscopy, COL10, COL5 and COL3 were non-dominated strategies, and COL10 had lower or minimal incremental medical cost and financial burden on the NHI than the strategy of no screening. These results were stable with sensitivity analyses. Conclusion: Economic strategies for promoting screening compliance can be accompanied by expanding insurance coverage by the NHI and by increasing reimbursement for CRC screening to providers. COL10 was a cost-effective and cost saving screening strategy for CRC in Korea. ? 2005 The WJG Press and Elsevier Inc. All rights reserved.
ISSN
1007-9327
Language
English
URI
https://hdl.handle.net/10371/81868
Files in This Item:
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)Journal Papers (저널논문_의학과)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse