Article Figures & Data
Figures
- Figure 1
Proportion of hospitalized women willing to pay each of 6 amounts for inpatient screening mammography.
Tables
- Table 1
Characteristics of Hospitalized Women Who Would Be Willing to Have a Mammogram During a Hospitalization if it Were Due, Stratified by WTP Status
Characteristics Willing to Pay Towards Mammogram Cost
(N = 139)Not Willing to Pay Towards Mammogram Cost
(N = 54)P Valuea Age (y), mean (SD) 61.5 (7.6) 61 (6.7) 0.67b Race Caucasian, N (%) 90 (65) 37 (69) 0.79 African American, N (%) 46 (33) 15 (28) Others, N (%) 3 (2) 2 (4) Education less than high school, N (%) 46 (33) 15 (28) 0.60 Body Mass Index (kg/m2), mean (SD) 34.6 (11.0) 34 (11.3) 0.74b Annual household income less than $20,000, N (%)c 85 (63) 26 (48) 0.07 Medically uninsured, N (%) 9 (7) 2 (4) 0.69 Family history of breast cancer, N (%)d 18 (13) 11 (20) 0.26 3 or more comorbidities, N (%)e 84 (60) 20 (37) 0.004 Have a primary care doctor, N (%) 128 (92) 50 (93) 0.91 Non-adherent with mammogram screening, N (%)f 55 (40) 19 (35) 1.00 5 year Gail Score Score N (%)g 47 (34) 21 (39) 0.51 -
↵a χ2 with Yates corrected P value where at least 20% of frequencies were <5.
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↵b Unpaired t-test statistic.
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↵c Nine patients elected not to answer the question.
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↵d Family history of breast cancer was defined as breast cancer in first-degree relatives like mother, sisters, or daughters.
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↵e Comorbidities included diabetes, hypertension, heart disease, chronic kidney disease, stroke, congestive heart failure, chronic obstructive pulmonary disease, and cancers other than skin or breast.
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↵f Women who reported that their most recent screening mammogram had taken place more than 2 years before the study survey were deemed nonadherent.
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↵g Gail score estimated using the National Cancer Institute Breast Cancer Risk Tool (http://www.cancer.gov/bcrisktool/).
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Supplemental Appendix
Supplemental Appendix
Files in this Data Supplement:
- Supplemental data: Appendix - PDF file 1 page + cover
In Brief
Hospitalized Women?s Willingness to Pay for an Inpatient Screening Mammogram
Waseem Khaliq , and colleagues
Background With 40 percent of hospitalized women not up to date with breast cancer screening, this study examined whether and how much money hospitalized women would be willing to contribute towards the cost of an inpatient screening mammogram.
What This Study Found Among 193 hospitalized women amenable to inpatient screening, most were willing to contribute money to offset the cost of screening mammography. Specifically, 72 percent of women were willing to pay an average of $83.41 in advance toward inpatient screening mammogram costs. The authors suggest that this may not be a surprising finding because some of the barriers women face when attempting to have a mammogram (difficulty arranging transportation, forgetting to schedule the test, desire to avoid losing time at work, etc.) are less relevant when the mammography is performed during hospitalization.
Implications
- The authors suggest offering mammograms to nonadherent hospitalized women, especially those who are at high risk of developing breast cancer.
