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Screening and selection: The case of mammograms

By: Einav, Liran et al.
Material type: materialTypeLabelBookPublisher: The American Economic Review Description: 110(12), Dec, 2020: p.3836-3870.Subject(s): Health - Government policy, Health regulation, Public health In: The American Economic ReviewSummary: We analyze selection into screening in the context of recommendations that breast cancer screening start at age 40. Combining medical claims with a clinical oncology model, we document that compliers with the recommendation are less likely to have cancer than younger women who select into screening or women who never screen. We show this selection is quantitatively important: shifting the recommendation from age 40 to 45 results in three times as many deaths if compliers were randomly selected than under the estimated patterns of selection. The results highlight the importance of considering characteristics of compliers when making and designing recommendations. – Reproduced
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Articles Articles Indian Institute of Public Administration
110(12), Dec, 2020: p.3836-3870 Available AR124905

We analyze selection into screening in the context of recommendations that breast cancer screening start at age 40. Combining medical claims with a clinical oncology model, we document that compliers with the recommendation are less likely to have cancer than younger women who select into screening or women who never screen. We show this selection is quantitatively important: shifting the recommendation from age 40 to 45 results in three times as many deaths if compliers were randomly selected than under the estimated patterns of selection. The results highlight the importance of considering characteristics of compliers when making and designing recommendations. – Reproduced

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