Titre
Change in Colorectal Cancer Tests Submitted for Reimbursement in Switzerland 2012-2018: Evidence from Claims Data of a Large Insurance
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Schneider, R.
Auteure/Auteur
Näpflin, M.
Auteure/Auteur
Syrogiannouli, L.
Auteure/Auteur
Bissig, S.
Auteure/Auteur
Tal, K.
Auteure/Auteur
Bulliard, J. L.
Auteure/Auteur
Ducros, C.
Auteure/Auteur
Senn, O.
Auteure/Auteur
Selby, K.
Auteure/Auteur
Bähler, C.
Auteure/Auteur
Blozik, E.
Auteure/Auteur
Auer, R.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1661-8556
Statut éditorial
Publié
Date de publication
2021
Volume
66
Première page
1604073
Peer-reviewed
Oui
Langue
anglais
Notes
1661-8564
Schneider, Rémi
Näpflin, Markus
Syrogiannouli, Lamprini
Bissig, Sarah
Tal, Kali
Bulliard, Jean-Luc
Ducros, Cyril
Senn, Oliver
Selby, Kevin
Bähler, Caroline
Blozik, Eva
Auer, Reto
Journal Article
Int J Public Health. 2021 Oct 28;66:1604073. doi: 10.3389/ijph.2021.1604073. eCollection 2021.
Schneider, Rémi
Näpflin, Markus
Syrogiannouli, Lamprini
Bissig, Sarah
Tal, Kali
Bulliard, Jean-Luc
Ducros, Cyril
Senn, Oliver
Selby, Kevin
Bähler, Caroline
Blozik, Eva
Auer, Reto
Journal Article
Int J Public Health. 2021 Oct 28;66:1604073. doi: 10.3389/ijph.2021.1604073. eCollection 2021.
Résumé
Objectives: Guidelines recommend colorectal cancer (CRC) screening by fecal occult blood test (FOBT) or colonoscopy. In 2013, Switzerland introduced reimbursement of CRC screening by mandatory health insurance for 50-69-years-olds, after they met their deductible. We hypothesized that the 2013 reimbursement policy increased testing rate. Methods: In claims data from a Swiss insurance, we determined yearly CRC testing rate among 50-75-year-olds (2012-2018) and the association with socio-demographic, insurance-, and health-related covariates with multivariate-adjusted logistic regression models. We tested for interaction of age (50-69/70-75) on testing rate over time. Results: Among insurees (2012:355'683; 2018:348'526), yearly CRC testing rate increased from 2012 to 2018 (overall: 8.1-9.9%; colonoscopy: 5.0-7.6%; FOBT: 3.1-2.3%). Odds ratio (OR) were higher for 70-75-year-olds (2012: 1.16, 95%CI 1.13-1.20; 2018: 1.05, 95%CI 1.02-1.08). Deductible interacted with changes in testing rate over time (p < 0.001). The increase in testing rate was proportionally higher among 50-69-years-olds than 70-75-year-olds over the years. Conclusions: CRC testing rate in Switzerland increased from 2012 to 2018, particularly among 50-69-years-olds, the target population of the 2013 law. Future studies should explore the effect of encouraging FOBT or waiving deductible.
PID Serval
serval:BIB_9398DD83A25E
PMID
Date de création
2021-11-15T16:13:12.117Z
Date de création dans IRIS
2025-05-21T02:47:12Z
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Nom
34744596_BIB_9398DD83A25E.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
891.22 KB
Format
Adobe PDF
PID Serval
serval:BIB_9398DD83A25E.P001
URN
urn:nbn:ch:serval-BIB_9398DD83A25E5
Somme de contrôle
(MD5):b966e739b5e08bc206a43d9283e144c0