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Health Educ Behav. 2002 Dec;29(6):755-70.

Analysis of the cost-effectiveness of mammography promotion by volunteers in rural communities.

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1
Fred Hutchinson Cancer Research Center, Seattle, Washington 98109, USA. rander@fhcrc.org

Abstract

The Community Trial of Breast Cancer Screening Promotion assessed the effectiveness and cost-effectiveness of mammography promotion by community volunteer groups in rural areas using three different intervention approaches: individual counseling, community activities, and a combined intervention including both. Societal costs of the interventions were calculated and used in conjunction with measures of effectiveness to calculate cost-effectiveness in terms of cost per additional mammogram and cost per year of life saved. Methods of collecting and using cost information to assess the cost-effectiveness of community interventions are described. The Community Activities intervention was found to be the most cost-effective, at approximately $2,000 for each additional regular mammography user in the community. The cost per year of life saved associated with mammography promotion was approximately $56,000 per year of life saved. Exploratory analyses suggest that the most cost-effective method of promoting mammography use may vary with the target population.

PMID:
12456132
DOI:
10.1177/109019802237942
[Indexed for MEDLINE]
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