Implementation of Shared Decision Making for Lung Cancer Screening Among the Privately Insured Nonelderly
| Autor: | Ya-Chen Tina Shih, Ying Xu, Lisa M. Lowenstein, Robert J. Volk |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | MDM Policy & Practice, Vol 6 (2021) |
| Druh dokumentu: | article |
| ISSN: | 2381-4683 23814683 |
| DOI: | 10.1177/2381468320984773 |
| Popis: | Introduction. The Centers for Medicare & Medicaid Services requires a written order of shared decision making (SDM) visit in its coverage policy for low-dose computed tomography (LDCT) for lung cancer screening (LCS). With screening eligibility starting at age 55, private insurance plans will likely adopt this coverage policy. This study examined the implementation of SDM in the context of LCS among the privately insured. Methods. We constructed two study cohorts from MarketScan Commercial Claims and Encounters database 2016-2017: a LDCT cohort who received LDCT for LCS and an SDM cohort who had an LCS-related SDM visit. For the LDCT cohort, we examined the trend and factors associated with the receipt of SDM within 3 months prior to LDCT. For the SDM cohort, we studied the trend and factors associated with LDCT within 3 months after an SDM visit. Results. For privately insured adults aged |
| Databáze: | Directory of Open Access Journals |
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