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 (2021). Change in Colorectal Cancer Tests Submitted for Reimbursement in Switzerland 2012-2018: Evidence from Claims Data of a Large Insurance. International journal of public health, 66, p. 1604073. Frontiers 10.3389/ijph.2021.1604073
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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.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM) |
UniBE Contributor: |
Schneider, Rémi, Syrogiannouli, Lamprini, Bissig, Sarah Maria, Tal, Kali, Auer, Reto |
Subjects: |
600 Technology > 610 Medicine & health 300 Social sciences, sociology & anthropology > 360 Social problems & social services |
ISSN: |
1661-8564 |
Publisher: |
Frontiers |
Funders: |
[189] Swiss Cancer Research = Krebsforschung Schweiz ; [4] Swiss National Science Foundation |
Language: |
English |
Submitter: |
Andrea Flükiger-Flückiger |
Date Deposited: |
18 Nov 2021 13:26 |
Last Modified: |
05 Dec 2022 15:54 |
Publisher DOI: |
10.3389/ijph.2021.1604073 |
PubMed ID: |
34744596 |
Uncontrolled Keywords: |
Swiss health insurance colonoscopy colorectal cancer screening fecal occult blood test testing rates |
BORIS DOI: |
10.48350/161178 |
URI: |
https://boris.unibe.ch/id/eprint/161178 |
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