Sara C Atehortúa1, Lina S Palacio-Mejía2. 1. Departamento de Economía, Universidad de Antioquia, Medellín, Colombia, scatehortua@economicas.udea.edu.co. 2. Instituto Nacional de Salud Pública de México (INSP), Cuernavaca, México, lpalacio@insp.mx.
Abstract
OBJECTIVE: Assessing the impact of subsidized healthcare insurance on access to cervical cytology in Medellin, Colombia. MATERIALS AND METHODS: Propensity score matching (PSM) was used with 2008 Life Quality Survey in Colombia figures to obtain a control group comparable to a treatment group. This involved using stratification estimates, the k-nearest-neighbor algorithm and kernel density for calculating impact size RESULTS: Access to cytology for 19 to 49 year-old women having subsidized healthcare insurance were 2.2 % to 2.9 % lower compared to women who did not have any healthcare insurance. Estimates were not statistically significant for women over 50 years-old. DISCUSSION: Women lacking healthcare insurance having increased access to cytology could be explained by charities or social programs aiding the population lacking healthcare insurance.
OBJECTIVE: Assessing the impact of subsidized healthcare insurance on access to cervical cytology in Medellin, Colombia. MATERIALS AND METHODS: Propensity score matching (PSM) was used with 2008 Life Quality Survey in Colombia figures to obtain a control group comparable to a treatment group. This involved using stratification estimates, the k-nearest-neighbor algorithm and kernel density for calculating impact size RESULTS: Access to cytology for 19 to 49 year-old women having subsidized healthcare insurance were 2.2 % to 2.9 % lower compared to women who did not have any healthcare insurance. Estimates were not statistically significant for women over 50 years-old. DISCUSSION: Women lacking healthcare insurance having increased access to cytology could be explained by charities or social programs aiding the population lacking healthcare insurance.
Authors: Armando Sardi; Mavalynne Orozco-Urdaneta; Carolina Velez-Mejia; Andres H Perez-Bustos; Carlos Munoz-Zuluaga; Farah El-Sharkawy; Luis Gabriel Parra-Lara; Patricia Córdoba; David Gallo; Michelle Sittig; Mary Caitlin King; Carol Nieroda; Katherin Zambrano-Vera; John Singer Journal: J Glob Oncol Date: 2019-07