TY  - JOUR
AU  - Bradley,Cathy J.
AU  - Neumark,David
AU  - Shickle,Lisa M.
AU  - Farrell,Nicholas
TI  - Differences in Breast Cancer Diagnosis and Treatment:Experiences of Insured and Uninsured Patients in a Safety Net Setting
JF  - National Bureau of Economic Research Working Paper Series
VL  - No. 13875
PY  - 2008
Y2  - March 2008
UR  - http://www.nber.org/papers/w13875
L1  - http://www.nber.org/papers/w13875.pdf
N1  - Author contact info:
Cathy J. Bradley
Department of Healthcare Policy and Research 
Virginia Commonwealth University
830 E. Main Street 
Richmond, VA 23219 
E-Mail: cjbradley@vcu.edu

David Neumark
Department of Economics
University of California at Irvine
3151 Social Science Plaza
Irvine, CA  92697
Tel: 949-824-8496
Fax: 949/824-2182
E-Mail: dneumark@uci.edu

Lisa M.. Shickle
Department of Health Administration
Virginia Commonwealth University
1008 E. Clay St.
Richmond, VA 23298
E-Mail: lmshickle@vcu.edu

Nicholas Farrell
Department of Health Administration
Virginia Commonwealth University
1008 E. Clay Street
Richmond, VA 23298
E-Mail: nfarrell@mcvh-vcu.edu
AB  - To explore how well the safety net performs at eliminating differences in diagnosis and treatment of insured and uninsured women with breast cancer, we compared insured and uninsured women treated in a safety net setting.  Controlling for socioeconomic characteristics, uninsured women are more likely to be diagnosed with advanced disease, requiring more extensive treatment relative to insured women, and also experience delays in initiating and completing treatment.  The findings suggest that, despite the safety net system, uninsured women with breast cancer are likely to require more costly treatment and to have worse outcomes, relative to insured women with breast cancer.
ER  -