Do Acute and Chronic Illness Trump Preventive Care? A Case Study of Breast and Colon Cancer Screening

Our initial funding was to characterize health service use patterns using a novel taxonomy of visits based on the Oregon Prioritized List of Services and to identify whether visit pattern was associated with cancer screening. Our characterization essentially yielded null results, and we identified a number of limitations to the taxonomy. We therefore tested other hypotheses with the dataset, including the associations between cancer screening and i) receipt of preventive health examinations and ii) continuity of primary care. The published paper describes the contribution of primary care use to colorectal cancer screening across the entire health plan population. We plan no further analyses with the dataset.

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