Decision making in prenatal screening: money matters.

Abstract:

:The aim of this study is to determine the influence of withdrawal of reimbursement on the uptake of the first-trimester combined test. Until January 2007 the combined test was offered to all pregnant women in a designated geographical area as a pilot study before the introduction of the national screening program in the Netherlands, to test the logistic procedures. In January 2007 the insurance companies suddenly stopped paying for the combined test with respect to women aged ≤35 years by decision of the government. In 2006 the combined test was performed in 4616 women compared with 3459 who had the combined test in 2007, a reduction of 25% (95% CI 23.8-26.3%, p < 0.001). A decline was observed in the uptake of the combined test in women aged ≤35 years (p < 0.001) as opposed to an increase in uptake in women aged ≥36 years (p < 0.001). The financial impact on the uptake of the first-trimester combined test should not be underestimated.

authors

Verweij EJ,Veersema D,Pajkrt E,Haak MC

doi

10.1111/aogs.12518

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

212-4

issue

2

eissn

0001-6349

issn

1600-0412

journal_volume

94

pub_type

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