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When public health intervention is not successful: Cost sharing, crowd-out, and selection in Korea's National Cancer Screening Program

Hyuncheol Bryant Kim () and Sun-mi Lee

Journal of Health Economics, 2017, vol. 53, issue C, 100-116

Abstract: This study investigates the impact of and behavioral responses to cost sharing in Korea's National Cancer Screening Program, which provides free stomach and breast cancer screenings to those with an income below a certain cutoff. Free cancer screening substantially increases the screening take up rate, yielding more cancer detections. However, the increase in cancer detection is quickly crowded out by cancer detection through other channels such as diagnostic testing and private cancer screening. Further, compliers are much less likely to have cancer than never takers. Crowd-out and selection help explain why the program has been unable to reduce cancer mortality.

Keywords: I10; H40; Public health intervention; Cost sharing; Crowd-out; Selection; Cancer screening (search for similar items in EconPapers)
Date: 2017
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Journal of Health Economics is currently edited by J. P. Newhouse, A. J. Culyer, R. Frank, K. Claxton and T. McGuire

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