Quotation Bilger, Marcel, Özdemir, Semra, Finkelstein, Eric. 2020. Demand for Cancer Screening Services: Results From Randomized Controlled Discrete Choice Experiments. Value in Health. 23 (9), 1246-1255.




Objectives Low uptake of cancer screening services is a global concern. Our aim was to understand factors that influence the screening decision, including screening and treatment subsidies and a gain-frame message designed to present screening as a win–win. Methods We analyzed preferences for mammography and Pap smear among women in Singapore by means of discrete choice experiments while randomly exposing half of respondents to a gain-framed public health message promoting the benefits of screening. Results Results showed that the message did not influence stated uptake, and given the levels shown, respondents were influenced more by treatment attributes, including effectiveness and out-of-pocket cost should they test positive, than by screening attributes, including the offer of a monetary incentive for screening. Respondents also underestimated the survival chances of screen-detected breast and cervical cancers. Conclusions Combined, these findings suggest that correcting misconceptions about screen-detected cancer prognosis or providing greater financial protection for those who test positive could be more effective and more cost-effective than subsidizing screening directly in increasing screening uptakes.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal Value in Health
Citation Index SSCI
WU-Journal-Rating new STRAT-B, WH-B
Language English
Title Demand for Cancer Screening Services: Results From Randomized Controlled Discrete Choice Experiments
Volume 23
Number 9
Year 2020
Page from 1246
Page to 1255
Reviewed? Y
URL https://api.elsevier.com/content/article/PII:S109830152032129X?httpAccept=text/xml
DOI http://dx.doi.org/10.1016/j.jval.2020.06.004
Open Access Y
Open Access Link https://doi.org/10.1016/j.jval.2020.06.004


Bilger, Marcel (Details)
Finkelstein, Eric (Duke-NUS Medical School, Singapore)
Özdemir, Semra (Duke-NUS Medical School, Singapore)
Health Economics and Policy Group AB (Details)
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