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

B-Tier
Journal: Journal of Health Economics
Year: 2017
Volume: 53
Issue: C
Pages: 100-116

Score contribution per author:

1.005 = (α=2.01 / 2 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

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.

Technical Details

RePEc Handle
repec:eee:jhecon:v:53:y:2017:i:c:p:100-116
Journal Field
Health
Author Count
2
Added to Database
2026-01-25