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The impact of mammography quality improvement legislation in Michigan: implications for the National Mammography Quality Standards Act.

L Fintor, M Brown, R Fischer, O Suleiman, C Garlinghouse, J Camburn, E Frazier and F Houn

Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Md, USA.

OBJECTIVES: This study examined the impact of state legislation on mammography quality and access in Michigan. METHODS: The impact of state legislation was analyzed with respect to utilization, numbers of machines and facilities, and image quality. RESULTS: The legislation had a positive effect on image quality improvement, had no impact on utilization by women aged 50 years and above, and resulted in few facility closures. CONCLUSIONS: Michigan's legislative intervention appears to have had a positive effect on efforts to improve mammography quality assurance with implications for other federal and state efforts to achieve quality assurance in health care delivery.

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