The 2010 Patient Protection and Affordable Care Act (ACA) emphasizes preventive care. In addition to expanding insurance coverage, the ACA eliminates cost sharing for services graded “A” or “B” by the US Preventive Services Task Force (USPSTF). Although these policies have improved preventive care generally, their impact on cancer screening specifically is uncertain. Whereas a recent study showed more screening in Accountable Care Organizations, a health care model pioneered by the ACA,¹ an earlier study found increases in use of medical preventive services such as blood pressure and cholesterol checks but not in cancer screening.²

中文翻译：

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负担得起的护理法案对乳腺癌筛查的影响后，乳腺癌，结肠直肠癌和宫颈癌发病率的趋势

2010年《患者保护和负担得起的医疗法案》（ACA）强调预防性医疗。除了扩大保险范围外，ACA还消除了美国预防服务工作队（USPSTF）评定为“ A”或“ B”级服务的成本分摊。尽管这些政策总体上已经改善了预防保健，但是它们对癌症筛查的影响尚不确定。而最近的一项研究显示，负责任的保健机构，卫生保健模式由ACA，开创更多的筛选¹早先的研究发现，在使用医疗预防服务，如血压和胆固醇检查增加，但不是在癌症筛查。^2个