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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1508437PMC
http://dx.doi.org/10.2105/ajph.88.4.667DOI Listing

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