Medical Financial Hardship among Cancer Survivors in the United States: What Do We Know? What Do We Need to Know?

被引:74
作者
Yabroff, K. Robin [1 ]
Zhao, Jingxuan [1 ]
Zheng, Zhiyuan [1 ]
Rai, Ashish [1 ]
Han, Xuesong [1 ]
机构
[1] Surveillance & Hlth Serv Res Program, Amer Canc Soc, Atlanta, GA USA
关键词
AFFORDABLE CARE ACT; DEPENDENT COVERAGE EXPANSION; BREAST-CANCER; HEALTH-CARE; INSURANCE-COVERAGE; ECONOMIC BURDEN; PHYSICIAN CHARACTERISTICS; ANTICANCER MEDICATIONS; ASSISTANCE PROGRAMS; HOME ENROLLMENT;
D O I
10.1158/1055-9965.EPI-18-0617
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Rising costs of cancer care have led to increased concerns about medical financial hardship for cancer survivors and their families in the United States. In this commentary, we provide an overview of research describing medical financial hardship and introduce a conceptual framework for identifying risk factors and research gaps at the patient and family, provider and care team, health care system, employer, and state and national policy levels. We then use this framework to highlight measurement and data infrastructure gaps related to hardship, summarize existing interventions to minimize hardship, and identify opportunities for future intervention efforts. (C) 2018 AACR.
引用
收藏
页码:1389 / 1397
页数:9
相关论文
共 95 条
[11]   The Financial Burden and Distress of Patients with Cancer: Understanding and Stepping-Up Action on the Financial Toxicity of Cancer Treatment [J].
Carrera, Pricivel M. ;
Kantarjian, Hagop M. ;
Blinder, Victoria S. .
CA-A CANCER JOURNAL FOR CLINICIANS, 2018, 68 (02) :153-165
[12]   Full Coverage for Preventive Medications after Myocardial Infarction [J].
Choudhry, Niteesh K. ;
Avorn, Jerry ;
Glynn, Robert J. ;
Antman, Elliott M. ;
Schneeweiss, Sebastian ;
Toscano, Michele ;
Reisman, Lonny ;
Fernandes, Joaquim ;
Spettell, Claire ;
Lee, Joy L. ;
Levin, Raisa ;
Brennan, Troyen ;
Shrank, William H. .
NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (22) :2088-2097
[13]   Innovative Oncology Care Models Improve End-Of-Life Quality, Reduce Utilization And Spending [J].
Colligan, Erin Murphy ;
Ewald, Erin ;
Ruiz, Sarah ;
Spafford, Michelle ;
Cross-Barnet, Caitlin ;
Parashuram, Shriram .
HEALTH AFFAIRS, 2017, 36 (03) :433-440
[14]   National Trends In Spending On And Use Of Oral Oncologics, First Quarter 2006 Through Third Quarter 2011 [J].
Conti, Rena M. ;
Fein, Adam J. ;
Bhatta, Sumita S. .
HEALTH AFFAIRS, 2014, 33 (10) :1721-1727
[15]   Changes in Health Insurance Coverage Associated With the Affordable Care Act Among Adults With and Without a Cancer History: Population-based National Estimates [J].
Davidoff, Amy J. ;
Guy, Gery P., Jr. ;
Hu, Xin ;
Gonzales, Felisa ;
Han, Xuesong ;
Zheng, Zhiyuan ;
Parsons, Helen ;
Ekwueme, Donatus U. ;
Jemal, Ahmedin .
MEDICAL CARE, 2018, 56 (03) :220-227
[16]   Out-of-pocket health care expenditure burden for Medicare beneficiaries with cancer [J].
Davidoff, Amy J. ;
Erten, Mujde ;
Shaffer, Thomas ;
Shoemaker, J. Samantha ;
Zuckerman, Ilene H. ;
Pandya, Naimish ;
Tai, Ming-Hui ;
Ke, Xuehua ;
Stuart, Bruce .
CANCER, 2013, 119 (06) :1257-1265
[17]   Employment implications of informal cancer caregiving [J].
de Moor, Janet S. ;
Dowling, Emily C. ;
Ekwueme, Donatus U. ;
Guy, Gery P., Jr. ;
Rodriguez, Juan ;
Virgo, Katherine S. ;
Han, Xuesong ;
Kent, Erin E. ;
Li, Chunyu ;
Litzelman, Kristen ;
McNeel, Timothy S. ;
Liu, Benmei ;
Yabroff, K. Robin .
JOURNAL OF CANCER SURVIVORSHIP, 2017, 11 (01) :48-57
[18]   Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST) [J].
de Souza, Jonas A. ;
Yap, Bonnie J. ;
Wroblewski, Kristen ;
Blinder, Victoria ;
Araujo, Fabiana S. ;
Hlubocky, Fay J. ;
Nicholas, Lauren H. ;
O'Connor, Jeremy M. ;
Brockstein, Bruce ;
Ratain, Mark J. ;
Daugherty, Christopher K. ;
Cella, David .
CANCER, 2017, 123 (03) :476-484
[19]   The Development of a Financial Toxicity Patient-Reported Outcome in Cancer The COST Measure [J].
de Souza, Jonas A. ;
Yap, Bonnie J. ;
Hlubocky, Fay J. ;
Wroblewski, Kristen ;
Ratain, Mark J. ;
Cella, David ;
Daugherty, Christopher K. .
CANCER, 2014, 120 (20) :3245-3253
[20]   Out-of-Pocket and Health Care Spending Changes for Patients Using Orally Administered Anticancer Therapy After Adoption of State Parity Laws [J].
Dusetzina, Stacie B. ;
Huskamp, Haiden A. ;
Winn, Aaron N. ;
Basch, Ethan ;
Keating, Nancy L. .
JAMA ONCOLOGY, 2018, 4 (06)