New research indicates that cancer survivors bear a greater financial burden related to medical debt payments and bills compared to & # 39; individuals without a history of cancer, with the greatest difficulties in smaller pensions. Published early online CANCER, Peer reviewed journal of the American Cancer Society, the study also found that among privately insured survivors, those enrolling in plans & # 39; very deductible health who had accounts & # 39; Health medical savings were particularly vulnerable to financial hardship.
The medical financial hardship can & # 39; includes three areas: materials (such as problems in the payment & # 39; medical bills); psychological (eg, worrying about paying medical bills); and behavioral (which may include the suspension or delay care because of the cost).
To examine these multiple areas & # 39; medical financial hardship in & # 39; adults with and without a history & # 39; cancer, Zheng Zhiyuan, PhD, of & # 39; the American Cancer Society, and colleagues analyzed data from the National Survey Interview on Health 2013 to 2016. The study included a nationally representative sample of & # 39; 10 354 cancer survivors and 124 436 individuals without cancer history.
Compared to & # 39; those without cancer history, the cancer survivors were more likely to report any material difficulties (ages 18-49: 43.4 percent versus 30.1 percent; ages 50-64: 32.8 per cent against 27.8 per cent; ages 65 and older: 17.3 percent versus 14.7 percentage), psychological distress (ages 18 to 49: 53.5 percent versus 47.1 percent, b & # 39; similar rates for groups a & # 39; older), and behavioral distress (ages 18 to 49: 30.6 percent versus 21.8 percent; ages 50-64: 27.2 percent versus 23.4 percent, similar rates for ages 65 and over).
Among the surviving insured privately, having a high deductible health plan without a health savings account was associated with & # 39; greater hardship compared to & # 39; Low insurance can & # 39; reduced. This finding can & # 39; has important political implications.
"Identifying & # 39; patients with a financial hardship will be important for providers of primary care and oncology," said Dr. Zheng. "The development and evaluation of & # 39; interventions to reduce medical financial hardship will be important for the research community. Can & # 39; also be necessary & # 39; attention from makers health politics. "
Dr. Zheng noted that younger cancer survivors – those & # 39; between 18 and 49 years – have experienced greater financial hardship of their major counterparts. "Can & # 39; is not having the opportunity to accumulate financial assets to pay for medical expenses. In addition, cancer diagnosis can & # 39; interrupt jobs, and consequently limiting access to coverage & # 39; health insurance sponsored by employers ", he explained. "Although we can not identify the underlying reasons for increased intensity & # 39; suffering in the smallest group in & # 39; this study, we believe it will be an important area for further research."
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"Medical financial hardship among cancer survivors in the United States." Zheng Zhiyuan, Ahmed Jemal, Xuesong Han, Gery P. Guy Jr., Li Chunyu, Amy J. Davidoff, Matthew P. Banega, Donatus U. Ekwueme, K. Robin Yabroff. CANCER; Published Online: 21 & # 39; January, 2019 (DOI: 10.1002 / cncr.31913).
With the publication URL: http: // doi.
Contact Author Kathi Di Nicola American Cancer Society, f & # 39; [email protected]
About the Official Journal
CANCER publication is reviewed by the American Society pairs Cancer integrating scientific information from worldwide sources for all oncological specialties. The – purpose & # 39 ;. T CANCER is to provide an interdisciplinary forum for the exchange & # 39; information among oncological disciplines concerned with the etiology, course, and treatment of human cancer. CANCER is published in & # 39; the name of the American Cancer Society by Wiley and can & # 39; obtained on the Internet at & # 39; http: // wileyonlinelibrary.
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