Nonmedical out-of-pocket expenses: a hidden cost of hospitalization

Health care reform has primarily focused on the costs incurred by the health care delivery system. Little attention has been placed on the magnitude of out-of-pocket (OOP) costs imposed on families as caregivers. Nonmedical OOP expenses (NOOPEs) are usually overlooked. The economic burden created by NOOPEs significantly inflates the total costs families must bear. Health care workers and policy makers must gain a better understanding of these realities. This article will discuss NOOPEs, provide a case study for illustration, and discuss strategies for nurses to assist families.