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Published on: April 18, 2011
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Factors that Promote and Protect Against Financial Toxicity after Orthopaedic Trauma: A Qualitative Study
The Journal of the American Academy of Orthopaedic Surgeons
|April 23, 2024
Summary
Financial toxicity after lower extremity fractures is driven by work and emotional health issues. Insurance, social support, and healthcare teams can protect patients from financial distress.
Area of Science:
- Orthopaedic Surgery
- Health Economics
- Patient Financial Toxicity
Background:
- Financial toxicity is a significant concern for patients following orthopaedic injuries.
- Factors influencing financial distress after lower extremity fractures are not well understood.
Purpose of the Study:
- To identify factors that contribute to and protect against financial toxicity in patients after a lower extremity fracture.
Main Methods:
- Qualitative study using semi-structured interviews with 20 patients 3 months post-surgery for lower extremity fracture.
- Thematic analysis of transcribed interviews to identify key themes.
Main Results:
- Work (70%) and emotional health (60%) were primary drivers of financial distress.
- Insurance (85%) and social support (85%) were key protective factors.
- Healthcare team support was crucial for expectation setting and accessing resources (65%).
Conclusions:
- Work and emotional health significantly impact financial toxicity post-orthopaedic injury.
- Insurance and social support are vital protective elements.
- Healthcare providers play a critical role in mitigating financial toxicity through guidance and resource connection.
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