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讨论财务负担是否会减少青少年和年轻成人癌症幸存者的长期财务毒性?
Victoria S Wu1, Catherine Benedict2, Danielle N Friedman3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
概括
青少年和年轻成人癌症幸存者往往缺乏关于治疗费用的讨论. 关于癌症护理费用的公开沟通可以降低财务毒性,即使它没有减少自付费用.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 患者倡导 患者倡导
背景情况:
- 青少年和年轻成人 (AYA) 癌症幸存者面临长期的金融毒性 (FT).
- 关于癌症护理费用的患者与医疗服务提供者的沟通往往是不充分的.
- 了解成本讨论对财务福祉的影响对于幸存者护理至关重要.
研究的目的:
- 在AYA癌症幸存者中,评估患者和医疗服务提供者之间的成本讨论,自费 (OOP) 支出和长期财务毒性 (FT) 之间的联系.
- 探索患者在癌症治疗期间和之后对财务沟通的观点.
主要方法:
- 对247名AYA癌症幸存者的横截面调查 (平均治疗后7年).
- 评估患者-提供者成本讨论,FT水平和OOP支出.
- 多变量分析以确定关联;与18名幸存者的定性采访.
主要成果:
- 70%的AYA幸存者报告没有与提供者讨论成本.
- 成本讨论与FT (p=0.02) 的下降有关,但没有减少OOP支出.
- 开放式投资支出显著预测了FT (p=0.002);幸存者对财务沟通不佳表示失望.
结论:
- AYA癌症幸存者通常没有了解癌症护理费用和FT.
- 患者和医疗服务提供者之间有限的成本讨论代表了减轻财务毒性的错失机会.
- 需要改进沟通策略,以解决癌症幸存者的财务担忧.
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