德国头癌患者与癌症相关的财务负担
Jonas Rast1, Veit Zebralla1, Andreas Dietz1
1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Leipzig, Leipzig, Germany.
Frontiers in oncology
|February 12, 2024
概括
头癌 (HNC) 患者因自付费和收入损失而面临巨大的财务负担,这影响了他们的福祉. 晚期癌症和特定瘤位置预测更大的财务压力,即使有保险.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 金融毒性是癌症患者发病率和死亡率的主要决定因素.
- 在欧洲医疗保健系统,特别是那些有强制性医疗保险的医疗系统中,头癌 (HNC) 的财务影响仍未得到充分研究.
研究的目的:
- 调查和量化头癌 (HNC) 患者所经历的财务负担.
- 确定导致HNC财务毒性的关键因素.
主要方法:
- 在2022年8月至2023年3月期间,对209名连续接受癌症后期治疗的HNC患者进行了调查.
- 通过自主管理问卷收集的数据包括社会经济地位,收入损失和自付支付 (OOPP).
主要成果:
- 超过一半的HNC患者 (59.5%) 报告了由于OOPPs (50.0%) 和/或收入损失 (25.5%) 的重大财务负担.
- 患有OOPP相关财务负担的患者平均每年支出为1,716欧元,而收入损失的患者平均每月损失为620.53欧元.
- 先进的UICC阶段 (第7版),T3/T4瘤类别和喉/鼻癌是财务负担的重要预测因素.
结论:
- 头癌幸存者在治疗后经历了相当大的经济困难,即使是在德国这样的法定医疗保险系统中.
- 调查结果强调了HNC的经济影响,为医疗保健提供者和决策者提供了解决金融毒性的关键见解.
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