在患有多种疾病的成年人中,对财务压力的患者知情框架
Caroline E Sloan1,2,3, Michael A Lourie4, C Barrett Bowling5,6,7
1Division of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA. caroline.sloan@duke.edu.
Journal of general internal medicine
|November 3, 2025
概括
患有多种慢性疾病 (多重疾病) 的患者的财务压力是由医疗和非医疗成本所驱动的,导致护理配额和债务. 了解这些复杂的因素对于改善患者的财务福祉至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
- 患者金融毒性 患者金融毒性
背景情况:
- 超过25%的成年人患有多病症,往往导致医疗保健负担能力增加的挑战.
- 患者与多病症相关的财务压力的经验没有得到充分的记录.
研究的目的:
- 质量地探索成年人多病症的经历.
- 制定一个框架,详细说明这种患者群体的财务压力.
主要方法:
- 半结构面试与管理多种慢性疾病的成年人进行了半结构面试 (定义5种疾病中的≥2种) 和≥5种药物.
- 参与者描述了财务压力的触发因素,加剧/减轻因素以及情绪/行为反应.
- 用快速定性分析分析数据.
主要成果:
- 财务压力源自慢性疾病周期,高医疗/非医疗成本和低财务储备.
- 患者报告说,由于成本,他们优先考虑某些疾病而不是其他疾病.
- 答案包括护理配额和借贷,对健康和信贷产生负面影响.
结论:
- 多病症的财务压力是多因素的,涉及个人,卫生系统和社区元素.
- 在标准的初级保健互动中,可能会忽略一些导致财务压力的因素.
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