| Título: | Responses by breast and prostate cancer patients to out-of-pocket costs in Newfoundland and Labrador |
| Autores: |
Housser, E.; Newfoundland and Labrador Centre for Health Information Mathews, M.; Memorial University LeMessurier, J.; Memorial University Young, S.; Memorial University Hawboldt, J.; Memorial University West, R.; Memorial University |
| Fecha: | 2013-06-05 |
| Publicador: | Multimed Inc. |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Out-of-pocket costs; financial barriers; patient responses |
| Descripción: | PurposeCancer patients face substantial care-related outof- pocket (oop) costs that may influence treatment decisions, attitudes, and use of drug- or appointmentrelated cost-saving strategies. We examined the relationship between oop costs and care-related responses by patients.MethodsWe surveyed 170 prostate and 131 breast cancer patients presenting at clinics or support groups, or listed on the cancer registry in Newfoundland and Labrador.ResultsIn the 3-month period before the survey, 18.8% of prostate and 25.2% of breast cancer patients had oop costs greater than $500. Those oop costs consumed more than 7.5% of quarterly household income for 15.9% of prostate and 19.1% of breast cancer patients. Few patients (8.8% prostate, 15.3% breast) ever adopted any drug- or appointment-related cost-saving strategy. Few patients (7.2% prostate, 9.6% breast) said oop costs influenced treatment decisions, told their physicians about their oop costs (27.0% prostate, 21.1% breast), or were aware of available financial assistance programs (27.3% prostate, 36.9% breast). Compared with patients having low or moderate oop costs (22.9% prostate, 16.7% breast, and 25.7% prostate, 58.3% breast respectively), a larger proportion of prostate (56.0%) and breast (58.3%) cancer patients with high oop costs said that those costs created stress. Among prostate cancer patients, a larger proportion of those having high oop costs (compared with low or moderate costs) used drug-related (22.2% vs. 3.3% and 9.6% respectively) and appointment-related (11.1% vs. 1.1% and 3.8% respectively) cost-saving strategies, said oop costs created an unusual amount of stress (48.0% vs. 18.4% and 10.4%), and had difficulty paying those costs (29.2% vs. 6.2% and 10.4%).ConclusionsFor a small group of breast and prostate cancer patients, oop costs are high, but rarely lead to the use of care-related cost-saving strategies or influence care decisions. |
| Idioma: | Inglés |
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