Association of co-morbidities with financial hardship in survivors of adult cancer

Fastiggi, Matthew J.; Sim, Jin Ah; Huang, I‐Chan

doi:10.1007/s00520-021-06313-7

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…The effects and economic consequences of the pandemic have been widespread, but they are most prominent among individuals with underlying health conditions [ 40 ]. Financial challenges are rarely investigated, quantified, or compared with clinical care parameters, particularly in patients with underlying conditions who are likely to be burdened and distressed by diagnosis and ongoing treatment-related expenditures.…”

Section: Discussionmentioning

confidence: 99%

Financial hardship and mental health conditions in people with underlying health conditions during the COVID-19 pandemic in Bangladesh

Sujan

Tasnim

Islam

et al. 2022

Heliyon

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Section: Discussionmentioning

confidence: 99%

Financial hardship and mental health conditions in people with underlying health conditions during the COVID-19 pandemic in Bangladesh

Sujan

Tasnim

Islam

et al. 2022

Heliyon

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“…Studies assessing access to healthcare usually adjust for whether or not a person has a usual source of care (USC) [ 9 – 11 ]. Lack of a USC has been associated with healthcare disparities [ 10 ]; having a USC improves timely access to medical care [ 12 ] and improves health care quality, resulting in improved health [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study

Pandit

2022

J Cancer Surviv

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Purpose To assess associations between usual source of care (USC) type and health status, healthcare access, utilization, and expenses among adult cancer survivors. Methods This retrospective cross-sectional analysis using 2013–2018 Medical Expenditure Panel Survey included 2690 observations representing 31,953,477 adult cancer survivors who were currently experiencing cancer and reporting one of five USC types: solo practicing physician (SPP), a specific person in a non-hospital facility, a specific person in a hospital-based facility, a non-hospital facility, and a hospital-based facility. We used logistic regressions and generalized linear models to determine associations of USC type with health status, healthcare access, utilization, and expenses, adjusting for patient demographic and clinical characteristics. Results All non-SPP USC types were associated with reporting more difficulties contacting USC by telephone during business hours (p < 0.05). Compared to SPP, non-hospital facility was associated with more difficulty getting needed prescriptions (OR: 1.81, p = 0.036) and higher annual expenses ($5225, p = 0.028), and hospital-based facility was associated with longer travel time (OR: 1.61, p = 048), more ED visits (0.13, p = 0.049), higher expenses ($6028, p = 0.014), and worse self-reported health status (OR: 1.93, p = 0.001), although both were more likely to open on nights/weekends (p < 0.05). Cancer survivors with a specific person in a hospital-based facility (vs. SPP) as USC were > twofold as likely (p < 0.05) to report difficulty getting needed prescriptions and contacting USC afterhours. Conclusions Among adult cancer survivors who were currently experiencing cancer, having a non-SPP type of UCS was associated with reporting more difficulties accessing care, worse health, more ED visits, and higher total expenses. Implications for Cancer Survivors Transitioning to SPP type of USC may result in better healthcare outcomes.

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COVID-19 testing and financial toxicity in cancer survivors

Panzone,

Rood,

et al. 2024

Support Care Cancer

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Association of co-morbidities with financial hardship in survivors of adult cancer

Cited by 3 publications

References 33 publications

Financial hardship and mental health conditions in people with underlying health conditions during the COVID-19 pandemic in Bangladesh

Financial hardship and mental health conditions in people with underlying health conditions during the COVID-19 pandemic in Bangladesh

Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study

COVID-19 testing and financial toxicity in cancer survivors

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