研究动态
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印度马哈拉施特拉邦乳腺癌幸存者的经济困难负担。

Burden of Financial Hardship Among Breast Cancer Survivors in Maharashtra, India.

发表日期:2024 Jun
作者: Abhilash Patra, Rebecca deSouza, Shona Nag, Hira B Pant, Varun Agiwal, Nirupama A Y, Yashaswini Kumar, Gvs Murthy
来源: PHYSICAL THERAPY & REHABILITATION JOURNAL

摘要:

改进的乳腺癌治疗方法提高了生存率,但长期且昂贵的治疗给幸存者带来了经济压力。这项研究解决了印度乳腺癌幸存者 (BCS) 经济困难研究的缺乏。我们使用慢性病治疗财务毒性功能评估综合评分 (COST-FACIT) 来评估财务困难 (FH),这是一份经过验证的 12 项调查问卷。最低分数代表 FH(FH 根据分数 <27 进行分类)。在 80 名接受调查的 BCS 中,60% 经历过 FH,中位年龄为 48 岁(40.5-56.5 岁)。职业、教育、收入、支出、保险范围以及对储蓄的影响等因素与 FH 显着相关。只有三分之一的人有医疗保险,43.8% 的人自筹资金治疗,这项研究揭示了印度迫切需要有针对性的支持和政策,以减轻 BCS 面临的经济负担。经济困难损害了精神和身体健康的BCS。政策制定者、医疗保健专业人员和保险公司之间的合作对于建立一个富有同情心的医疗保健系统至关重要,该系统可以解决当前的健康问题和长期的财务问题。版权所有 © 2024,Patra 等人。
Improved breast cancer treatments have increased survival rates, but prolonged and costly therapies strain survivors financially. This study addresses the dearth of research on financial difficulties among breast cancer survivors (BCS) in India.A mixed-methods study was employed; we assessed financial hardship (FH) using the Comprehensive Score for Financial Toxicity-Functional Assessment of Chronic Illness Therapy (COST-FACIT), a validated 12-item questionnaire. The minimum score represents FH (FH was categorized based on scores <27).Out of 80 surveyed BCS, 60% experienced FH and had a median age of 48 years (40.5-56.5 years). Factors such as occupation, education, income, expenditures, insurance coverage, and impact on savings exhibited significant associations with FH. With only one-third having health insurance and 43.8% self-funding treatment, this research sheds light on the urgent need for targeted support and policies to alleviate the financial burdens faced by BCS in the Indian context.Financial hardship harms the mental and physical health of BCS. Collaborative efforts among policymakers, healthcare professionals, and insurers are crucial to establishing a compassionate healthcare system that addresses both immediate health and long-term financial concerns.Copyright © 2024, Patra et al.