For Working-Age Cancer Survivors, Medical Debt And Bankruptcy Create Financial Hardships
For Working-Age Cancer Survivors, Medical Debt And Bankruptcy Create Financial Hardships
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DOI：
10.1377/hlthaff.2015.0830
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发表时间：
2016-01-01
期刊：
影响因子：
9.7
通讯作者：
Yabroff, K. Robin
中科院分区：
文献类型：
--
作者：
Banegas, Matthew P.;Guy, Gery P., Jr.;Yabroff, K. Robin
与癌症相关的不断上涨的医疗费用已经给美国的患者及其家人带来了相当大的经济困难。使用LiveStrong 2012年对4,719名年龄在18岁至之间的癌症幸存者的调查数据，我们分析了报告因癌症而负债或申请破产的幸存者的比例，以及产生的债务金额。大约三分之一的幸存者已经负债累累，3%的人已经申请破产。在那些负债累累的人中，55%的人承担了1万美元或更多的债务。与年龄较大、收入较高、拥有私人保险的癌症幸存者相比，年龄较小、收入较低、拥有公共医疗保险的癌症幸存者更有可能负债或申请破产。未来需要基于人群的纵向研究，以提高美国工作年龄癌症幸存者在整个癌症护理轨迹中对经济困难的理解，并最终帮助利益相关者制定基于证据的干预措施和政策，以减少癌症的经济困难。
The rising medical costs associated with cancer have led to considerable financial hardship for patients and their families in the United States. Using data from the LIVESTRONG 2012 survey of 4,719 cancer survivors ages 18-64, we examined the proportions of survivors who reported going into debt or filing for bankruptcy as a result of cancer, as well as the amount of debt incurred. Approximately one-third of the survivors had gone into debt, and 3 percent had filed for bankruptcy. Of those who had gone into debt, 55 percent incurred obligations of $10,000 or more. Cancer survivors who were younger, had lower incomes, and had public health insurance were more likely to go into debt or file for bankruptcy, compared to those who were older, had higher incomes, and had private insurance, respectively. Future longitudinal population-based studies are needed to improve understanding of financial hardship among US working-age cancer survivors throughout the cancer care trajectory and, ultimately, to help stakeholders develop evidence-based interventions and policies to reduce the financial hardship of cancer.