Abstract IA22: Financial well-being and health: Definitions and measurement issues

R. Tucker-Seeley
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Abstract

The cost of cancer care is rising faster than other diseases, and the financial hardship that cancer imposes on families may exacerbate racial/ethnic and socioeconomic disparities in outcomes throughout survivorship. Discussions about the financial burden of cancer care have increased in recent years in the academic literature and popular press, and several terms have been used to describe this burden. Yet, the discussion oftentimes conflates the lack of material resources to cover medical expenses, the potential psychosocial distress accompanying the lack/reduction in financial resources, and the behavioral coping responses to address the lack /reduction in financial resources. Many health care professionals report feeling unprepared to address family financial well-being in the context of health care delivery, and research suggests that most individuals report low levels of financial self-efficacy even outside the context of managing a chronic disease. We currently lack reliable and valid measures to adequately assess the material, psychosocial, and behavioral aspects of household financial well-being prior to, during, and following cancer care. The dearth in assessment tools of financial well-being in the cancer context impedes efforts to identify modifiable intervention targets of the financial burden of cancer care to ensure that families do not succumb to financial ruin as they manage a chronic disease and navigate the health care system. Citation Format: Reginald Tucker-Seeley. Financial well-being and health: Definitions and measurement issues [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr IA22.
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IA22:财务幸福与健康:定义和测量问题
癌症治疗的费用比其他疾病上涨得更快,癌症给家庭带来的经济困难可能会加剧整个生存过程中种族/民族和社会经济差异。近年来,在学术文献和大众媒体中,关于癌症治疗的经济负担的讨论有所增加,并且使用了几个术语来描述这种负担。然而,讨论往往将缺乏物质资源来支付医疗费用、经济资源缺乏/减少带来的潜在心理社会困扰以及应对经济资源缺乏/减少的行为应对反应混为一谈。许多卫生保健专业人员报告说,在卫生保健服务的背景下,他们对解决家庭财务状况感到措手不及,研究表明,大多数人报告说,即使在管理慢性病的背景之外,财务自我效能也很低。我们目前缺乏可靠和有效的措施来充分评估在癌症治疗之前、期间和之后家庭财务状况的物质、社会心理和行为方面。癌症背景下财务状况评估工具的缺乏,阻碍了确定癌症治疗财务负担的可修改干预目标的努力,以确保家庭在管理慢性病和医疗保健系统时不会屈服于财务破产。引文格式:Reginald Tucker-Seeley。财务幸福与健康:定义和测量问题[摘要]。见:第十届AACR会议论文集:种族/少数民族和医疗服务不足人群的癌症健康差异科学;2017年9月25-28日;亚特兰大,乔治亚州。费城(PA): AACR;癌症流行病学杂志,2018;27(7增刊):摘要11 - 22。
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Abstract IA22: Financial well-being and health: Definitions and measurement issues
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