Expert consensus on quality control indicators for integrative medicine in rheumatoid arthritis (2023 version)

Qingwen Tao, Jinping Wang, Zihan Wang, Yuan Xu, Jianming Wang, Yingze Zhang
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Abstract

The rising costs of cancer care and subsequent medical financial hardship for cancer survivors and families are well documented in the United States. Less attention has been paid to employment disruptions and loss of household income after a cancer diagnosis and during treatment, potentially resulting in lasting financial hardship, particularly for working-age adults not yet age-eligible for Medicare coverage and their families. In this article, the authors use a composite patient case to illustrate the adverse consequences of cancer diagnosis and treatment for employment, health insurance coverage, household income, and other aspects of financial hardship. They summarize existing research and provide nationally representative estimates of multiple aspects of financial hardship and health insurance coverage, benefit design, and employee benefits, such as paid sick leave, among working-age adults with a history of cancer and compare them with estimates among working-age adults without a history of cancer from the most recently available years of the National Health Interview Survey (2019–2021). Then, the authors identify opportunities for addressing employment and health insurance coverage challenges at multiple levels, including federal, state, and local policies; employers; cancer care delivery organizations; and nonprofit organizations. These efforts, when informed by research to identify best practices, can potentially help mitigate the financial hardship associated with cancer.

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类风湿性关节炎综合疗法质量控制指标专家共识(2023 年版)
在美国,癌症治疗费用的不断上涨以及癌症幸存者及其家庭随之而来的医疗经济困难都有据可查。人们较少关注癌症确诊后和治疗期间的就业中断和家庭收入损失,这可能会造成持久的经济困难,尤其是对于尚未达到医疗保险年龄的工作年龄成年人及其家庭而言。在这篇文章中,作者通过一个综合病例来说明癌症诊断和治疗对就业、医疗保险、家庭收入以及其他方面的经济困难所造成的不良后果。他们总结了现有的研究,并提供了具有全国代表性的有癌症病史的工作年龄成年人的经济困难、医疗保险覆盖面、福利设计和员工福利(如带薪病假)等多个方面的估计值,并将其与最近几年的全国健康访谈调查(2019-2021 年)中没有癌症病史的工作年龄成年人的估计值进行了比较。然后,作者指出了在多个层面应对就业和医疗保险挑战的机会,包括联邦、州和地方政策;雇主;癌症治疗机构;以及非营利组织。通过研究确定最佳实践后,这些努力可能有助于减轻与癌症相关的经济困难。
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