AI Article Synopsis
- Many studies on catastrophic health expenditures (CHE) have focused on general populations, but this research specifically examines the financial impact on households with lung cancer patients in China.
- A survey conducted across seven provinces revealed that a significant percentage (78.1%) of these households experienced CHE, with health insurance providing some protection, especially among those with higher income and shorter disease duration.
- The findings highlight the need for better financial support for vulnerable groups like lung cancer patients, suggesting that policymakers should work on enhancing economic protections to alleviate their financial burdens.
Article Abstract
Background: Numerous studies have examined catastrophic health expenditures (CHE) worldwide, mostly focusing on general or common chronic populations, rather than particularly vulnerable groups. This study assessed the medical expenditure and compensation of lung cancer, and explored the extent and influencing factors of CHE among households with lung cancer patients in China.
Methods: During 2018-2019, a hospital-based multicenter retrospective survey was conducted in seven provinces/municipalities across China as a part of the Cancer Screening Program of Urban China. CHE was measured according to the proportion of out-of-pocket (OOP) health payments of households on non-food expenditures. Chi-square tests and logistic regression analysis was adjusted to determine the factors that significantly influenced the likelihood of a household with lung cancer patient to incur in CHE.
Results: In total, 470 households with lung cancer patients were included in the analysis. Health insurance was shown to protect some households from the impact of CHE. Nonetheless, CHE incidence (78.1%) and intensity (14.02% for average distance and 22.56% for relative distance) were still relatively high among households with lung cancer patients. The incidence was lower in households covered by the Urban Employee Basic Medical Insurance (UEMBI) insurance, with higher income level and shorter disease course.
Conclusion: More attention is needed for CHE incidence among vulnerable populations in China. Households with lung cancer patients were shown to be more likely to develop CHE. Therefore, policy makers should focus on improving the financial protection and reducing the economic burden of this disease.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665572 | PMC |
| http://dx.doi.org/10.1186/s12885-021-09030-w | DOI Listing |
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