Financial toxicity after trauma and acute care surgery: From understanding to action.

Autor: Scott JW; From the Department of Surgery (J.W.S.), Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, Michigan; Department of Surgery (L.M.K., K.S.), Stanford University School of Medicine, Stanford, California; Department of Surgery (P.M.), Division of Trauma/Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Surgery (P.U.N.), Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; and Department of Surgery (R.S.M.), Wake Forest School of Medicine, Winston-Salem, North Carolina., Knowlton LM, Murphy P, Neiman PU, Martin RS, Staudenmayer K
Jazyk: angličtina
Zdroj: The journal of trauma and acute care surgery [J Trauma Acute Care Surg] 2023 Nov 01; Vol. 95 (5), pp. 800-805. Date of Electronic Publication: 2023 May 01.
DOI: 10.1097/TA.0000000000003979
Abstrakt: Abstract: Gains in inpatient survival over the last five decades have shifted the burden of major injuries and surgical emergencies from the acute phase to their long-term sequelae. More attention has been placed on evaluation and optimization of long-term physical and mental health; however, the impact of major injuries and surgical emergencies on long-term financial well-being remains a critical blind spot for clinicians and researchers. The concept of financial toxicity encompasses both the objective financial consequences of illness and medical care as well as patients' subjective financial concerns. In this review, representatives of the Healthcare Economics Committee from the American Association for the Surgery of Trauma (1) provide a conceptual overview of financial toxicity after trauma or emergency surgery, (2) outline what is known regarding long-term economic outcomes among trauma and emergency surgery patients, (3) explore the bidirectional relationship between financial toxicity and long-term physical and mental health outcomes, (4) highlight policies and programs that may mitigate financial toxicity, and (5) identify the current knowledge gaps and critical next steps for clinicians and researchers engaged in this work.
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Databáze: MEDLINE