Financial burden, distress, and toxicity in cardiovascular disease
| Autor: | Rohan Khera, Haider J. Warraich, Samuel D. Slavin, Khurram Nasir, S. Yousuf Zafar |
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| Rok vydání: | 2021 |
| Předmět: |
Coping (psychology)
Comparative Effectiveness Research Psychological intervention Financial Stress Disease 030204 cardiovascular system & hematology Coaching Insurance Coverage 03 medical and health sciences 0302 clinical medicine Health care Medicine Humans 030212 general & internal medicine Deferral Finance Community Health Workers business.industry Health Care Costs Distress Treatment Outcome Cardiovascular Diseases Community health Health Expenditures Cardiology and Cardiovascular Medicine business Decision Making Shared Needs Assessment |
| Zdroj: | American heart journal. 238 |
| ISSN: | 1097-6744 |
| Popis: | Cardiovascular disease (CVD) is a major source of financial burden and distress, which has 3 main domains: (1) psychological distress; (2) cost-related care non-adherence or medical care deferral, and (3) tradeoffs with basic non-medical needs. We propose 4 ways to reduce financial distress in CVD: (1) policymakers can expand insurance coverage and curtail underinsurance; (2) health systems can limit expenditure on low-benefit, high-cost treatments while developing services for high-risk individuals; (3) physicians can engage in shared-decision-making for high-cost interventions, and (4) community-based initiatives can support patients with system navigation and financial coping. Avenues for research include (1) analysis of how healthcare policies affect financial burden; (2) comparative effectiveness studies examining high and low-cost strategies for CVD management; and (3) studying interventions to reduce financial burden, financial coaching, and community health worker integration. |
| Databáze: | OpenAIRE |
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