Financial burden, distress, and toxicity in cardiovascular disease.
Journal Article (Journal Article;Review)
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.
Full Text
Duke Authors
Cited Authors
- Slavin, SD; Khera, R; Zafar, SY; Nasir, K; Warraich, HJ
Published Date
- August 2021
Published In
Volume / Issue
- 238 /
Start / End Page
- 75 - 84
PubMed ID
- 33961830
Electronic International Standard Serial Number (EISSN)
- 1097-6744
Digital Object Identifier (DOI)
- 10.1016/j.ahj.2021.04.011
Language
- eng
Conference Location
- United States