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


  • eng

Conference Location

  • United States