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Financial Toxicity of Cancer Care: It's Time to Intervene.

Publication ,  Journal Article
Zafar, SY
Published in: J Natl Cancer Inst
May 2016

Evidence suggests that a considerably large proportion of cancer patients are affected by treatment-related financial harm. As medical debt grows for some with cancer, the downstream effects can be catastrophic, with a recent study suggesting a link between extreme financial distress and worse mortality. At least three factors might explain the relationship between extreme financial distress and greater risk of mortality: 1) overall poorer well-being, 2) impaired health-related quality of life, and 3) sub-par quality of care. While research has described the financial harm associated with cancer treatment, little has been done to effectively intervene on the problem. Long-term solutions must focus on policy changes to reduce unsustainable drug prices and promote innovative insurance models. In the mean time, patients continue to struggle with high out-of-pocket costs. For more immediate solutions, we should look to the oncologist and patient. Oncologists should focus on the value of care delivered, encourage patient engagement on the topic of costs, and be better educated on financial resources available to patients. For their part, patients need improved cost-related health literacy so they are aware of potential costs and resources, and research should focus on how patients define high-value care. With a growing list of financial side effects induced by cancer treatment, the time has come to intervene on the "financial toxicity" of cancer care.

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Published In

J Natl Cancer Inst

DOI

EISSN

1460-2105

Publication Date

May 2016

Volume

108

Issue

5

Location

United States

Related Subject Headings

  • United States
  • Stress, Psychological
  • Quality of Life
  • Oncology & Carcinogenesis
  • Neoplasms
  • Medicare
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Health Literacy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zafar, S. Y. (2016). Financial Toxicity of Cancer Care: It's Time to Intervene. J Natl Cancer Inst, 108(5). https://doi.org/10.1093/jnci/djv370
Zafar, S Yousuf. “Financial Toxicity of Cancer Care: It's Time to Intervene.J Natl Cancer Inst 108, no. 5 (May 2016). https://doi.org/10.1093/jnci/djv370.
Zafar SY. Financial Toxicity of Cancer Care: It's Time to Intervene. J Natl Cancer Inst. 2016 May;108(5).
Zafar, S. Yousuf. “Financial Toxicity of Cancer Care: It's Time to Intervene.J Natl Cancer Inst, vol. 108, no. 5, May 2016. Pubmed, doi:10.1093/jnci/djv370.
Zafar SY. Financial Toxicity of Cancer Care: It's Time to Intervene. J Natl Cancer Inst. 2016 May;108(5).
Journal cover image

Published In

J Natl Cancer Inst

DOI

EISSN

1460-2105

Publication Date

May 2016

Volume

108

Issue

5

Location

United States

Related Subject Headings

  • United States
  • Stress, Psychological
  • Quality of Life
  • Oncology & Carcinogenesis
  • Neoplasms
  • Medicare
  • Insurance, Health
  • Insurance Coverage
  • Humans
  • Health Literacy