scholarly journals Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

2019 ◽  
Author(s):  
Gebremicheal Gebreslassie Kasahun ◽  
Gebremedhin Beedemariam Gebretekle ◽  
Yohannes Hailemichael Gecho ◽  
Aynalem Abraha Woldemariam ◽  
Teferi Gedif Fenta
Keyword(s):  
Cancer Treatment ◽  
Coping Strategies ◽  
Addis Ababa ◽  
Financial Burden ◽  
Public Hospitals ◽  
Medical Expenditure ◽  
Patients With Cancer ◽  
Treatment Services ◽  
Number Of Patients ◽  
And Coping

Abstract Background: With the rapid increase in magnitude and mortality of cancer, which is costly disease to manage, several patients particularly in developing countries are facing a huge financial burden. Objective: The purpose of the study was to examine the level of catastrophic health expenditure (CHE), identify associated factors and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia. Methods: A hospital based cross-sectional survey of patients with cancer was conducted in public and private hospitals between January and March 2018. Data was collected using a structured questionnaire. All direct medical and nonmedical expenditures were measured and reported as expenditure (US$) per patient (1US$ equivalent to 23.41 Ethiopian Birr). The CHE was estimated using a threshold of 10% of annual household income. Results: A total of 352 (response rate of 87.1%) participants were interviewed. Majority (73.3%) of the respondents were females; most (94%) from public hospitals and their mean (±SD) age was 48±13.2years. Breast (37%) and Cervical (16.5%) cancers accounted the largest proportion. Vast majority (74.4%) of patients experienced CHE with mean overall expenditure of $2366 per patient (median: $1708). Medical expenditure shared the highest overall expenditure (83.6%) with mean medical and nonmedical costs of $1978 (median: $1394) and $388 (median: $222), respectively. Patients who took greater than six cycles of chemotherapy (AOR: 3.64; 95%CI: 1.11-11.92), and age (AOR: 1.03; 95%CI: 1.01-1.06) were significantly associated with CHE. Household saving (85.5%) followed by financial support (43.0%) were the main coping strategies. Conclusion: A substantial number of patients with cancer are exposed to CHE with considerable medical expenditure. Hence, mobilizing the health insurance scheme is urgently needed to ensure financial risk protection and realize universal health coverage for patients with cancer.

scholarly journals Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Gebremicheal Gebreslassie Kasahun ◽  
Gebremedhin Beedemariam Gebretekle ◽  
Yohannes Hailemichael Gecho ◽  
Aynalem Abraha Woldemariam ◽  
Teferi Gedif Fenta
Keyword(s):  
Cancer Treatment ◽  
Coping Strategies ◽  
Addis Ababa ◽  
Financial Burden ◽  
Public Hospitals ◽  
Medical Expenditure ◽  
Patients With Cancer ◽  
Treatment Services ◽  
Number Of Patients ◽  
And Coping

Abstract Background: With the rapid increase in magnitude and mortality of cancer, which is costly disease to manage, several patients particularly in developing countries are facing a huge financial burden.Objective: The purpose of the study was to examine the level of catastrophic health expenditure (CHE), identify associated factors and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia.Methods: A hospital based cross-sectional survey of patients with cancer was conducted in public and private hospitals between January and March 2018. Data was collected using a structured questionnaire. All direct medical and nonmedical expenditures were measured and reported as expenditure (US$) per patient (1US$ equivalent to 23.41 Ethiopian Birr). The CHE was estimated using a threshold of 10% of annual household income.Results: A total of 352 (response rate of 87.1%) participants were interviewed. Majority (73.3%) of the respondents were females; most (94%) from public hospitals and their mean (±SD) age was 48±13.2years. The distribution of cancer was mostly concentrated among 35-44 (30.4%) age group category. Breast (36.9 %) and Cervical (16.5%) cancers accounted the largest proportion. Vast majority (74.4%) of patients experienced CHE with mean overall expenditure of $2366 per patient (median: $1708). Medical expenditure shared the highest overall expenditure (83.6%) with mean medical and nonmedical costs of $1978 (median: $1394) and $388 (median: $222), respectively. Patients who took greater than six cycles of chemotherapy (AOR: 3.64; 95% CI: 1.11-11.92), and age (AOR: 1.03; 95% CI: 1.01-1.06) were significantly associated with CHE. Household saving (85.5%) followed by financial support (43.0%) were the main coping strategies.Conclusion: A substantial number of patients with cancer are exposed to CHE with considerable medical expenditure. Hence, efficient mobilization of the health insurance scheme is urgently needed to ensure financial risk protection and realize universal health coverage for patients with cancer.

scholarly journals Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

2020 ◽  
Author(s):  
Gebremicheal Gebreslassie Kasahun ◽  
Gebremedhin Beedemariam Gebretekle ◽  
Yohannes Hailemichael Gecho ◽  
Aynalem Abraha Woldemariam ◽  
Teferi Gedif Fenta
Keyword(s):  
Cancer Treatment ◽  
Coping Strategies ◽  
Addis Ababa ◽  
Financial Burden ◽  
Public Hospitals ◽  
Medical Expenditure ◽  
Patients With Cancer ◽  
Treatment Services ◽  
Number Of Patients ◽  
And Coping

Abstract Background: With the rapid increase in magnitude and mortality of cancer, which is costly disease to manage, several patients particularly in developing countries are facing a huge financial burden. The aim of the study was to examine the incidence of catastrophic health expenditure (CHE), identify associated factors and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia.Methods: A hospital based cross-sectional survey of patients with cancer was conducted in public and private hospitals between January and March 2018. Data was collected using a structured questionnaire. All direct medical and nonmedical expenditures were measured and reported as expenditure (US$) per patient (1US$ equivalent to 23.41 Ethiopian Birr). The CHE was estimated using a threshold of 10% of annual household income.Results: A total of 352 (response rate of 87.1%) participants were interviewed. Majority (73.3%) of the respondents were females; most (94%) from public hospitals and their mean (±SD) age was 48±13.2 years. Breast (36.9%) and Cervical (16.5%) cancers accounted the largest proportion. Vast majority (74.4%) of patients experienced CHE with mean overall expenditure of $2366 per patient (median: $1708). Medical expenditure sharedthe highest overall expenditure (83.6%) with mean medical and nonmedical costs of $1978 (median: $1394) and $388 (median: $222), respectively. Patients who took greater than six cycles of chemotherapy (AOR: 3.64; 95% CI: 1.11-11.92), and age (AOR: 1.03; 95% CI: 1.01-1.06) were significantly associated with CHE. Household saving (85.5%) followed by financial support (43.0%) were the main coping strategies.Conclusion: A substantial number of patients with cancer are exposed to CHE with considerable medical expenditure. Hence, while efficient mobilization of the over introduced health insurance scheme other better prepayment or insurance mechanisms should also be considered to ensure financial risk protection and realize universal health coverage for patients with cancer.

scholarly journals Catastrophic healthcare expenditure and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gebremicheal Gebreslassie Kasahun ◽  
Gebremedhin Beedemariam Gebretekle ◽  
Yohannes Hailemichael ◽  
Aynalem Abraha Woldemariam ◽  
Teferi Gedif Fenta
Keyword(s):  
Cancer Treatment ◽  
Coping Strategies ◽  
Healthcare Expenditure ◽  
Addis Ababa ◽  
Treatment Services ◽  
And Coping

scholarly journals Relationship between Caretakers Variable on Occupation and Coping Strategies of Caretakers Attending to Patients with Cancer Problems

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
M. Sandhya Rani ◽  
Dr. P. Sree Devi
Keyword(s):  
Coping Strategies ◽  
Coping Styles ◽  
Occupational Status ◽  
Avoidance Coping ◽  
Approach And Avoidance ◽  
Patients With Cancer ◽  
Approach Coping ◽  
Depth Interview ◽  
And Coping ◽  
The Relationship

The present study makes an attempt to understand the Relationship between Caretaker Variable on Occupation and Coping Strategies of Caretakers Attending to Patients with Cancer Problems. Caretakers who were ready and willing to extend their cooperation for in-depth interview were selected as population for the study. Thus a total number of 80 caretakers were selected purposively for conducting the present study. The results revealed that caretakers used both approach and avoidance coping styles. Higher the occupational status of the care taker, better were the coping strategies i.e. they were using more approach coping strategies.

Mental health and coping strategies among nursing staff in public health services

2017 ◽  
Vol 7 (2) ◽  
pp. 67-73 ◽  
Author(s):  
M. Kourakos
Keyword(s):  
Mental Health ◽  
Coping Strategies ◽  
Nursing Staff ◽  
Public Hospitals ◽  
Working Environment ◽  
Depression Symptoms ◽  
Cross Sectional ◽  
And Coping ◽  
Mental Health Hospital ◽  
Health Hospital

Purpose: The present study aimed to evaluate mental health and coping strategies among nursing staff in two public hospitals of Greece. Materials and methods: This cross-sectional study was conducted on 318 nurses working in two public hospitals in Attica, Greece from February 2017 to May 2017. Data were collected using the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Disorder Questionnaire (GAD-2) and the Greek version of the Ways of Coping Questionnaire. The data were presented as mean and standard deviation and analyzed through student t–test, chi-square, and descript_ive statistics using SPSS Version 21.0. The significance level was accepted as P values <0.05. Results: Data analysis revealed that 44% of nurses were suffering from depression and 40.3% from anxiety, with the type of hospital (p≤ 0.001) and marital status (p = 0.031) affecting stress levels. Conclusions: Working in mental health hospital and married nurses were the main risk factors for manifestation of anxiety/depression symptoms among nursing staff. Individual nurse characteristics, such as working experience as well as working environment (general and mental health hospital) were found to be associated with the nurses’ coping strategies in their attempt to deal with their work.

scholarly journals Relationship between Caretakers Variable on Education and Coping Strategies of Caretakers Attending to Patients with Cancer Problems

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
M. Sandhya Rani ◽  
Dr. Nasreenbanu
Keyword(s):  
Medical Treatment ◽  
Coping Strategies ◽  
Coping Styles ◽  
Avoidance Coping ◽  
Approach And Avoidance ◽  
Patients With Cancer ◽  
Depth Interview ◽  
Sick Patient ◽  
And Coping ◽  
The Relationship

The present study makes an attempt to understand the Relationship between Caretaker Variable on Education and Coping Strategies of Caretakers Attending to Patients with Cancer Problems.  Caretakers who were ready and willing to extend their cooperation for in-depth interview were selected as population for the study. Thus a total number of 80 caretakers were selected purposively for conducting the present study. The results revealed that caretakers used both approach and avoidance coping styles. Better the education, caretakers were used it for medical treatment and for providing medicines etc. for the sick patient.

scholarly journals Relationship between Caretakers Variable on Age and Coping Strategies of Caretakers Attending To Patients with Cancer Problems

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
M. Sandhya Rani ◽  
Dr. Nasreenbanu
Keyword(s):  
Coping Strategies ◽  
Patients With Cancer ◽  
Depth Interview ◽  
And Coping ◽  
The Relationship

The present study makes an attempt to understand the Relationship between Caretakers Variable on Age and Coping Strategies of Caretakers Attending to Patients with Cancer Problems. Caretakers who were ready and willing to extend their cooperation for in depth interview were selected as population for the study. Thus a total number of 80 caretakers were selected purposively for conducting the present study.

scholarly journals Financial Burdens of Cancer Treatment: A Systematic Review of Risk Factors and Outcomes

2019 ◽  
Vol 17 (10) ◽  
pp. 1184-1192 ◽  
Author(s):  
Grace L. Smith ◽  
Maria A. Lopez-Olivo ◽  
Pragati G. Advani ◽  
Matthew S. Ning ◽  
Yimin Geng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Insurance ◽  
Cancer Treatment ◽  
Financial Burden ◽  
Cochrane Library ◽  
Random Effects Models ◽  
Patients With Cancer ◽  
Related Quality ◽  
Financial Burdens ◽  
Cancer Experience

Background: Patients with cancer experience financial toxicity from the costs of treatment, as well as material and psychologic stress related to this burden. A synthesized understanding of predictors and outcomes of the financial burdens associated with cancer care is needed to underpin strategic responses in oncology care. This study systematically reviewed risk factors and outcomes associated with financial burdens related to cancer treatment. Methods: MEDLINE, Embase, PubMed, PsychINFO, and the Cochrane Library were searched from study inception through June 2018, and reference lists were scanned from studies of patient-level predictors and outcomes of financial burdens in US patients with cancer (aged ≥18 years). Two reviewers conducted screening, abstraction, and quality assessment. Variables associated with financial burdens were synthesized. When possible, pooled estimates of associations were calculated using random-effects models. Results: A total of 74 observational studies of financial burdens in 598,751 patients with cancer were identified, among which 49% of patients reported material or psychologic financial burdens (95% CI, 41%–56%). Socioeconomic predictors of worse financial burdens with treatment were lack of health insurance, lower income, unemployment, and younger age at cancer diagnosis. Compared with patients with health insurance, those who were uninsured demonstrated twice the odds of financial burdens (pooled odds ratio [OR], 2.09; 95% CI, 1.33–3.30). Financial burdens were most severe early in cancer treatment, did not differ by disease site, and were associated with worse health-related quality of life (HRQoL) and nearly twice the odds of cancer medication nonadherence (pooled OR, 1.70; 95% CI, 1.13–2.56). Only a single study demonstrated an association with increased mortality. Studies assessing the comparative effectiveness of interventions to mitigate financial burdens in patients with cancer were lacking. Conclusions: Evidence showed that financial burdens are common, disproportionately impacting younger and socioeconomically disadvantaged patients with cancer, across disease sites, and are associated with worse treatment adherence and HRQoL. Available evidence helped identify vulnerable patients needing oncology provider engagement and response, but evidence is critically needed on the effectiveness of interventions designed to mitigate financial burden and impact.

Sign in / Sign up

Export Citation Format

Share Document