Out-of-pocket spending of deceased cancer patients in five European countries and Israel.

SHARE survey cancer out-of-pocket spending universal benefits package

Journal

European journal of cancer care
ISSN: 1365-2354
Titre abrégé: Eur J Cancer Care (Engl)
Pays: England
ID NLM: 9301979

Informations de publication

Date de publication:
Mar 2021
Historique:
revised: 22 08 2020
received: 19 01 2020
accepted: 14 10 2020
pubmed: 17 11 2020
medline: 30 9 2021
entrez: 16 11 2020
Statut: ppublish

Résumé

Cancer imposes a substantial economic burden on society, health and social care systems, patients and their families. This study aims to examine the out-of-pocket spending of cancer patients in their last year of life, in six countries with health insurance system hat have a defined benefits package. Data from SHARE and SHARE End-of-Life surveys among people aged +50 were analysed. Family members of deceased persons were interviewed in order to learn about the circumstances of their relative's death. The average out-of-pocket spending for health and social services during the last year of life was 4.5% of the total household income, 2.2% in the Netherlands, 4.3% in Israel, 5% in Germany, 5.1% in Austria, 5.1% in Belgium and 8.2% in Switzerland. Whereas the out-of-pocket spending on nursing home care was 7.8% of the total household income in Switzerland, in the Netherlands and in Israel it was negligible. In contrast, the out-of-pocket spending for home care due to disability surged to 5.6% in Israel and 3.7% in Austria, whereas in other countries it was very low. This information is important to health and social policymakers, in order to better adapt the benefits package to the patients' needs.

Identifiants

pubmed: 33191555
doi: 10.1111/ecc.13372
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e13372

Subventions

Organisme : European Commission through FP5 (QLK6-CT-2001-00360), FP6 (SHARE-I3: RII-CT-2006-062193, COMPARE: CIT5-CT-2005-028857, SHARELIFE: CIT4-CT-2006-028812) and FP7 (SHARE-PREP: N°211909, SHARE-LEAP: N°227822, SHARE M4: N°261982) , German Ministry of Education and Research, Max Planck Society for the Advancement of Science, the U.S. National Institute on Aging (U01_AG09740-13S2, P01_AG005842, P01_AG08291, P30_AG12815, R21_AG025169, Y1-AG-4553-01, IAG_BSR06-11, OGHA_04-064, HHSN271201300071C)
Organisme : Israel National Institute for Health Policy Research
Organisme : European Commission
ID : QLK6-CT-2001-00360
Organisme : European Commission
ID : RII-CT-2006-062193
Organisme : European Commission
ID : CIT5-CT-2005-028857
Organisme : European Commission
ID : CIT4-CT-2006-028812
Organisme : DG Employment, Social Affairs & Inclusion
Organisme : German Ministry of Education and Research
Organisme : Max Planck Society for the Advancement of Science
Organisme : U.S. National Institute on Aging
ID : U01_AG09740-13S2
Organisme : U.S. National Institute on Aging
ID : P01_AG005842
Organisme : U.S. National Institute on Aging
ID : P01_AG08291
Organisme : U.S. National Institute on Aging
ID : P30_AG12815
Organisme : U.S. National Institute on Aging
ID : R21_AG025169
Organisme : U.S. National Institute on Aging
ID : Y1-AG-4553-01
Organisme : U.S. National Institute on Aging
ID : IAG_BSR06-11
Organisme : U.S. National Institute on Aging
ID : OGHA_04-064
Organisme : NIA NIH HHS
ID : HHSN271201300071C
Pays : United States
Organisme : NIA NIH HHS
ID : HHSN271201300071C
Pays : United States

Informations de copyright

© 2020 John Wiley & Sons Ltd.

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Auteurs

Aviad Tur-Sinai (A)

Department of Health Systems Management, The Max Stern Yezreel Valley College, Yezreel Valley, Israel.
School of Nursing, University of Rochester Medical Center, Rochester, New York, USA.

Damien Urban (D)

Department of Oncology, Sheba Medical Center, Ramat Gan, Israel.

Netta Bentur (N)

The Stanley Steyer School of Health Professionals, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv-Yafo, Israel.

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