[Individual financial burden following a cancer diagnosis from the perspective of social services in Germany].

Individuelle finanzielle Belastungen infolge einer Krebserkrankung aus der Perspektive von Sozialdiensten in Deutschland.
Cancer Financial burden Finanzielle Belastungen Krebs Oncology Onkologie Social service counselling Social services Sozialdienste Sozialdienstliche Beratung

Journal

Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
ISSN: 2212-0289
Titre abrégé: Z Evid Fortbild Qual Gesundhwes
Pays: Netherlands
ID NLM: 101477604

Informations de publication

Date de publication:
May 2021
Historique:
received: 14 10 2020
revised: 11 02 2021
accepted: 20 02 2021
pubmed: 7 4 2021
medline: 18 5 2021
entrez: 6 4 2021
Statut: ppublish

Résumé

In addition to physical, psychological and social effects, economic effects and the associated financial burden of a cancer diagnosis may also gain in importance during prolonged disease progression. Counselling by social services is an important factor in coping with this burden. People employed in social work in oncology were invited to participate in a survey. The survey comprises 16 items on the perception of financial burdens, changes in the relevance of the topic, risk factors and current counselling practice. 81% of the respondents reported that the financial burden arising from a cancer diagnosis is a relevant topic of consultation for at least half of the patients. For 55%, this topic has become more important in recent years, which is due to higher survival rates, an increased number of younger patients, and poorer social security and working conditions. Despite comprehensive insurance coverage, the financial burden of cancer patients has also gained in importance in Germany and must be increasingly taken into account in everyday social service counselling. Due to numerous risk factors and complex reasons, further measures are required to enable the early identification of risk constellations and to improve the situation of those affected.

Sections du résumé

BACKGROUND BACKGROUND
In addition to physical, psychological and social effects, economic effects and the associated financial burden of a cancer diagnosis may also gain in importance during prolonged disease progression. Counselling by social services is an important factor in coping with this burden.
METHODS METHODS
People employed in social work in oncology were invited to participate in a survey. The survey comprises 16 items on the perception of financial burdens, changes in the relevance of the topic, risk factors and current counselling practice.
RESULTS RESULTS
81% of the respondents reported that the financial burden arising from a cancer diagnosis is a relevant topic of consultation for at least half of the patients. For 55%, this topic has become more important in recent years, which is due to higher survival rates, an increased number of younger patients, and poorer social security and working conditions.
DISCUSSION AND CONCLUSION CONCLUSIONS
Despite comprehensive insurance coverage, the financial burden of cancer patients has also gained in importance in Germany and must be increasingly taken into account in everyday social service counselling. Due to numerous risk factors and complex reasons, further measures are required to enable the early identification of risk constellations and to improve the situation of those affected.

Identifiants

pubmed: 33820721
pii: S1865-9217(21)00034-9
doi: 10.1016/j.zefq.2021.02.006
pii:
doi:

Types de publication

Journal Article

Langues

ger

Sous-ensembles de citation

IM

Pagination

16-23

Informations de copyright

Copyright © 2021. Published by Elsevier GmbH.

Auteurs

Bastian Surmann (B)

Arbeitsgruppe für Gesundheitsökonomie und Gesundheitsmanagement, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland. Electronic address: bastian.surmann@uni-bielefeld.de.

Ruth Lingnau (R)

Abteilung für Gesundheitssystemanalyse und Gesundheitsökonomie, aQua-Institut, Göttingen, Deutschland.

Julian Witte (J)

Arbeitsgruppe für Gesundheitsökonomie und Gesundheitsmanagement, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland.

Jürgen Walther (J)

Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Medizinische Onkologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

Katja Mehlis (K)

Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Medizinische Onkologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

Eva C Winkler (EC)

Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Medizinische Onkologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.

Wolfgang Greiner (W)

Arbeitsgruppe für Gesundheitsökonomie und Gesundheitsmanagement, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland.

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Classifications MeSH