Out-of-pocket expenses experienced by rural Western Australians diagnosed with cancer
dc.contributor.author | Newton, J. | |
dc.contributor.author | Johnson, C. | |
dc.contributor.author | Hohnen, H. | |
dc.contributor.author | Bulsara, M. | |
dc.contributor.author | Ives, A. | |
dc.contributor.author | McKiernan, S. | |
dc.contributor.author | Platt, V. | |
dc.contributor.author | McConigley, Ruth | |
dc.contributor.author | Slavova-Azmanova, N. | |
dc.contributor.author | Saunders, C. | |
dc.date.accessioned | 2018-05-18T07:55:59Z | |
dc.date.available | 2018-05-18T07:55:59Z | |
dc.date.created | 2018-05-18T00:22:50Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Newton, J. and Johnson, C. and Hohnen, H. and Bulsara, M. and Ives, A. and McKiernan, S. and Platt, V. et al. 2018. Out-of-pocket expenses experienced by rural Western Australians diagnosed with cancer. Supportive Care in Cancer: pp. 1-10. | |
dc.identifier.uri | http://hdl.handle.net/20.500.11937/66772 | |
dc.identifier.doi | 10.1007/s00520-018-4205-2 | |
dc.description.abstract |
© 2018 Springer-Verlag GmbH Germany, part of Springer Nature Purpose: Out-of-pocket expenses (OOPE) can have a significant impact on patients’ experiences of cancer treatment. This cross-sectional study sought to quantify the OOPEs experienced by rural cancer patients in Western Australia (WA), and determine factors that contributed to higher OOPE. Methods: Four hundred people diagnosed with breast, lung, colorectal or prostate cancer who resided in selected rural regions of WA were recruited through the WA Cancer Registry and contacted at least 3 months after diagnosis to report the medical OOPE (such as surgery or chemotherapy, supportive care, medication and tests) and non-medical OOPE (such as travel costs, new clothing and utilities) they had experienced as a result of accessing and receiving treatment. Bootstrapped t tests identified demographic, financial and treatment-related factors to include in multivariate analysis, performed using log-linked generalised linear models with gamma distribution. Results: After a median 21 weeks post-diagnosis, participants experienced an average OOPE of AU$2179 (bootstrapped 95% confidence interval $1873–$2518), and 45 (11%) spent more than 10% of their household income on these expenses. Participants likely to experience higher total OOPE were younger than 65 years (p = 0.008), resided outside the South West region (p = 0.007) and had private health insurance (PHI) (p < 0.001). Conclusions: Rural WA cancer patients experience significant OOPE following their diagnosis. The impact these expenses have on patient wellbeing and their treatment decisions need to be further explored. | |
dc.publisher | Springer | |
dc.title | Out-of-pocket expenses experienced by rural Western Australians diagnosed with cancer | |
dc.type | Journal Article | |
dcterms.source.startPage | 1 | |
dcterms.source.endPage | 10 | |
dcterms.source.issn | 0941-4355 | |
dcterms.source.title | Supportive Care in Cancer | |
curtin.department | School of Public Health | |
curtin.accessStatus | Fulltext not available |
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