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2
Perceived parent financial burden and asthma outcomes in low-income, urban children.城市低收入家庭中父母感知的经济负担与儿童哮喘结局
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3
Study protocol for Women of Color and Asthma Control: a randomized controlled trial of an asthma-management intervention for African American women.《有色人种女性与哮喘控制研究方案：一项针对非裔美国女性的哮喘管理干预的随机对照试验》
BMC Public Health. 2012 Jan 24;12:76. doi: 10.1186/1471-2458-12-76.
4
Work-related asthma, financial barriers to asthma care, and adverse asthma outcomes: asthma call-back survey, 37 states and District of Columbia, 2006 to 2008.工作相关哮喘、哮喘护理的经济障碍和不良哮喘结局：哮喘回拨调查，37 个州和哥伦比亚特区，2006 年至 2008 年。
Med Care. 2011 Dec;49(12):1097-104. doi: 10.1097/MLR.0b013e31823639b9.
5
Psychological stress: a social pollutant that may enhance environmental risk.心理压力：一种可能增加环境风险的社会污染物。
Am J Respir Crit Care Med. 2011 Oct 1;184(7):752-4. doi: 10.1164/rccm.201106-1139ED.
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Beliefs that influence cost-related medication non-adherence among the "haves" and "have nots" with chronic diseases.影响患有慢性病的“富有者”和“贫困者”中与费用相关的药物治疗不依从性的信念。
Patient Prefer Adherence. 2011;5:389-96. doi: 10.2147/PPA.S23111. Epub 2011 Aug 3.
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National estimates of out-of-pocket health care expenditure burdens among nonelderly adults with cancer: 2001 to 2008.非老年癌症患者自付医疗支出负担的全国估计：2001 年至 2008 年。
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Issues in health reform: how changes in eligibility may move millions back and forth between medicaid and insurance exchanges.医保改革问题：资格变化如何使数百万人在医保和保险交易所之间来回流动。
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9
Economic hardship associated with managing chronic illness: a qualitative inquiry.与慢性病管理相关的经济困难：一项定性研究。
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Trends in out-of-pocket healthcare costs among older community-dwelling Medicare beneficiaries.老年社区医保受益人的自付医疗费用趋势。
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除了自付费用和现金支付的成本：非裔美国女性在管理哮喘中对与健康相关的经济负担的认知

Beyond co-pays and out-of-pocket costs: perceptions of health-related financial burden in managing asthma among African American women.

作者信息

Patel Minal R, Nelson Belinda W, Id-Deen Effat, Caldwell Cleopatra H

机构信息

Department of Health Behavior & Health Education, University of Michigan School of Public Health , Ann Arbor, MI , USA and.

出版信息

J Asthma. 2014 Dec;51(10):1083-8. doi: 10.3109/02770903.2014.936453. Epub 2014 Jul 4.

DOI:10.3109/02770903.2014.936453
PMID:24945886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6004530/
Abstract

OBJECTIVE

The purpose of this study was to define perceptions of health-related financial burden based on the views of individuals who report these perceptions through qualitative approaches.

METHODS

Four focus groups were conducted in Southeast Michigan with 26 African American women with asthma, recruited based on maximum variation sampling procedures. A semi-structured interview was employed by facilitators. Coded transcripts were analyzed for themes regarding dimensions of the meaning of financial burden.

RESULTS

Major domains of financial burden identified included (1) high out-of-pocket expenses; (2) lost wages from exacerbations, inability to maintain a stable job and stress from making decisions about taking a sick day or coming to work; (3) transport costs; (4) both costs and stress of managing insurance eligibility and correcting erroneous bills.

CONCLUSION

Greater awareness of factors that add to perceptions of financial burden might better equip researchers to develop interventions to help care teams manage such concerns with their patients.

摘要

目的

本研究旨在基于通过定性方法报告这些认知的个体的观点，界定与健康相关的经济负担认知。

方法

在密歇根州东南部对26名患有哮喘的非裔美国女性进行了4个焦点小组访谈，采用最大差异抽样程序招募。主持人采用半结构化访谈。对编码后的访谈记录进行分析，以找出与经济负担含义维度相关的主题。

结果

确定的经济负担主要领域包括：（1）高额自付费用；（2）病情加重导致的工资损失、无法维持稳定工作以及因决定请病假或上班而产生的压力；（3）交通成本；（4）管理保险资格和纠正错误账单的成本及压力。

结论

更多地了解增加经济负担认知的因素，可能会使研究人员更好地制定干预措施，以帮助护理团队处理与患者相关的此类问题。