Kwabeng Michael Addo, Kyei Kofi Adesi, Manortey Stephen, Vanderpuye Verna, Kitson-Mills Doris, Yarney Joel, Talboys Sharon
Korle-Bu Teaching Hospital, Accra.
Department of Radiology University of Ghana.
J Public Health Afr. 2020 Oct 29;11(1):1344. doi: 10.4081/jphia.2020.1344. eCollection 2020 Apr 29.
Breast cancer is a global health concern in terms of morbidity and mortality. Risksharing mechanisms such as health insurance provide resources and promote access to healthcare. The aim of the study was to assess the relationship between health insurance coverage and clinical outcome of breast cancer patients. The study employed retrospective design involving the use of secondary data from the patients diagnosed with breast cancer. Between the period of 2015 to 2019, 250 patients' records were reviewed from a sample size of 300 patients over 5 year patients' follow-up period. A descriptive and Kaplan Meier survival analysis was performed to determine the patients' survival rate. Seventy-two percent of the patients had health insurance cover at the time of diagnosis. Insurance status was found to be significantly associated with survival (p-values= 0.036). Insurance cover had 1.42 hazard ratio (p=0.036, 95% CI: 1.023-1.980). Patients with health insurance coverage at the time of diagnosis had a higher survival rate. No significant association was found among the demographic characteristics and the patients' clinical outcomes.
就发病率和死亡率而言，乳腺癌是一个全球关注的健康问题。诸如健康保险之类的风险分担机制提供资源并促进医疗保健的可及性。本研究的目的是评估健康保险覆盖范围与乳腺癌患者临床结局之间的关系。该研究采用回顾性设计，涉及使用被诊断为乳腺癌患者的二手数据。在2015年至2019年期间，在5年的患者随访期内，从300名患者的样本中回顾了250名患者的记录。进行了描述性分析和Kaplan Meier生存分析以确定患者的生存率。72%的患者在诊断时拥有健康保险。发现保险状况与生存率显著相关（p值 = 0.036）。保险覆盖的风险比为1.42（p = 0.036，95%置信区间：1.023 - 1.980）。诊断时拥有健康保险覆盖的患者生存率更高。在人口统计学特征和患者临床结局之间未发现显著关联。
