Cancer Council Australia, Sydney, NSW 2000, Australia.
School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
Int J Environ Res Public Health. 2021 Mar 2;18(5):2422. doi: 10.3390/ijerph18052422.
(1) Background: This systematic review was conducted to identify cancer patient experiences, and the impact of out-of-pocket costs and financial burden in Australia. (2) Methods: A systematic review, following the Preferring Reporting Items for Systematic Reviews and Meta-Analyses, was conducted. Cumulative Index of Nursing and Allied Health Literature and PubMed were searched. The primary outcome was financial burden among cancer patients and their families in Australia. The secondary outcome was out-of-pocket costs associated with cancer care and treatment within the population sample, and the impact of financial burden. (3) Results: Nineteen studies were included, covering more than 70,000 Australians affected by cancer. Out-of-pocket costs varied by cancer type and ranged from an average of AUD 977 for breast cancer and lymphoedema patients to AUD 11,077 for prostate cancer patients. Younger aged patients (≤65 years), Aboriginal and Torres Strait Islander people, people in rural and/or remote areas, households with low income, those who were unemployed and people with private health insurance were at increased risk of experiencing out-of-pocket costs, financial burden or a combination of both. (4) Conclusions: Australians diagnosed with cancer frequently experience financial burden, and the health and financial consequences are significant. Focusing efforts on the costs of care and options about where to have care within the context of informed decisions about cancer care is necessary.
(1) 背景：本系统评价旨在确定澳大利亚癌症患者的体验，以及自付费用和经济负担对他们的影响。(2) 方法：我们进行了系统评价，遵循系统评价和荟萃分析的首选报告项目。对 Cumulative Index of Nursing and Allied Health Literature 和 PubMed 进行了检索。主要结局是澳大利亚癌症患者及其家庭的经济负担。次要结局是人群样本中与癌症护理和治疗相关的自付费用，以及经济负担的影响。(3) 结果：纳入了 19 项研究，涵盖了超过 70000 名澳大利亚癌症患者。自付费用因癌症类型而异，从乳腺癌和淋巴水肿患者的平均 977 澳元(AUD)到前列腺癌患者的 11077 澳元不等。年龄较小的患者(≤65 岁)、原住民和托雷斯海峡岛民、农村和/或偏远地区的人、收入低的家庭、失业者以及有私人医疗保险的人，更有可能自付费用、经济负担或两者兼有。(4) 结论：澳大利亚被诊断患有癌症的人经常面临经济负担，其健康和经济后果是巨大的。有必要在知情的癌症护理决策背景下，关注护理成本以及在哪里接受护理的选择，以减轻这些负担。
