Glajchen M
Cancer Pract. 1994 Mar-Apr;2(2):115-20.
The psychosocial aspects of health insurance in general, and inadequate coverage in particular, have received scant attention from psycho-oncology professionals. However, with the dehospitalization of cancer treatment, and the longer survival time for patients with cancer, the economic and social burden of cancer has shifted to the patient and family. This article explores several domains of the life of the patient with cancer that can be affected by insufficient health insurance. These include the physical, emotional, financial, social, and employment consequences of inadequate insurance coverage, which can be far-reaching. Health insurance can influence the patient's decision making regarding treatment, choice of physician, and hospital. The unmet needs that arise from deficient insurance coverage can cause strain and distress for the family and the patient. These areas of concern are discussed, and recommendations are made for clinical, educational, and research activities.
一般而言，健康保险的社会心理层面，尤其是保险覆盖不足的问题，很少受到心理肿瘤学专业人员的关注。然而，随着癌症治疗的非住院化以及癌症患者存活时间的延长，癌症的经济和社会负担已转移至患者及其家庭。本文探讨了癌症患者生活中可能受健康保险不足影响的几个领域。这些领域包括保险覆盖不足所带来的身体、情感、财务、社会和就业方面的后果，这些后果可能影响深远。健康保险会影响患者在治疗、医生选择和医院选择方面的决策。保险覆盖不足所产生的未满足需求会给家庭和患者带来压力与困扰。本文讨论了这些令人关切的领域，并针对临床、教育和研究活动提出了建议。
