title: Financial Quality of Life for Patients With Cancer: An Exploratory Study.
abstract: For people who are experiencing financial hardship, a cancer diagnosis can be devastating. For others, cancer may exacerbate financial stress, thereby influencing their livelihood, their ability to maintain employment benefits including health insurance, manage financial obligations, and participate meaningfully in cancer treatment. This study examined how vulnerabilities in psychosocial situations affect financial quality of life within the larger context of health-care decision making through a survey conducted with a cross-sectional availability sample of 90 cancer patients. Results from the multiple regression analysis found that health insurance adequacy, fewer perceived barriers to care, and reduced financial stress are significant predictors of better financial quality of life in this sample. Oncology social workers and other disciplines involved in psychosocial treatment with patients with cancer must assess and address financial and logistic aspects of life in order to provide comprehensive cancer care that meets all needs. Collaborative coordination with patients with cancer and their families to intervene psychosocially, medically, and financially are critical components of sound psychosocial and medical practice.
authors.affiliation: a Financial Social Work Initiative, University of Maryland School of Social Work , Baltimore , MD , USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Callahan
authors.forename: Karlynn
authors.initials: K
authors.lastname: Brintzenhofeszoc
mesh_terms: D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D015999:Multivariate Analysis; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D011788:Quality of Life; D012044:Regression Analysis; D012959:Socioeconomic Factors; D013315:Stress, Psychological; D035862:Vulnerable Populations / Q000523:psychology* / Q000706:statistics & numerical data
keywords: adapted behavioral model for vulnerable populations; cancer care access; financial quality of life