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作者：SCI天天读
SCI
1 May 2024
Cancer diagnosis and treatment in working-age adults: Implications for employment, health insurance coverage, and financial hardship in the United States
(CA Cancer J Clin, IF: 254.7)
Yabroff KR, Doran JF, Zhao J, et al. Cancer diagnosis and treatment in working-age adults: Implications for employment, health insurance coverage, and financial hardship in the United States. CA Cancer J Clin. Published online April 23, 2024:10.3322/caac.21837.
The rising costs of cancer care and subsequent medical financial hardship for cancer survivors and families are well documented in the United States. Less attention has been paid to employment disruptions and loss of household income after a cancer diagnosis and during treatment, potentially resulting in lasting financial hardship, particularly for working-age adults not yet age-eligible for Medicare coverage and their families. In this article, the authors use a composite patient case to illustrate the adverse consequences of cancer diagnosis and treatment for employment, health insurance coverage, household income, and other aspects of financial hardship. They summarize existing research and provide nationally representative estimates of multiple aspects of financial hardship and health insurance coverage, benefit design, and employee benefits, such as paid sick leave, among working-age adults with a history of cancer and compare them with estimates among working-age adults without a history of cancer from the most recently available years of the National Health Interview Survey (2019-2021). Then, the authors identify opportunities for addressing employment and health insurance coverage challenges at multiple levels, including federal, state, and local policies; employers; cancer care delivery organizations; and nonprofit organizations. These efforts, when informed by research to identify best practices, can potentially help mitigate the financial hardship associated with cancer.
癌症治疗费用的上涨以及癌症存活者和家庭随之而来的医疗经济困难在美国记录在案。对癌症诊断后和治疗期间的就业中断和家庭收入损失的关注较少，这可能导致长期的经济困难，特别是对于尚未达到享受医疗保险的工作年龄成年人及其家庭而言。在这篇文章中，作者使用一个综合病例来说明癌症诊断和治疗对就业、医疗保险覆盖面、家庭收入和经济困难的其他方面的不利后果。他们总结了现有的研究，并提供了具有全国代表性的经济困难和健康保险覆盖范围，福利设计和雇员福利(如带薪病假)的多个方面的估计值，并将其与最近几年国家健康访谈调查(2019-2021)中没有癌症病史的工作年龄成年人的估计值进行比较。然后，作者确定了在多个层面解决就业和医疗保险覆盖面挑战的机会，包括联邦、州和地方政策、雇主、癌症护理提供组织和非营利组织。这些努力，当通过研究确定最佳做法，可能有助于减轻与癌症相关的经济困难。
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