Coping mechanisms for financial toxicity: a qualitative study of cancer patients’ experiences in Germany
Purpose The coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore t...
Gespeichert in:
| Veröffentlicht in: | Supportive care in cancer 2020-03, Vol.28 (3), p.1131-1139 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1139 |
|---|---|
| container_issue | 3 |
| container_start_page | 1131 |
| container_title | Supportive care in cancer |
| container_volume | 28 |
| creator | Schröder, Sara Lena Schumann, Nadine Fink, Astrid Richter, Matthias |
| description | Purpose
The coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore the financial adjustments experienced by cancer patients and identify key coping mechanisms.
Methods
Semistructured interviews with 39 cancer patients (aged from 40 to 86 years) were conducted between May 2017 and April 2018 in Germany. Narratives were transcribed verbatim and analysed via qualitative content analysis.
Results
In all, 28 participants reported that they made financial adjustments related to two major categories: (1) reducing expenditures related to basic needs, luxury needs, and health-related decisions, and (2) increasing financial resources by saving less, using savings, investing manpower, obtaining help from third parties, incurring bank debt, and making health-related decisions. Typically, cancer patients both reduced expenditures and increased financial resources, but no typical patterns of combinations of coping mechanisms could be identified. However, reducing spending on basic and luxury needs was found to occur more typically than increasing the available money through incurring bank debt
,
making health-related decisions, or investing manpower.
Conclusions
This qualitative study provides a comprehensive understanding of the complexity of the coping mechanisms used by patients to address either higher costs or changed needs and priorities following a cancer diagnosis. With regard to understanding patients’ experiences of subjective financial stress, both increasing financial resources and reducing expenditures, particularly those relating to basic needs and luxury needs as distinct categories, might be relevant and should be considered. The financial situation impacts the treatment of cancer patients since health-related decisions were reported to be made with the aim of increasing financial resources by maintaining an ability to work or reducing expenditures through non-adherence. |
| doi_str_mv | 10.1007/s00520-019-04915-w |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2340041232</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A612850731</galeid><sourcerecordid>A612850731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-a114f1923b68009f4726416de7c7f5bc7244432893f9f6a844d2d45ff982b9643</originalsourceid><addsrcrecordid>eNp9kU1uFDEQhS0EIkPgAiyQJTZsOvin3G6zi0YQkCKxgbXlcduDR912x-4mmV2uwfU4CR4mEIEQ8qLkqu89Vekh9JySM0qIfF0IEYw0hKqGgKKiuX6AVhQ4byTn6iFaEQW0AS7ECXpSyo4QKqVgj9EJp4xQAWKFdus0hbjFo7NfTAxlLNinjH2IJtpgBjynm2DDvH-DDb5azBBmM4evDpd56fc4eWwr6DKeatvFuXy__YbdzeRy_VlXcIj4wuXRxP1T9Mibobhnd_UUfX739tP6fXP58eLD-vyysQBsbgyl4KlifNN2hCgPkrVA295JK73YWMkAgLNOca98azqAnvUgvFcd26gW-Cl6dfSdcrpaXJn1GIp1w2CiS0vRjAMhQBlnFX35F7pLS451O80YV6qlHOg9tTWD0yH6NGdjD6b6vKWsE0TyA3X2D6q-3o3Bpuh8qP0_BOwosDmVkp3XUw6jyXtNiT4ErI8B6xqw_hmwvq6iF3cbL5vR9b8lvxKtAD8CpY7i1uX7k_5j-wOITK_4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2239961341</pqid></control><display><type>article</type><title>Coping mechanisms for financial toxicity: a qualitative study of cancer patients’ experiences in Germany</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Schröder, Sara Lena ; Schumann, Nadine ; Fink, Astrid ; Richter, Matthias</creator><creatorcontrib>Schröder, Sara Lena ; Schumann, Nadine ; Fink, Astrid ; Richter, Matthias</creatorcontrib><description>Purpose
The coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore the financial adjustments experienced by cancer patients and identify key coping mechanisms.
Methods
Semistructured interviews with 39 cancer patients (aged from 40 to 86 years) were conducted between May 2017 and April 2018 in Germany. Narratives were transcribed verbatim and analysed via qualitative content analysis.
Results
In all, 28 participants reported that they made financial adjustments related to two major categories: (1) reducing expenditures related to basic needs, luxury needs, and health-related decisions, and (2) increasing financial resources by saving less, using savings, investing manpower, obtaining help from third parties, incurring bank debt, and making health-related decisions. Typically, cancer patients both reduced expenditures and increased financial resources, but no typical patterns of combinations of coping mechanisms could be identified. However, reducing spending on basic and luxury needs was found to occur more typically than increasing the available money through incurring bank debt
,
making health-related decisions, or investing manpower.
Conclusions
This qualitative study provides a comprehensive understanding of the complexity of the coping mechanisms used by patients to address either higher costs or changed needs and priorities following a cancer diagnosis. With regard to understanding patients’ experiences of subjective financial stress, both increasing financial resources and reducing expenditures, particularly those relating to basic needs and luxury needs as distinct categories, might be relevant and should be considered. The financial situation impacts the treatment of cancer patients since health-related decisions were reported to be made with the aim of increasing financial resources by maintaining an ability to work or reducing expenditures through non-adherence.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-019-04915-w</identifier><identifier>PMID: 31201545</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Analysis ; Cancer ; Cancer patients ; Care and treatment ; Content analysis ; Coping ; Cost control ; Decision Making ; Evaluation Studies as Topic ; Expenditures ; Female ; Germany ; Health Expenditures ; Humans ; Income ; Male ; Medical care, Cost of ; Medical debt ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Narration ; Neoplasms - diagnosis ; Neoplasms - economics ; Neoplasms - prevention & control ; Nursing ; Nursing Research ; Oncology ; Oncology, Experimental ; Original Article ; Pain Medicine ; Qualitative Research ; Rehabilitation Medicine ; Social aspects</subject><ispartof>Supportive care in cancer, 2020-03, Vol.28 (3), p.1131-1139</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>COPYRIGHT 2020 Springer</rights><rights>Supportive Care in Cancer is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-a114f1923b68009f4726416de7c7f5bc7244432893f9f6a844d2d45ff982b9643</citedby><cites>FETCH-LOGICAL-c442t-a114f1923b68009f4726416de7c7f5bc7244432893f9f6a844d2d45ff982b9643</cites><orcidid>0000-0003-3025-8937</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-019-04915-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-019-04915-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31201545$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schröder, Sara Lena</creatorcontrib><creatorcontrib>Schumann, Nadine</creatorcontrib><creatorcontrib>Fink, Astrid</creatorcontrib><creatorcontrib>Richter, Matthias</creatorcontrib><title>Coping mechanisms for financial toxicity: a qualitative study of cancer patients’ experiences in Germany</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
The coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore the financial adjustments experienced by cancer patients and identify key coping mechanisms.
Methods
Semistructured interviews with 39 cancer patients (aged from 40 to 86 years) were conducted between May 2017 and April 2018 in Germany. Narratives were transcribed verbatim and analysed via qualitative content analysis.
Results
In all, 28 participants reported that they made financial adjustments related to two major categories: (1) reducing expenditures related to basic needs, luxury needs, and health-related decisions, and (2) increasing financial resources by saving less, using savings, investing manpower, obtaining help from third parties, incurring bank debt, and making health-related decisions. Typically, cancer patients both reduced expenditures and increased financial resources, but no typical patterns of combinations of coping mechanisms could be identified. However, reducing spending on basic and luxury needs was found to occur more typically than increasing the available money through incurring bank debt
,
making health-related decisions, or investing manpower.
Conclusions
This qualitative study provides a comprehensive understanding of the complexity of the coping mechanisms used by patients to address either higher costs or changed needs and priorities following a cancer diagnosis. With regard to understanding patients’ experiences of subjective financial stress, both increasing financial resources and reducing expenditures, particularly those relating to basic needs and luxury needs as distinct categories, might be relevant and should be considered. The financial situation impacts the treatment of cancer patients since health-related decisions were reported to be made with the aim of increasing financial resources by maintaining an ability to work or reducing expenditures through non-adherence.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Content analysis</subject><subject>Coping</subject><subject>Cost control</subject><subject>Decision Making</subject><subject>Evaluation Studies as Topic</subject><subject>Expenditures</subject><subject>Female</subject><subject>Germany</subject><subject>Health Expenditures</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>Medical care, Cost of</subject><subject>Medical debt</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Narration</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - economics</subject><subject>Neoplasms - prevention & control</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Qualitative Research</subject><subject>Rehabilitation Medicine</subject><subject>Social aspects</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1uFDEQhS0EIkPgAiyQJTZsOvin3G6zi0YQkCKxgbXlcduDR912x-4mmV2uwfU4CR4mEIEQ8qLkqu89Vekh9JySM0qIfF0IEYw0hKqGgKKiuX6AVhQ4byTn6iFaEQW0AS7ECXpSyo4QKqVgj9EJp4xQAWKFdus0hbjFo7NfTAxlLNinjH2IJtpgBjynm2DDvH-DDb5azBBmM4evDpd56fc4eWwr6DKeatvFuXy__YbdzeRy_VlXcIj4wuXRxP1T9Mibobhnd_UUfX739tP6fXP58eLD-vyysQBsbgyl4KlifNN2hCgPkrVA295JK73YWMkAgLNOca98azqAnvUgvFcd26gW-Cl6dfSdcrpaXJn1GIp1w2CiS0vRjAMhQBlnFX35F7pLS451O80YV6qlHOg9tTWD0yH6NGdjD6b6vKWsE0TyA3X2D6q-3o3Bpuh8qP0_BOwosDmVkp3XUw6jyXtNiT4ErI8B6xqw_hmwvq6iF3cbL5vR9b8lvxKtAD8CpY7i1uX7k_5j-wOITK_4</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Schröder, Sara Lena</creator><creator>Schumann, Nadine</creator><creator>Fink, Astrid</creator><creator>Richter, Matthias</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3025-8937</orcidid></search><sort><creationdate>20200301</creationdate><title>Coping mechanisms for financial toxicity: a qualitative study of cancer patients’ experiences in Germany</title><author>Schröder, Sara Lena ; Schumann, Nadine ; Fink, Astrid ; Richter, Matthias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-a114f1923b68009f4726416de7c7f5bc7244432893f9f6a844d2d45ff982b9643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Content analysis</topic><topic>Coping</topic><topic>Cost control</topic><topic>Decision Making</topic><topic>Evaluation Studies as Topic</topic><topic>Expenditures</topic><topic>Female</topic><topic>Germany</topic><topic>Health Expenditures</topic><topic>Humans</topic><topic>Income</topic><topic>Male</topic><topic>Medical care, Cost of</topic><topic>Medical debt</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Narration</topic><topic>Neoplasms - diagnosis</topic><topic>Neoplasms - economics</topic><topic>Neoplasms - prevention & control</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Qualitative Research</topic><topic>Rehabilitation Medicine</topic><topic>Social aspects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schröder, Sara Lena</creatorcontrib><creatorcontrib>Schumann, Nadine</creatorcontrib><creatorcontrib>Fink, Astrid</creatorcontrib><creatorcontrib>Richter, Matthias</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schröder, Sara Lena</au><au>Schumann, Nadine</au><au>Fink, Astrid</au><au>Richter, Matthias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coping mechanisms for financial toxicity: a qualitative study of cancer patients’ experiences in Germany</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>28</volume><issue>3</issue><spage>1131</spage><epage>1139</epage><pages>1131-1139</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
The coping mechanisms employed to deal with objective financial burden following a cancer diagnosis are considered mediators of financial toxicity, specifically for the relationship between increased costs and health outcomes. Using qualitative research, the aim of the study was to explore the financial adjustments experienced by cancer patients and identify key coping mechanisms.
Methods
Semistructured interviews with 39 cancer patients (aged from 40 to 86 years) were conducted between May 2017 and April 2018 in Germany. Narratives were transcribed verbatim and analysed via qualitative content analysis.
Results
In all, 28 participants reported that they made financial adjustments related to two major categories: (1) reducing expenditures related to basic needs, luxury needs, and health-related decisions, and (2) increasing financial resources by saving less, using savings, investing manpower, obtaining help from third parties, incurring bank debt, and making health-related decisions. Typically, cancer patients both reduced expenditures and increased financial resources, but no typical patterns of combinations of coping mechanisms could be identified. However, reducing spending on basic and luxury needs was found to occur more typically than increasing the available money through incurring bank debt
,
making health-related decisions, or investing manpower.
Conclusions
This qualitative study provides a comprehensive understanding of the complexity of the coping mechanisms used by patients to address either higher costs or changed needs and priorities following a cancer diagnosis. With regard to understanding patients’ experiences of subjective financial stress, both increasing financial resources and reducing expenditures, particularly those relating to basic needs and luxury needs as distinct categories, might be relevant and should be considered. The financial situation impacts the treatment of cancer patients since health-related decisions were reported to be made with the aim of increasing financial resources by maintaining an ability to work or reducing expenditures through non-adherence.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31201545</pmid><doi>10.1007/s00520-019-04915-w</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3025-8937</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2020-03, Vol.28 (3), p.1131-1139 |
| issn | 0941-4355 1433-7339 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2340041232 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adaptation, Psychological Adult Aged Aged, 80 and over Analysis Cancer Cancer patients Care and treatment Content analysis Coping Cost control Decision Making Evaluation Studies as Topic Expenditures Female Germany Health Expenditures Humans Income Male Medical care, Cost of Medical debt Medical diagnosis Medicine Medicine & Public Health Middle Aged Narration Neoplasms - diagnosis Neoplasms - economics Neoplasms - prevention & control Nursing Nursing Research Oncology Oncology, Experimental Original Article Pain Medicine Qualitative Research Rehabilitation Medicine Social aspects |
| title | Coping mechanisms for financial toxicity: a qualitative study of cancer patients’ experiences in Germany |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T23%3A26%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Coping%20mechanisms%20for%20financial%20toxicity:%20a%20qualitative%20study%20of%20cancer%20patients%E2%80%99%20experiences%20in%20Germany&rft.jtitle=Supportive%20care%20in%20cancer&rft.au=Schr%C3%B6der,%20Sara%20Lena&rft.date=2020-03-01&rft.volume=28&rft.issue=3&rft.spage=1131&rft.epage=1139&rft.pages=1131-1139&rft.issn=0941-4355&rft.eissn=1433-7339&rft_id=info:doi/10.1007/s00520-019-04915-w&rft_dat=%3Cgale_proqu%3EA612850731%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2239961341&rft_id=info:pmid/31201545&rft_galeid=A612850731&rfr_iscdi=true |