ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2013
The multidimensional nature of the financial and economic burden of a cancer diagnosis on patients and their families: qualitative findings from a country with a mixed public-private healthcare system.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Towards the assessment of financial distress among cancer patients: a conceptual model of the financial effects of a tumour disease.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Pooled it
- Prognostic factors affecting return to work in cancer patients: a systematic review.Occupational and environmental medicine · 2025Pooled it
- Experiencing financial toxicity associated with cancer in publicly funded healthcare systems: a systematic review of qualitative studies.Journal of cancer survivorship : research and practice · 2022Pooled it
- Physician-patient communication of costs and financial burden of cancer and its treatment: a systematic review of clinical guidelines.BMC cancer · 2021Pooled it
- Randomized Controlled Trial Study of the Impact of a Spiritual Intervention on Hope and Spiritual Well-Being of Persons with Cancer.Investigacion y educacion en enfermeria · 2021Trial
- Trial
- Financial Burden in Adults With Chronic Illness in Switzerland: A Secondary Analysis of Qualitative Interviews Using Natural Language Processing and Topic Modeling.JMIR formative research · 2026Article
- Developing a Conceptual Framework for Socioeconomic Impact Research in European Cancer Patients: A 'Best-Fit' Framework Synthesis.The patient · 2023Article
- Association of social service counseling in breast cancer patients with financial problems, role functioning and employment-results from the prospective multicenter BRENDA II study.Archives of gynecology and obstetrics · 2023Article
- Patient-Reported Financial Distress in Cancer: A Systematic Review of Risk Factors in Universal Healthcare Systems.Cancers · 2021Review
- Biopsychosocial Factors Associated with Supportive Care Needs in Canadian Adolescent and Young Adult Cancer Survivors.Journal of clinical medicine · 2021Article
- Factors Associated with the Quality of Life of Patients with Cancer Undergoing Radiotherapy.Psychiatry investigation · 2021Article
- A social-healthcare pathway to facilitate return to work of cancer survivors in Italy: The UNAMANO project.Work (Reading, Mass.) · 2021Article
- The Relation of Readiness for Return to Work and Return to Work Among Iranian Cancer Survivors.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Article
- Multilevel determinants of financial toxicity in breast cancer care: perspectives of healthcare professionals and Latina survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Understanding the Financial Needs Following Diagnosis of Breast Cancer in a Setting with Universal Health Coverage.The oncologist · 2020Article
- Coping mechanisms for financial toxicity: a qualitative study of cancer patients' experiences in Germany.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Observational
- Financial toxicity is more than costs of care: the relationship between employment and financial toxicity in long-term cancer survivors.Journal of cancer survivorship : research and practice · 2019Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough awareness is increasing that cancer can have an adverse financial and economic impact for patients, the overall burden remains poorly understood. To elucidate these issues, we used qualitative methods to explore the financial impact of a cancer diagnosis in Ireland, which has a mixed public-private healthcare system and where sick leave and sick pay are at employers' discretion.
methodsFace-to-face semi-structured interviews were conducted with hospital-based oncology social workers (OSWs; 21 OSWs from 11 hospitals) and patients (20 from eight hospitals; 11 breast, 5 prostate and 4 lung cancer). Participants were asked about the (1) extra expenses incurred, (2) cancer's impact on work and income, and (3) accessing financial assistance/social welfare benefits. The two interview sets were analysed separately using thematic analysis.
resultsBroad themes that emerged included the wide range of additional cancer-related medical and non-medical expenses incurred by all patients, including those with medical cards (which entitle the bearer to receive health services free of charge) and those with private health insurance; the major impact of cancer and its treatment on work and patient/household income (all patients who were working at diagnosis experienced a drop in income); and difficulties in accessing medical cards and benefits.
conclusionsThis study reveals the complex, multidimensional nature of the financial and economic burden cancer imposes on patients and the whole family unit. Changes in income post-cancer exacerbate the effects of cancer-related out-of-pocket expenses. These findings have implications for healthcare professionals, service providers and policy makers.
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