ArticleMedicine2016
Finding resiliency in the face of financial barriers: Development of a conceptual framework for people with cardiovascular-related chronic disease.
Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed.
- Exploring patient and pharmacist perspectives on complex interventions for cardiovascular prevention: A qualitative descriptive process evaluation.Health expectations : an international journal of public participation in health care and health policy · 2020Trial
- A Patient-Informed Framework of Financial Strain Among Adults with Multimorbidity.Journal of general internal medicine · 2026Article
- Association of patient-reported financial barriers with healthcare utilization among Medicare beneficiaries with a history of cancer.Journal of cancer survivorship : research and practice · 2024Article
- Determinants of public institutional births in India: An analysis using the National Family Health Survey (NFHS-5) factsheet data.Journal of family medicine and primary care · 2024Article
- Facing financial barriers to healthcare: patient-informed adaptation of a conceptual framework for adults with a history of cancer.Frontiers in psychology · 2023Article
- Frameworks for Implementation, Uptake, and Use of Cardiometabolic Disease-Related Digital Health Interventions in Ethnic Minority Populations: Scoping Review.JMIR cardio · 2022Article
- Association of Neighborhood-Level Material Deprivation With Atrial Fibrillation Care in a Single-Payer Health Care System: A Population-Based Cohort Study.Circulation · 2022Article
- Article
- Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review.Public health reviews · 2022Article
- Perceived Financial Barriers to Cervical Cancer Screening and Associated Cost Burden Among Low-Income, Under-Screened Women.Journal of women's health (2002) · 2021Article
- Elevated blood pressure and illness beliefs: a cross-sectional study of emergency department patients in Jamaica.International journal of emergency medicine · 2018Article
- Exploring structural barriers to diabetes self-management in Alberta First Nations communities.Diabetology & metabolic syndrome · 2018Article
- Financial barriers and adverse clinical outcomes among patients with cardiovascular-related chronic diseases: a cohort study.BMC medicine · 2017Article
- Exploring the impact of financial barriers on secondary prevention of heart disease.BMC cardiovascular disorders · 2017Article
- Patient Perspectives on Home-Based Care and Remote Monitoring in Heart Failure: A Qualitative Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patients with chronic diseases often face financial barriers to optimize their health. These financial barriers may be related to direct healthcare costs such as medications or self-monitoring supplies, or indirect costs such as transportation to medical appointments. No known framework exists to understand how financial barriers impact patients' lives or their health outcomes.We undertook a grounded theory study to develop such a framework. We used semistructured interviews with a purposive sample of participants with cardiovascular-related chronic disease (hypertension, diabetes, heart disease, or stroke) from Alberta, Canada. Interview transcripts were analyzed in triplicate, and interviews continued until saturation was reached.We interviewed 34 participants. We found that the confluence of 2 events contributed to the perception of having a financial barrier-onset of chronic disease and lack of income or health benefits. The impact of having a perceived financial barrier varied considerably. Protective, predisposing, or modifying of factors determined how impactful a financial barrier would be. An individual's particular set of factors is then shaped by their worldview. This combination of factors and lens determines one's degree of resiliency, which ultimately impacts how well they cope with their disease.The role of financial barriers is complex. How well an individual copes with their financial barriers is intimately tied to resiliency, which is related to the composite of a personal circumstances and their worldview. Our framework for understanding the experience of financial barriers can be used by both researchers and clinicians to better understand patient behavior.
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