ArticleJACC. Heart failure2021
Forgone Medical Care Associated With Increased Health Care Costs Among the U.S. Heart Failure Population.
Article in JACC. Heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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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
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Social determinants of unmet need for primary care: a systematic review.Systematic reviews · 2024Pooled it
- The impact of adding cost information to a conversation aid to support shared decision making about low-risk prostate cancer treatment: Results of a stepped-wedge cluster randomised trial.Health expectations : an international journal of public participation in health care and health policy · 2023Trial
- Out-of-Pocket Costs for Chronic Illness Management in High-Deductible Health Plans.JAMA network open · 2026Article
- Pre-pandemic and pandemic healthcare utilisation among children with intellectual disabilities compared to the general population: a register study (IDcare).BMJ paediatrics open · 2026Article
- Epidemiological analysis and comparison of 259 extensive burn patients from 2010 to 2021: Evidence for autonomous medical team.PloS one · 2026Article
- Measuring health financing vulnerability due to reductions in official development assistance: A conceptual framework with empirical application across 47 African countries.PLOS global public health · 2026Article
- Multiple Chronic Conditions, Delayed Medical Care and Hospitalization: A Comparison Between the United States and Taiwan.International journal of health policy and management · 2026Article
- "Quality of life matters to me more than life, itself": A qualitative exploration of older adults' values and preferences on controlling the time of death.Death studies · 2026Article
- Overcoming Transportation Barriers for Low-Income Individuals with Chronic Conditions: Identifying Barriers and Strategies in Access to Healthcare and Food as Medicine (FAM).Healthcare (Basel, Switzerland) · 2025Article
- Forgone and delayed care in Germany- inequalities and perceived health risk of unmet need.International journal for equity in health · 2025Article
- Delayed or forgone medical care associated with increased resource utilization and health care expenditures among patients with peripheral artery disease in the United States.Journal of vascular surgery · 2025Article
- Association Between Delayed/Forgone Medical Care and Resource Utilization Among Women with Breast Cancer in the United States.Annals of surgical oncology · 2025Article
- Inter- and Intrahospital Price Variation for Common Cardiovascular Admission Diagnoses, Diagnostic Tests, and Therapeutic Procedures.Journal of the American Heart Association · 2025Article
- Health Care Spending After Initiating Sacubitril-Valsartan vs Renin-Angiotensin System Blockers for Heart Failure Treatment.JAMA health forum · 2025Article
- Association between catastrophic health expenditure and mortality in older people in 11 European health systems: a longitudinal analysis between 2006 and 2020.BMJ public health · 2025Article
- Delayed Healthcare Due to Cost Among Adults with Multimorbidity in the United States.Healthcare (Basel, Switzerland) · 2024Article
- Correlates of and Disparities in Cancellations or Delays of Prenatal Visits During the Covid-19 Pandemic: Emphasis on Racial/Ethnic Minorities and Persons with Low Socioeconomic Status.Journal of racial and ethnic health disparities · 2024Article
- A Costly Cure: Understanding and Addressing Financial Toxicity in Cardiovascular Disease Health Care Within the Domain of Social Determinants of Health.Methodist DeBakey cardiovascular journal · 2024Review
- The potential of virtual triage AI to improve early detection, care acuity alignment, and emergent care referral of life-threatening conditions.Frontiers in public health · 2024Article
- Evolution of economic burden of heart failure by ejection fraction in newly diagnosed patients in Spain.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objective of this study was to describe the prevalence of patients with forgone/delayed care for heart failure (HF) and examine the associated demographic characteristics, health care utilization, and costs.
backgroundHF is a leading cause of morbidity and mortality, with health care expenditures projected to increase 3-fold from 2012 to 2030. The proportion of HF patients with forgone/delayed medical care and the association with health care expenditures and utilization remain unknown.
methodsData on patients with HF were obtained from the Medical Expenditure Panel Survey to assess expenditures and health care utilization in the United States from 2004 to 2015. Patients with HF who reported forgone/delayed care, any missed or delayed medical treatment, were compared with those without care lapses.
resultsOverall, 16% of patients with HF reported forgone/delayed care, including 10% among the elderly (aged ≥65 years) and 27% among the nonelderly (aged <65 years). Patients with HF who reported forgone/delayed care had annual health care expenses $8,027 (95% CI: $1,181-$14,872) higher than those who did not. Among the elderly, those reporting forgone/delayed care had more emergency department visits (43% vs 58%; P < 0.05), and had higher annual inpatient costs (+$7,548; 95% CI: $1,109-$13,988) and total health care costs (+$10,581; 95% CI: $1,754-$19,409). Sixty percent of nonelderly and 46% of elderly patients with HF reported deferring care due to financial barriers.
conclusionsNearly 1 in 6 patients with HF in the United States reported forgone/delayed medical care, with one-half attributing it to financial reasons, and this was associated with higher overall health care spending.
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Registered trials
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