Multifactorial Study on the Impact of Educational Level, Employment Status, and the Need for Extraordinary Care on the Economic Impact of Cancer Patients

  1. Martín, Alberto García 1
  2. Fernández Rodríguez, Eduardo J. 12
  3. Sánchez Gómez, Celia 12
  4. Galve, M. Isabel Rihuete 123
  1. 1 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

  2. 2 Instituto de Investigación Biomédica de Salamanca
    info

    Instituto de Investigación Biomédica de Salamanca

    Salamanca, España

    ROR https://ror.org/03em6xj44

  3. 3 Hospital Universitario de Salamanca
    info

    Hospital Universitario de Salamanca

    Salamanca, España

    ROR https://ror.org/0131vfw26

Revista:
Healthcare

ISSN: 2227-9032

Año de publicación: 2023

Volumen: 11

Número: 9

Páginas: 1306

Tipo: Artículo

DOI: 10.3390/HEALTHCARE11091306 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Healthcare

Resumen

Cancer is one of the major socio-health problems in the world. The level of education, the profession and/or employment status of the patient and the family can influence the amount of household income, the additional expenditure, and the possible socio-economic impact of the disease. The main objective of the study is to analyse and evaluate the influence of the level of education, the employment status of the patient, and the need for care and how these factors influence the additional expenditure and the possible socio-economic impact. Methods: descriptive cross-sectional randomised observational epidemiological study without replacement at the Hospital Universitario de Salamanca (CAUSA). Results: total sample (n = 365) comprised 53.2% of patients with no education or primary education, 25.8% with secondary education and 21.1% with higher education. Overall, 36.4% of patients were employed, 10.1% were self-employed, 53.0% were not employed, and 38.9% were experiencing other conditions. Significant statistics were found for educational level, employment status of the patient and main caregivers in terms of financial expenditure. Conclusions: Oncology patients with more education spend more on home help and/or accompanying the patient and transfers to the hospital for treatment. Higher incomes are not synonymous with higher expenditure in the sample. The patient’s main caregivers are a fundamental pillar of the patient’s household income and additional spending on orthopaedic material.

Referencias bibliográficas

  • Wyman, O. (2021, May 17). El Impacto Económico y Social del Cáncer en España. Estudio Elaborado para la Asociación Española Contra el Cáncer. AECC 2020. 1–28. Available online: https://www.contraelcancer.es/sites/default/files/content-file/Informe-Los-costes-cancer.pdf.
  • National Statistics Institute (2022, October 01). INE. Death Statistics Acoording to Cause of Death. Press Releases. Available online: https://www.ine.es/dynt3/inebase/en/index.htm?padre=2591&capsel=5450.
  • Sociedad Española de Oncología Médica (SEOM) (2022, October 01). Las Cifras del Cáncer en España. Available online: https://seom.org/images/Cifras_del_cancer_en_Espnaha_2021.pdf.
  • Suess, (2006), Oncología, 26, pp. 357
  • Alonso, (2001), Aten. Primaria, 38, pp. 29
  • Aranda, (2020), Clin. Transl. Oncol., 22, pp. 2253, 10.1007/s12094-020-02366-y
  • (2019), An. RANM, 136, pp. 25, 10.32440/ar.2019.136.01.rev06
  • Regina, (2010), Av. Psicol. Latinoam., 25, pp. 72
  • Grupo Español de Pacientes con Cáncer (GEPAC) (2022, October 01). Informe Sobre las Necesidades de los Supervivientes de Cáncer. Spain. Available online: http://www.gepac.es/multimedia/gepac2016/pdf/informe_melanoma.pdf.
  • (2021), Med. Clin., 157, pp. 10
  • Ardilla, (2003), Rev. Lat. Psicol., 35, pp. 161
  • Acevedo, (2014), Gastroenterol. Latinoam., 25, pp. 219
  • Badia, (1998), Qual. Life Res., 7, pp. 311, 10.1023/A:1008894502042
  • Oliveira, (2020), J. Physiother., 66, pp. 133, 10.1016/j.jphys.2020.02.012
  • Observatorio del CÁNCER AECC (2022, October 01). El Impacto Económico del Cáncer en las Familias en España. Available online: https://www.contraelcancer.es/sites/default/files/content-file/Impacto-economico-familias-cancer.pdf.
  • Observatorio del CÁNCER AECC (2022, October 01). Toxicidad Financiera del Cáncer de Mama. Available online: https://observatorio.contraelcancer.es/sites/default/files/informes/Toxicidad_financiera_cancer_mama.pdf.
  • García, A., Ferández, E.J., Sanchez, C., and Rihuete, M.I. (2022). Study on the Socio-Economic Impact of Cancer Disease on Cancer Patients and Their Relatives. Healthcare, 10, Available online: https://www.mdpi.com/2227-9032/10/12/2370.
  • Olivares, (2015), Rev. Int. De Trab. Soc. Y Cienc. Soc., 9, pp. 119
  • Fernández, B., and Del Castillo, R. (2021, March 03). Observatorio del Cáncer AECC. Impacto Económico del Cáncer en las Familias en España. Resumen Ejecutivo. Available online: https://www.contraelcancer.es/sites/default/files/content-file/Estudio-Impacto-Economico-Pacientes-Cancer.pdf.
  • Observatorio Contra el Cáncer (2021, May 17). Impacto del Cáncer en Castilla y León. Available online: https://observatorio.contraelcancer.es/sites/default/files/informes/castilla-leon/Castilla%20y%20Leon.pdf.
  • Observatorio del CÁNCER AECC (2022, October 01). Impacto del cáncer en España. Una aproximación a la inequidad y los determinantes sociales. Available online: https://observatorio.contraelcancer.es/sites/default/files/informes/Impacto%20del%20cancer%202022_rev.pdf.
  • Mahoney, (1965), Md. State Med. J., 14, pp. 61
  • Hernandez, (2016), Rev. Chil. Ter. Ocup., 16, pp. 55, 10.5354/0719-5346.2016.44751
  • Regueiro, (2007), Aten. Primaria, 39, pp. 185, 10.1157/13100841
  • Nabal, (2006), Aten. Primaria, 38, pp. 21, 10.1157/13094772
  • Bray, (2018), CA Cancer J. Clin., 68, pp. 394, 10.3322/caac.21492
  • Siegel, (2020), CA Cancer J. Clin., 70, pp. 7, 10.3322/caac.21590
  • Rioja, J., Sánchez, P., and Infante, J. (2021, June 25). Study of the influence of Social Determinants of Health in the progression of Alzheimer’s Disease. Facultad de Medicina. Universidad de Cantabria. Repositorio Institucional. Available online: https://repositorio.unican.es/xmlui/bitstream/handle/10902/19464/RIOJA%20RODRIGUEZ%2c%20JAIME.pdf?sequence=1&isAllowed=y.
  • Atance, (2004), Rev. Clin. Esp., 204, pp. 64
  • Salas, (2010), Rev. Panam. Salud Pública, 28, pp. 9
  • Sharrocks, (2014), Br. J. Cancer, 111, pp. 1684, 10.1038/bjc.2014.108
  • Ayala, L., and Sepulveda, G. (2017). Necesidades de cuidado de pacientes con cáncer en tratamiento ambulatorio. Enferm. Glob., 16.
  • Rodriguez, (2011), Med. Paliativa, 18, pp. 135, 10.1016/j.medipa.2011.10.002
  • Valencia, (2017), Rev. De Calid. Asist., 32, pp. 221, 10.1016/j.cali.2016.11.003
  • (2020), Med. Balear., 35, pp. 19
  • Reina, M.E., Ramos, Y., Cisnero, L., Reina, M., Alcelú, M., and González, A. (2018). Characterization of patients with breast cancer and their accompanying relatives. Medisur, 16, Available online: http://scielo.sld.cu/pdf/ms/v16n1/ms08116.pdf.
  • Murllo, (2004), Psicooncología, 1, pp. 155
  • Gallegos, (2008), Rev. CONAMED, 13, pp. 27