Review article: Financial stress and strain associated with terminal cancer—a review of the evidence
- 1 October 2007
- journal article
- review article
- Published by SAGE Publications in Palliative Medicine
- Vol. 21 (7), 595-607
- https://doi.org/10.1177/0269216307082476
Abstract
Financial circumstances are a significant influence on the quality of life for older people and may be important to health and wellbeing at the end of life. The aim of this study is to review the evidence for the existence and consequences of financial stress and strain at the end of life for people dying with cancer. We conducted a systematic search of four electronic databases for studies, providing data on illness-related financial burden (stress), or perception of financial hardship (strain), from patients with terminal cancer or their caregivers. Twenty-four papers were identified from 21 studies published in English between 1980 and 2006, the majority (14) of cross-sectional design. Financial stress was reported in all 13 studies from the USA (median 33%, range 10—66%), but only four sought measures of financial strain. In the USA, specific social consequences, such as moving house or change in employment to cope with caregiving, were reported in four of these studies; one of these also noted changes in treatment choices and avoidance of care for other family members. In studies from outside the USA, there is a dearth of data on financial stresses and the consequences of this for the household, despite widespread reporting of financial strain. To fill a gap in our understanding and improve holistic palliative care, researchers need to ask the questions about the consequences of financial stresses and strain for the health and wellbeing of the household. Palliative Medicine 2007; 21 : 595—607Keywords
This publication has 40 references indexed in Scilit:
- Financial Strain over the Life Course and Health among Older AdultsJournal of Health and Social Behavior, 2006
- Caregiving for the terminally ill: at what cost?Palliative Medicine, 2005
- Socioeconomic status, depression disparities, and financial strain: what lies behind the income‐depression relationship?Health Economics, 2005
- Supporting Family Caregivers at the End of LifeJAMA, 2004
- Confirmation of the “disability paradox” among hospice patients: Preservation of quality of life despite physical ailments and psychosocial concernsPalliative & Supportive Care, 2003
- Let's Ask Them: A National Survey of Definitions of Quality of Life and Its Enhancement among People Aged 65 and OverInternational Journal of Aging & Human Development, 2003
- What is the best way to help caregivers in cancer and palliative care? A systematic literature review of interventions and their effectivenessPalliative Medicine, 2003
- Distinguishing between quality of life and health status in quality of life research: A meta-analysisQuality of Life Research, 1999
- ABC of palliative care: The carersBMJ, 1998
- Death from cancer at home: the carers' perspective.BMJ, 1993