ABSTRACT
El cáncer de mama es una de las enfermedades que causa más muertes de mujeres en el mundo. Hay barreras y situaciones que ponen en riesgo los mejores resultados para su control. Este estudio describirá la carga financiera que asumen estas mujeres y sus familias desde el enfoque de cuidado. Objetivo. Describir la carga financiera familiar asociada al cuidado de la mujer con cáncer de mama. Materiales y métodos. Estudio descriptivo cuantitativo de corte trasversal. Realizado con 71 mujeres de la Fundación SIMMON (Sinergias integradas para el mejoramiento del manejo oncológico). El estudio tiene el aval de la Facultad de Enfermería de la Universidad Nacional de Colombia. Los datos se obtuvieron con la Encuesta "Costo financiero del cuidado de la Enfermedad crónica". "La metodología Caracol" de Mayorga et al. Se usó para analizar los datos, comparándolos a partir de un diagrama. Resultados: La mayor fuente de CF fue transporte con un ángulo de 44,8°, salud con 27,8°, Vivienda con 25°, comunicaciones con 24,4° y por último alimentación con 24°. La mayor fuente de ingresos es su pensión o la de su pareja y el trabajo formal e informal. La mayor fuente de endeudamiento son los préstamos bancarios con 38%. La calificación del nivel de preocupación que genera la CF fue 4 el nivel más alto con 63,3%. Conclusiones: Las mujeres con cáncer de mama tienen una alta CF asociada al cuidado y hacen falta políticas públicas y estrategias sostenibles para mitigarla.
The breast cancer is one of the diseases that cause more deaths of women in the world. There are barriers and situations that put at risk the best results for their control. This study will describe the financial burden that these women and their families assume form the care approach. Objective. Describe the family financial burden associated with caring for women with breast cancer. Materials and methods. Descriptive quantitative study of cross section. Made with 71 women linked to the SIMMON foundation (Integrated synergies for the improvement of oncological management). The study has the endorsement of the Faculty of Nursing of the National University of Colombia. The data was obtained with the Survey "Financial cost of chronic disease care". The Caracol methodology of Mayorga et al. It was used to analyze the data by comparing them from a diagram. Results. The main source of CF was transport with an angle of 44.8°, health with 27.8°, housing with 25°, communications with 24.2° and finally with 24° feeding. The main source of income is your presion or that of your partner and formal and informal work. The biggest source of indebtedness in bank loans with 38%. The level of concern generated by the CF was 4 the highest level with 63.3%. Conclusions. Women with breast cancer have a high CF associated with their care since the diagnosis and public policies and sustainable strategies are needed to mitigate it.
Subject(s)
Humans , Female , Breast Neoplasms , Cost of Illness , Caregivers , Financial StressABSTRACT
Objective To measure the financial burden incurred by hypertension to urban patients in Beijing, Nanjing and Hangzhou cities. Methods Two communities were sampled from the three cities randomly, and 300 hypertension patients were sampled randomly from hypertension control files in each community for questionnaire survey. Results Health expenditure of the families with hypertension patients accounts for 14. 4% of the family's income, and 18. 2% of the family's expenditure, a ratio far beyond the national average (10.6 %). However, the majority of them report the burden as affordable.The basic medical insurance for urban residents helps alleviate the financial burden of hypertension patients and the extent of such burden has a close bearing on the outcome of hypertension treatment and prevention. Conclusion Effective community-based blood-pressure monitoring and control system is key to reducing the financial burden of hypertension. The reimbursement policy for hypertensive patients within the basic medical insurance is expected to be further improved.