Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam
Purpose. This paper aims to analyze the household financial burden and poverty impacts of cancer treatment in Vietnam. Methods. Under the “ASEAN CosTs in ONcology” study design, three major specialized cancer hospitals were employed to assemble the Vietnamese data. Factors of socioeconomic, direct,...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2017-01-01
|
Series: | BioMed Research International |
Online Access: | http://dx.doi.org/10.1155/2017/9350147 |
id |
doaj-e6f002ef77b64ac5861d68743d5a4bae |
---|---|
record_format |
Article |
spelling |
doaj-e6f002ef77b64ac5861d68743d5a4bae2020-11-24T23:01:20ZengHindawi LimitedBioMed Research International2314-61332314-61412017-01-01201710.1155/2017/93501479350147Household Financial Burden and Poverty Impacts of Cancer Treatment in VietnamVan Minh Hoang0Cam Phuong Pham1Quynh Mai Vu2Thuy Trang Ngo3Dinh Ha Tran4Dieu Bui5Xuan Dung Pham6Dang Khoa Tran7Trong Khoa Mai8Hanoi University of Public Health, Hanoi, VietnamNuclear Medicine and Oncology Center, Bach Mai Hospital, Hanoi, VietnamHanoi University of Public Health, Hanoi, VietnamNuclear Medicine and Oncology Center, Bach Mai Hospital, Hanoi, VietnamNuclear Medicine and Oncology Center, Bach Mai Hospital, Hanoi, VietnamVietnam National Cancer Hospital, Hanoi, VietnamHo Chi Minh City Oncological Hospital, Ho Chi Minh City, VietnamHanoi Oncology Hospital, Hanoi, VietnamNuclear Medicine and Oncology Center, Bach Mai Hospital, Hanoi, VietnamPurpose. This paper aims to analyze the household financial burden and poverty impacts of cancer treatment in Vietnam. Methods. Under the “ASEAN CosTs in ONcology” study design, three major specialized cancer hospitals were employed to assemble the Vietnamese data. Factors of socioeconomic, direct, and indirect costs of healthcare were collected prospectively through both individual interviews and hospital financial records. Results. The rates of catastrophic expenditure based on the cut-off points of 20%, 30%, 40%, and 50% of household’s income were 82.6%, 73.7%, 64.7%, and 56.9%, respectively. 37.4% of the households with patient were impoverished by the treatment costs for cancer. The statistically significant correlates of the impoverishment problem were higher among older patients (40–60 years: 1.77, 95% CI 1.14–2.73; above 60 years: 1.75, 95% CI 1.03–2.98); poorer patients (less than 100% national income: 29, 95% CI 18.6–45.24; less than 200% national income: 2.89, 95% CI 1.69–4.93); patients who underwent surgery alone (receiving nonsurgery treatment: 2.46, 95% CI 1.32–4.59; receiving multiple treatments: 2.4, 95% CI 1.38–4.17). Conclusions. Lots of households were pushed into poverty due to their expenditure on cancer care; more actions are urgently needed to improve financial protection to the vulnerable groups.http://dx.doi.org/10.1155/2017/9350147 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Van Minh Hoang Cam Phuong Pham Quynh Mai Vu Thuy Trang Ngo Dinh Ha Tran Dieu Bui Xuan Dung Pham Dang Khoa Tran Trong Khoa Mai |
spellingShingle |
Van Minh Hoang Cam Phuong Pham Quynh Mai Vu Thuy Trang Ngo Dinh Ha Tran Dieu Bui Xuan Dung Pham Dang Khoa Tran Trong Khoa Mai Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam BioMed Research International |
author_facet |
Van Minh Hoang Cam Phuong Pham Quynh Mai Vu Thuy Trang Ngo Dinh Ha Tran Dieu Bui Xuan Dung Pham Dang Khoa Tran Trong Khoa Mai |
author_sort |
Van Minh Hoang |
title |
Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam |
title_short |
Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam |
title_full |
Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam |
title_fullStr |
Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam |
title_full_unstemmed |
Household Financial Burden and Poverty Impacts of Cancer Treatment in Vietnam |
title_sort |
household financial burden and poverty impacts of cancer treatment in vietnam |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2017-01-01 |
description |
Purpose. This paper aims to analyze the household financial burden and poverty impacts of cancer treatment in Vietnam. Methods. Under the “ASEAN CosTs in ONcology” study design, three major specialized cancer hospitals were employed to assemble the Vietnamese data. Factors of socioeconomic, direct, and indirect costs of healthcare were collected prospectively through both individual interviews and hospital financial records. Results. The rates of catastrophic expenditure based on the cut-off points of 20%, 30%, 40%, and 50% of household’s income were 82.6%, 73.7%, 64.7%, and 56.9%, respectively. 37.4% of the households with patient were impoverished by the treatment costs for cancer. The statistically significant correlates of the impoverishment problem were higher among older patients (40–60 years: 1.77, 95% CI 1.14–2.73; above 60 years: 1.75, 95% CI 1.03–2.98); poorer patients (less than 100% national income: 29, 95% CI 18.6–45.24; less than 200% national income: 2.89, 95% CI 1.69–4.93); patients who underwent surgery alone (receiving nonsurgery treatment: 2.46, 95% CI 1.32–4.59; receiving multiple treatments: 2.4, 95% CI 1.38–4.17). Conclusions. Lots of households were pushed into poverty due to their expenditure on cancer care; more actions are urgently needed to improve financial protection to the vulnerable groups. |
url |
http://dx.doi.org/10.1155/2017/9350147 |
work_keys_str_mv |
AT vanminhhoang householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT camphuongpham householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT quynhmaivu householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT thuytrangngo householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT dinhhatran householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT dieubui householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT xuandungpham householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT dangkhoatran householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam AT trongkhoamai householdfinancialburdenandpovertyimpactsofcancertreatmentinvietnam |
_version_ |
1725639928278155264 |