FİNANSAL TOKSİSİTE: KANSER BAKIMINDA YENİ BİR YAN ETKİ

Yıl 2021, Cilt: 24 Sayı: 3, 651 - 680, 29.09.2021

Duygu Ürek Özgür Uğurluoğlu

Öz

Kanser ile mücadele açısından son yıllarda yaşanan gelişmeler hastalar, aileleri ve tıp camiası için büyük umutlar ve heyecanlar yaratmaktadır. Ancak bu onkolojik yeniliklerin beraberinde getirdiği yüksek fiyat etiketi, tedavilerin hem bireysel hem de sağlık sistemi bazında karşılanabilirliği konusunda duyulan endişelerin giderek artmasına yol açmaktadır. Bu endişeler doğrultusunda üçüncü taraf ödeyiciler, kanser tedavisi maliyetlerinin önemli bir kısmını hastalara aktarma yoluna gitmektedir. Gerçekleşen bu maliyet paylaşımı kanser hastalarının daha fazla cepten harcama yapmasına ve finansal anlamda daha fazla sıkıntı yaşamasına neden olmaktadır. Kanser teşhisi ve tedavisinin hastalar üzerinde yarattığı bu ekonomik sıkıntı finansal toksisite olarak adlandırılmaktadır. Bu çalışmanın amacı; son zamanlarda büyük bir endişe konusu haline gelen ve kanserin yeni bir yan etkisi olarak kabul edilen finansal toksisite sorununu tüm yönleriyle ortaya koymaktır. Bu kapsamda; ilgili literatür taranarak sorunun kavramsal çerçevesi çizilmiş ve dünya genelinde farklı ülkelerden elde edilen araştırma sonuçları eşliğinde Türkiye de dahil olmak üzere çeşitli ülkelerde kanser hastalığı ile mücadele eden hastaların finansal toksisiteye maruziyeti, bu sorun ile ilişkili risk faktörleri ve bu sorunun hasta sonuçları üzerinde yarattığı etkiler kapsamlı olarak değerlendirilmiştir. Kanser tedavisinin finansal toksisitesi görece olarak yeni bir araştırma alanıdır. Sağlık sistemleri, geri ödeme modelleri ve tıbbi müdahaleler gelişmeye devam ettikçe, finansal toksisite kanser hastalarına ilişkin sonuçlar üzerinde önemli bir rol oynamaya devam edecektir. Bu nedenle bu konuda daha fazla çalışma yapılmasına ihtiyaç duyulmaktadır.

Anahtar Kelimeler

Kanser hastalığı, Finansal toksisite, Cepten harcamalar

FINANCIAL TOXICITY: A NEW SIDE EFFECT IN CANCER CARE

Öz

Developments in the fight against cancer in recent years generate great hopes and excitement for patients, their families and the medical community. However, the high price tag brought about by these oncological innovations has led to an increasing concern about the affordability of treatments on both individual and health system levels. In line with these concerns, third-party payers prefer to shift a significant portion of cancer treatment costs to patients. This cost sharing results in considerable out-of-pocket expenses and financial hardship among patients with cancer. This economic hardship caused by cancer diagnosis and treatment on patients is called financial toxicity. The aim of this study is to reveal all aspects of the financial toxicity problem, which has become a major concern and is considered a new side effect of cancer recently. In this context, the conceptual framework of the problem has been generated by scanning relevant literature and exposure of patients struggling with cancer to financial toxicity in various countries, including Turkey, risk factors associated with this problem and effects’ of this problem on patient outcomes have been extensively evaluated. The financial toxicity of cancer treatment is a relatively new research area. As health systems, reimbursement models and medical interventions continue to evolve, financial toxicity will continue to play an important role in outcomes for cancer patients. Therefore, there is a need for more studies on this subject.

Anahtar Kelimeler

Cancer, Financial toxicity, Out-of-pocket costs

Kaynakça

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