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Front. Psychol. | doi: 10.3389/fpsyg.2019.02622

Assessing Worry about Affording Healthcare in a General Population Sample

 Salene M. Jones1*,  Yuxian Du1, Laura Panattoni1 and Nora B. Henrikson2
  • 1Fred Hutchinson Cancer Research Center, United States
  • 2Kaiser Permanente Washington Health Research Institute, United States

This study adapted a measure on worry about affording healthcare. The financial costs of healthcare are increasingly being shifted to patients. Financial burden from healthcare costs can be material (such as bankruptcy) or psychological. Psychological distress can be either worry about affording future care or distress due to material consequences and, despite evidence from clinical psychology that differentiates these types of emotional symptoms, this distinction has largely been ignored for financial burden in healthcare. We adapted a worry about affording healthcare scale for use in the general population (n=398) to facilitate comparisons between disease groups and across countries. Participants completed a survey through an online platform. The worry about affording healthcare measure showed good reliability and validity through associations with quality of life and measures of other types of financial burden. Worry about affording healthcare was also associated with cost-related non-adherence to medical care. Future research on patient quality of life should consider worry about affording healthcare.

Keywords: Financial anxiety, economic well-being, Financial toxicity, Economic problems, Financial burden

Received: 21 Jun 2019; Accepted: 06 Nov 2019.

Copyright: © 2019 Jones, Du, Panattoni and Henrikson. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Dr. Salene M. Jones, Fred Hutchinson Cancer Research Center, Seattle, United States,