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. 2020 Dec;16(36):3095-3105.
doi: 10.2217/fon-2020-0547. Epub 2020 Sep 25.

A theoretical model of financial burden after cancer diagnosis

Salene Mw Jones  1 , Nora B Henrikson  2 , Laura Panattoni  1 , Karen L Syrjala  1 , Veena Shankaran  1
Affiliations

A theoretical model of financial burden after cancer diagnosis

Salene Mw Jones et al. Future Oncol. 2020 Dec.

Abstract

Current models of financial burden after cancer do not adequately define types of financial burden, moderators or causes. We propose a new theoretical model to address these gaps. This model delineates the components of financial burden as material and psychological as well as healthcare-specific (affording treatment) versus general (affording necessities). Psychological financial burden is further divided into worry about future costs and rumination about past and current financial burden. The model hypothesizes costs and employment changes as causes, and moderators include precancer socioeconomic status and post-diagnosis factors. The model outlines outcomes affected by financial burden, including depression and mortality. Theoretically derived measures of financial burden, interventions and policy changes to address the causes of financial burden in cancer are needed.

Keywords: economic well-being; financial anxiety; financial toxicity; neoplasm; theoretical model.

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Conflict of interest statement

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Figures

Figure 1.
Figure 1.. Model of financial burden after cancer diagnosis.
SES: Socioeconomic status.
See this image and copyright information in PMC

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