Abstract：
Financial considerations continue to impact access to heart transplantation. Transplant recipients face various costs, including, but not limited to, the index hospitalization, immunosuppressive medications, and lodging and travel to appointments. In this study, we sought to describe the state of crowdfunding for individuals being evaluated for heart transplantation. Using the search term heart transplant, 1000 GoFundMe campaigns were reviewed. After exclusions, 634 (63.4%) campaigns were included. Most campaigns were in support of white individuals (57.8%), males (63.1%) and adults (76.7%). Approximately 15% of campaigns had not raised any funds. The remaining campaigns fundraised a median of $53.24 dollars per day. Of the patients, 44% were admitted at the time of the fundraising. Within the campaigns in the United States, the greatest proportions were in the Southeast United States in non-Medicaid expansion states. These findings highlight the significant financial toxicities associated with heart transplantation and the need for advocacy at the governmental and payer levels to improve equitable access and coverage for all.
摘要：
财政因素继续影响心脏移植的获得。移植接受者面临各种成本，包括,但不限于,住院指数，免疫抑制药物,以及住宿和旅行预约。在这项研究中,我们试图描述接受心脏移植评估的个体的众筹状况.使用搜索词心脏移植，审查了1000个GoFundMe活动。排除后，包括634个（63.4%）活动。大多数运动都支持白人（57.8％），男性（63.1%）和成年人（76.7%）。大约15％的竞选活动没有筹集任何资金。其余的竞选活动每天筹集的中位数为53.24美元。在患者中，44％的人在筹款时被录取。在美国的竞选活动中，最大的比例是在美国东南部的非医疗补助扩张州。这些发现强调了与心脏移植相关的重大财务毒性，以及需要在政府和付款人层面进行宣传，以改善所有人的公平获取和覆盖面。
