癌症护理在印度造成了巨大的经济负担，非传染性疾病导致大量死亡和残疾调整寿命年。尽管经济增长,公平的财富分配仍然是一个挑战，导致医疗服务的不平等。印度的医疗体系主要是私有化的，通过自费支出(OOPE)供资，并且缺乏对大多数人口的覆盖。因此,没有经济能力的个人在寻求必要的医疗保健时会面临灾难性的健康后果。OOPE在印度的医疗保健系统是一个主要问题，药品占费用的很大一部分，其次是诊断测试和咨询费。非医疗费用也造成了经济负担。癌症护理特别面临巨大的财务挑战，治疗费用高，减少劳动力参与，以及困境融资的必要性。癌症相关的OOPE主要由患者及其家人承担，导致巨大的财务压力。缺乏全面的医疗保险和获得公共资助的医疗保健服务的机会有限，加剧了这一问题。癌症护理中的灾难性健康支出(CHE)很普遍，使家庭陷入财务困境和潜在的贫困。已经努力解决这个问题,例如增加医疗保健方面的公共支出和实施健康保险计划。然而,在确保其有效性和影响力方面仍然存在挑战。在与癌症相关的姑息治疗相关的灾难性健康支出期间，家庭护理医生的作用对于支持患者及其家人至关重要。他们协调护理，提供宣传，情感支持,症状管理,并促进临终讨论。需要采取综合措施来加强医疗基础设施，改善获得负担得起的癌症治疗，扩大医疗保险覆盖面，并对癌症患者实施支持措施。此外,促进预防措施和早期发现可以帮助减少对昂贵治疗的需求，并降低灾难性卫生支出的风险。
Cancer care poses a significant economic burden in India, where noncommunicable diseases contribute to a large number of deaths and disability-adjusted life-years. Despite economic growth, equitable wealth distribution remains a challenge, leading to inequalities in healthcare access. India\'s healthcare system is primarily privatized, financed through out-of-pocket expenditure (OOPE), and lacks coverage for a majority of the population. As a result, individuals without financial means face catastrophic health consequences when seeking necessary healthcare. OOPE in India\'s healthcare system is a major concern, with medicines accounting for a significant portion of expenses, followed by diagnostic tests and consultation fees. Nonmedical expenses also contribute to the financial burden. Cancer care specifically faces substantial financial challenges, with high treatment costs, reduced workforce participation, and the need for distress financing. Cancer-related OOPE is predominantly borne by patients and their families, leading to significant financial strain. The lack of comprehensive health insurance coverage and limited access to publicly funded healthcare services exacerbate the problem. Catastrophic health expenditure (
CHE) in cancer care is prevalent, pushing households into financial distress and potentially impoverishment. Efforts have been made to address this issue, such as increasing public spending on healthcare and implementing health insurance schemes. However, challenges remain in ensuring their effectiveness and reach. The role of family care physicians is crucial in supporting patients and their families during catastrophic health expenditures related to cancer-related palliative care. They coordinate care, provide advocacy, emotional support, symptom management, and facilitate end-of-life discussions. Comprehensive measures are needed to strengthen healthcare infrastructure, improve access to affordable cancer care, enhance health insurance coverage, and implement supportive measures for cancer patients. Additionally, promoting preventive measures and early detection can help reduce the need for expensive treatments and decrease the risk of catastrophic health expenditures.
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