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J Asthma. 2014 Dec;51(10):1083-8. doi: 10.3109/02770903.2014.936453. Epub 2014 Jul 4.

Beyond co-pays and out-of-pocket costs: perceptions of health-related financial burden in managing asthma among African American women.

Author information

1
Department of Health Behavior & Health Education, University of Michigan School of Public Health , Ann Arbor, MI , USA and.

Abstract

OBJECTIVE:

The purpose of this study was to define perceptions of health-related financial burden based on the views of individuals who report these perceptions through qualitative approaches.

METHODS:

Four focus groups were conducted in Southeast Michigan with 26 African American women with asthma, recruited based on maximum variation sampling procedures. A semi-structured interview was employed by facilitators. Coded transcripts were analyzed for themes regarding dimensions of the meaning of financial burden.

RESULTS:

Major domains of financial burden identified included (1) high out-of-pocket expenses; (2) lost wages from exacerbations, inability to maintain a stable job and stress from making decisions about taking a sick day or coming to work; (3) transport costs; (4) both costs and stress of managing insurance eligibility and correcting erroneous bills.

CONCLUSION:

Greater awareness of factors that add to perceptions of financial burden might better equip researchers to develop interventions to help care teams manage such concerns with their patients.

KEYWORDS:

Asthma; health insurance; illness and disease experiences; risk factors

PMID:
24945886
PMCID:
PMC6004530
DOI:
10.3109/02770903.2014.936453
[Indexed for MEDLINE]
Free PMC Article

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