- Apr 2019
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One of the particular features affecting the financial sustainability of a publicly funded system is the extent of public subsidisation of informal care.
The subsidisation of informal care has brought with it ongoing debate on both the efficacy and impact for individuals with varying needs of ADL support. In a study conducted by Kim and Lim (2012) findings suggest that institutional care is most cost-effective for individuals partially-dependent on support for several ADL's in that it led to reduction of informal care and medical expenditures whereas cost benefits for home care were higher among individuals that were completely dependent on ADL support through reduced spending on institutional support. Overall a shift from formal care to informal home care seems to be placated here as a financial target for sustainability.
Link: http://www.columbia.edu/~hk2405/ltc_for_publication_v04.pdf
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- Mar 2019
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www.fightcancer.org www.fightcancer.org
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Moreover, reduced federal funding combined with state-specific eligibility and enrollment restrictions will likely result in fewer cancer patients accessing needed health care. For low-income individuals these changes could be the difference between an early diagnosis when outcomes are better and costs are less or a late diagnosis where costs are higher and survival less likely.
Reducing availability of funds for individuals needing treatment adds overwhelming weight to the public health crisis and early intervention leads to reduced health costs and improved overall outcomes. For minority populations these changes could present compounded risk due to already existing disparities in treatment : https://www.cancer.gov/about-nci/legislative/hearings/2000-ethnic-minority-disparities-cancer-treatment.pdf as black americans already face higher rates of overall incidence of cancer and higher rates of death than their white counterparts.
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