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Détresse financière en phase palliative chez les patients atteints de cancer : vers une approche structurée des coûts de la fin de vie

Abstract : Concerns about costs of the palliative phase in patients with cancer has emerged. Beyond usual measures to control health expenses other ways involving clinical, teaching and research might impact costs of the palliative phase and health expenses.Methods:Association between financial distress and lower quality of life was highlighted. In order to improve patients’ quality of life, focusing on costs and financial distress seems necessary. Other studies especially one concerning aggressive cancer care near the end of life were made. Those criteria could be one source of health expenses and alteration of quality of life.Discussion: Collaboration, anticipation, quality of professionals training programs and palliative care research development are all possible solutions which could lead to decrease health expenses. In literature no study focusing on all type of cost during the palliative phase was made. All this work leads to a new research protocol concerning palliative phase costs among patients with cancer.Conclusion: Understanding specific cancer expenses for patients and their families is undoubtedly important for quality of life. Concerning a more global approach, health consumptions and quality of collaboration are possible ways to improve quality of life while respecting the individual and the collectivity. Death is inevitable but our way to die is not. Clinics, research and teaching are the three axes to focus on.
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Submitted on : Saturday, January 1, 2022 - 1:04:36 AM
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Cécile Barbaret. Détresse financière en phase palliative chez les patients atteints de cancer : vers une approche structurée des coûts de la fin de vie. Médecine humaine et pathologie. Université Grenoble Alpes, 2019. Français. ⟨NNT : 2019GREAS022⟩. ⟨tel-03505879⟩

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