Assessment of clinical outcome and health insurance coverage among patients with breast cancer

Michael Addo Kwabeng, Kofi Adesi Kyei, Stephen Manortey, Verna Vanderpuye, Doris Kitson-Mills, Joel Yarney, Sharon Talboys

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Breast cancer is a global health concern in terms of morbidity and mortality. Risk-sharing mechanisms such as health insurance provide resources and promote access to healthcare. The aim of the study was to assess the relationship between health insurance coverage and clinical outcome of breast cancer patients. The study employed retrospective design involving the use of secondary data from the patients diagnosed with breast cancer. Between the period of 2015 to 2019, 250 patients’ records were reviewed from a sample size of 300 patients over 5 year patients’ follow-up period. A descriptive and Kaplan Meier survival analysis was performed to determine the patients’ survival rate. Seventy-two percent of the patients had health insurance cover at the time of diagnosis. Insurance status was found to be significantly associated with survival (p-values= 0.036). Insurance cover had 1.42 hazard ratio (p=0.036, 95% CI: 1.023-1.980). Patients with health insurance coverage at the time of diagnosis had a higher survival rate. No significant association was found among the demographic characteristics and the patients’ clinical out-comes. No.

Original languageEnglish
Article number1344
Pages (from-to)78-82
Number of pages5
JournalJournal of Public Health in Africa
Volume11
Issue number1
DOIs
Publication statusPublished - 2020

Keywords

  • Clinical outcome
  • Diagnosis
  • Insurance
  • Survival rate

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