癌症患者的家庭和护理人员面临着与自付费用 (OOP) 支出相关的重大财务挑战。本研究旨在评估与从教学医院接受癌症护理相关的 OOP 支出及其对患者和家庭生计的影响它基于从 271 名接受治疗超过 6 个月的患者获得的数据，重点了解健康保险的使用及其对癌症护理 OOP 费用的影响。开发了结构化调查问卷并用于数据收集，重点是获得直接成本（如咨询费、手术费和放射治疗费）和间接成本（如差旅费、食品费和患者收入损失）以及衡量患者收入损失的问题。经济负担对患者及其相关生计的影响。在本研究中，癌症治疗产生的 OOP 费用中位数估计为 31 万印度卢比。研究还发现，参加公共健康保险计划的患者，尤其是卡纳塔克邦的 Ayushman Bharath-Arogya 患者，其 OOP 支出比拥有私人健康保险或没有健康保险的患者要少。这表明需要有效实施各种公共健康保险计划及其有能力保护患者免受巨额 OOP 费用和相关财务风险的影响。

Families and caregivers of cancer patients experience significant financial challenges associated with out-of-pocket (OOP) expenditures.This study aims to assess the OOP expenditure and its impact on the livelihood of patients and families, associated with receiving cancer care from a teaching hospital in Karnataka.It focuses on understanding health insurance use and its effects on OOP expenses for cancer care based on data obtained from 271 patients receiving treatment for more than 6 months. A structured questionnaire was developed and used for data collection and focused on obtaining direct costs such as consultation fees, surgery costs, and radiotherapy costs and indirect costs such as travel expenses, food costs, and patient income loss, as well as questions that measure the impact of the financial burden on patients and their associated livelihood.In the present study, the median cost of OOP expense incurred for cancer treatment is estimated to be 3.10 lakh Indian rupees. It was also found that patients enrolled in public health insurance schemes, especially Ayushman Bharath-Arogya Karnataka have lesser OOP expenditure than those with either private health insurance or no health insurance.This indicates the need for effective implementation of various public health insurance schemes and their ability to protect patients from huge OOP expenses and related financial risks.