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Financial Burden and Cost-Related Communication in Chronic Disease Management

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Project Title:

Financial burden and Cost Communication in the Care of African American Women with Asthma


American Lung Association


The major goal of this project was to describe characteristics of individuals with asthma who perceive financial burden with managing their condition, and relationships between communicating about cost concerns and self-management behaviors. We used secondary data from a randomized trial of women managing asthma, and conducted focus groups.


We found that perception of financial burden goes beyond out-of-pocket costs and includes health insurance challenges and social risk factors. Communication about cost with providers is low, although many people would like to have these conversations.  

Study Dates:

7/1/2012 – 7/30/2013


  • Patel MR, Shah KS*, Shallcross ML*. A qualitative study of physician perspectives of cost-related communication and patients' financial burden with managing chronic disease. BMC Health Services Research, 2015; 15:518.

  • Patel MR, Sanders GM, Yang Y*, Brown RW, Hafeez K. Racial differences in guideline recommended care among women with asthma. Chronic Diseases International, 2014;1(1): 6.

  • Patel MR, Brown RW, Clark NM. Perceived parent financial burden and asthma outcomes in low income, urban children. Journal of Urban Health, 2013 Apr;90(2):329-42.

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