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05-Oct-2017 09:17

Moreover, poverty levels are higher in rural counties, and many rural residents are self‐employed or employed in small businesses facing challenges related to paying high insurance premiums and OOP expenses 17.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.Currently, we do not know what OOP costs are incurred by rural cancer survivors for their long‐term well‐being, how burdensome these OOP costs may be, and what factors may lead to higher OOP costs and burden.Understanding more about these costs will allow for the design of interventions to manage such expenses and prevent rural cancer survivors from foregoing the care they need.For example, the number of economic burden events was negatively associated with quality of life 8.

Others have shown that survivors forego or delay medical care or medications because of cost, especially those who report cancer‐related financial problems 4, 12, 13.The WFI is a descriptive 46‐item survey, adapted and modified from Given et al.

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