Out-of-pocket spending of deceased cancer patients in five European countries and Israel

Aviad Tur-Sinai, Damien Urban, Netta Bentur

Research output: Contribution to journalArticlepeer-review


Objective: Cancer imposes a substantial economic burden on society, health and social care systems, patients and their families. This study aims to examine the out-of-pocket spending of cancer patients in their last year of life, in six countries with health insurance system hat have a defined benefits package. Methods: Data from SHARE and SHARE End-of-Life surveys among people aged +50 were analysed. Family members of deceased persons were interviewed in order to learn about the circumstances of their relative's death. Results: The average out-of-pocket spending for health and social services during the last year of life was 4.5% of the total household income, 2.2% in the Netherlands, 4.3% in Israel, 5% in Germany, 5.1% in Austria, 5.1% in Belgium and 8.2% in Switzerland. Whereas the out-of-pocket spending on nursing home care was 7.8% of the total household income in Switzerland, in the Netherlands and in Israel it was negligible. In contrast, the out-of-pocket spending for home care due to disability surged to 5.6% in Israel and 3.7% in Austria, whereas in other countries it was very low. Conclusion: This information is important to health and social policymakers, in order to better adapt the benefits package to the patients' needs.

Original languageEnglish
Article numbere13372
JournalEuropean Journal of Cancer Care
Issue number2
StatePublished - Mar 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 John Wiley & Sons Ltd


  • cancer
  • out-of-pocket spending
  • SHARE survey
  • universal benefits package

ASJC Scopus subject areas

  • Oncology


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