{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T11:03:12Z","timestamp":1777892592180,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this study was to explore variations in cost and choice of travel insurance in patients with cardiac disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Clinical data from patients with myocardial infarction (MI, n = 20), Marfan syndrome (MFS, n = 10) and dilated cardiomyopathy (DCM, n = 10) were input to insurance websites for a proposed ten-day holiday and data for premium cost (\u00a3) and choice of quotes (n) collated for each condition. Age-matched healthy individuals were used as controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Median cost of insurance was significantly higher for MI (\u00a3233.07; interquartile range (IQR) = \u00a3222.95-\u00a3245.47 versus \u00a324.29; IQR = \u00a311.9-\u00a334.09, p = &lt;0.001), MFS (\u00a337.43; IQR = \u00a323.61-58.83 versus \u00a319.20; IQR = \u00a39.09-\u00a327.31, p = 0.0378)) and DCM (\u00a3166.87; IQR = \u00a3129.71-\u00a3198.62 versus \u00a323.96; IQR = \u00a311.99-\u00a332.44, p = &lt;0.001) compared to controls. Choice of quotes was also significantly reduced for MI (5; IQR = 5-14 versus 89; IQR = 26-110, p = &lt;0.001) MFS (61; IQR = 26-83 versus 105; 26-105, p = &lt;0.001) and DCM (19; IQR = 16-28 versus 89; IQR = 26-106, p = &lt;0.001) compared to controls. Modifiable factors, such as time after cardiac event or awaiting further investigations, and clinical factors, such as persistent symptoms and disease severity, lead to a significant increase in cost.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provides insight into the factors affecting cost and choice of travel insurance for patients with cardiac disease. The findings highlight ways in which healthcare professionals can support patients to obtain travel insurance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4997\/jrcpe.2020.305","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T05:53:01Z","timestamp":1599803581000},"page":"233-240","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Affecting Cost and Patient Choice of Travel Insurance in Cardiac Disease: A Web-Based Case-Control Study"],"prefix":"10.1177","volume":"50","author":[{"given":"Michael","family":"Bennett","sequence":"first","affiliation":[{"name":"Foundation Doctor, College of Medicine, University of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shruti S","family":"Joshi","sequence":"additional","affiliation":[{"name":"Cardiology Registrar, Department of Cardiology, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Denvir","sequence":"additional","affiliation":[{"name":"Consultant Cardiologist, Department of Cardiology, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,1]]},"reference":[{"key":"bibr1-jrcpe.2020.305","unstructured":"Office of National Statistics. Travel Trends: 2016. https:\/\/www.ons.gov.uk\/releases\/traveltrends2016. (accessed 01\/05\/18)."},{"key":"bibr2-jrcpe.2020.305","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/31.1.17"},{"key":"bibr3-jrcpe.2020.305","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2010.203091"},{"key":"bibr4-jrcpe.2020.305","unstructured":"British Heart Foundation. Insurance for Heart Conditions. https:\/\/www.bhf.org.uk\/heart-health\/living-with-a-heart-condition\/money-issues\/insurance (accessed 01\/05\/18)."},{"key":"bibr5-jrcpe.2020.305","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfq219"},{"key":"bibr6-jrcpe.2020.305","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.08.098"},{"key":"bibr7-jrcpe.2020.305","unstructured":"British Heart Foundation. Insurance: Insurance for heart patients. https:\/\/www.bhf.org.uk\/~\/media\/files\/publications\/medical-information-sheets\/de_0885_insurance_v3-(2).pdf (accessed 02\/03\/18)."},{"key":"bibr8-jrcpe.2020.305","unstructured":"NHS Choices. Travelling with a heart condition. https:\/\/www.nhs.uk\/live-well\/healthy-body\/travelling-with-a-heart-condition (accessed 02\/03\/18)."},{"key":"bibr9-jrcpe.2020.305","unstructured":"Scottish Government. Scottish Index of Multiple Deprivation http:\/\/www.gov.scot\/Topics\/Statistics\/SIMD (accessed 01\/05\/18)."},{"key":"bibr10-jrcpe.2020.305","unstructured":"Office of National Statistics. Travel trends estimates: UK residents\u2019 visits abroad. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/leisureandtourism\/datasets\/ukresidentsvisitsabroad (accessed 12\/02\/18)."},{"key":"bibr11-jrcpe.2020.305","unstructured":"Defaqto. Travel Insurance (Annual). https:\/\/www.defaqto.com\/star-ratings\/travel\/travel-insurance-annual\/?id=53117 (accessed 02\/05\/18)."}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2020.305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/jrcpe.2020.305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:33:14Z","timestamp":1777617194000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/jrcpe.2020.305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.4997\/jrcpe.2020.305"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2020.305","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9]]}}}