Interventions to Address Cancer-related Financial Toxicity: Recommendations from the Field

Details

• Alternative Title:
  J Rural Health
• Personal Author:
  Edward, Jean ; Peterman, Victoria M. ; Eberth, Jan M. ; Zahnd, Whitney E. ; Vanderpool, Robin C. ; Askelson, Natoshia ; Rohweder, Catherine L. ; Koopman Gonzalez, Sarah ; Stradtman, Lindsay R. ; Ko, Linda K. ; Farris, Paige E.
• Description:
  Purpose:
  
  Addressing financial toxicity among cancer patients is a complex process that requires a multifaceted approach, particularly for rural patients who may face additional cost-related barriers to care. In this study, we examined interventions being implemented by financial navigation staff at various cancer centers that help address financial toxicity experienced by oncology patients.
  
  Methods:
  
  We conducted semi-structured interviews with a convenience sample of financial navigation staff across 29 cancer centers in both rural and urban areas in 7 states. Interviews were audio-recorded and transcribed. Descriptive coding and thematic analysis techniques were used to analyze the data.
  
  Findings:
  
  Thirty-five participants were interviewed, the majority of whom worked in cancer centers located in rural counties. Participants identified the use of screening tools, patient education, and access to tailored financial assistance resources as best practices. Immediate resource needs included additional financial navigation staff, including lay navigators and community health workers, to promote linkages to local resources. Suggested clinical areas for intervention included proactive and early implementation of financial assessments and discussions between providers and patients, along with training and access to regularly updated resources for those in financial navigator/counselor roles. Participants also discussed the need for policy-level interventions to reform health systems (including employment protections) and health insurance programs.
  
  Conclusions:
  
  Implementing proactive methods to screen for and address financial needs of patients is essential to improving cancer-related outcomes. Additional programs and research are needed to help establish systematic and standardized methods to enhance financial navigation services, especially for underserved rural communities.
  
  
• Subjects:
  Article Community Health Workers Employment Financial Hardship Financial Navigation Financial Toxicity Humans Insurance, Health Neoplasms Oncology Rural Rural Population

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• Source:
  J Rural Health.
• Pubmed ID:
  34861066
• Pubmed Central ID:
  PMC9163204
• Document Type:
  Journal Article
• Funding:
  U48DP005053/ACL/ACL HHSUnited States/ ; U48DP005021/ACL/ACL HHSUnited States/ ; U48 DP005006/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP005021/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP005053/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP005013/DP/NCCDPHP CDC HHSUnited States/ ; U48 DP005030/DP/NCCDPHP CDC HHSUnited States/ ; T32 CA057726/CA/NCI NIH HHSUnited States/ ; U48 DP005014/DP/NCCDPHP CDC HHSUnited States/ ; P30 DK056350/DK/NIDDK NIH HHSUnited States/ ; U48DP005013/ACL/ACL HHSUnited States/ ; U48DP005017/ACL/ACL HHSUnited States/ ; U48DP005014/ACL/ACL HHSUnited States/ ; P30 CA086862/CA/NCI NIH HHSUnited States/ ; P30 CA016086/CA/NCI NIH HHSUnited States/ ; U48 DP005017/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005030/ACL/ACL HHSUnited States/ ; U48DP005006/ACL/ACL HHSUnited States/
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:8ce1699c4cc1dabbf47718ba45829245dcfac51a91eb399889d7fa4b95fcb3c0
• Download URL:
  https://stacks.cdc.gov/view/cdc/118083/cdc_118083_DS1.pdf
• File Type:
  [PDF - 350.86 KB ]