Details:

Alternative Title:
Support Care Cancer
Publisher's site:
http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/http://dx.doi.org/10.1089/hs.2021.0166|10.1007/s41542-020-00064-3|10.1177/0033354921996688|10.1017/ice.2021.218
Personal Author:
Petermann, Victoria ; Zahnd, Whitney E. ; Vanderpool, Robin C. ; Eberth, Jan M. ; Rohweder, Catherine ; ... More +
Petermann, Victoria ; Zahnd, Whitney E. ; Vanderpool, Robin C. ; Eberth, Jan M. ; Rohweder, Catherine ; Teal, Randall ; Vu, Maihan ; Stradtman, Lindsay ; Frost, Elizabeth ; Trapl, Erika ; Gonzalez, Sarah Koopman ; Vu, Thuy ; Ko, Linda K. ; Cole, Allison ; Farris, Paige E. ; Shannon, Jackilen ; Lee, Jessica ; Askelson, Natoshia ; Seegmiller, Laura ; White, Arica ; Edward, Jean ; Davis, Melinda ; Wheeler, Stephanie B. Less -
Description:
Purpose:

Financial toxicity is associated with negative patient outcomes and rural populations are disproportionately affected by the high costs of cancer care compared to urban populations. Our objective was to (1) understand cancer programs’ perceptions of rural-urban differences in cancer patients’ experiences of financial hardship, (2) evaluate the resources available to cancer patients across the rural-urban continuum, and (3) determine how rural and urban health care teams assess and address financial distress in cancer patients.

Methods:

Seven research teams within the Cancer Prevention and Research Control Network conducted semi-structured interviews with cancer program staff who have a role in connecting cancer patients with financial assistance services in both rural and urban counties. Interviews were audio-recorded and transcribed. We identified themes using descriptive content and thematic analysis.

Results:

We interviewed 35 staff across 29 cancer care programs in seven states, with roughly half of respondents from programs in rural counties. Participants identified differences in rural and urban patients’ experiences of financial hardship related to distance required to travel for treatment, underinsurance, and low socioeconomic status. Insufficient staffing was an identified barrier to addressing rural and urban patients’ financial concerns.

Conclusions:

Improved financial navigation services could mitigate the effects of financial toxicity experienced by cancer patients, particularly rural patients, throughout treatment and survivorship. Future research is needed to improve how cancer programs assess financial hardship in patients and to expand financial navigation services to better serve rural cancer patients.


Subject:
[+]
Article
Cancer
Communicable Diseases
COVID-19
Financial Assistance
Financial Toxicity
Health Personnel
Humans
Masks
N95 Respirators
Navigation
Oncology
Pandemics
Respiratory Protective Devices
Rural
United States

Source:
Support Care Cancer. 30(3):2047-2058
Pubmed ID:
34655327
Pubmed Central ID:
PMC9380718
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:cb0451425dd96c791b975fa9cfa423de0e7dc6aeebb503b60dc8486cca789a9e
File Type:

Supporting Files

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