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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Financial navigation: Staff perspectives on patients' financial burden of cancer care
Journal of cancer survivorship, v 17(5), pp 1461-1470
26 Jan 2022
PMID: 35080699
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Purpose To describe perceptions of financial navigation staff concerning patients' cancer-related financial burden. Methods This qualitative descriptive study used a semi-structured interview guide to examine perceptions of financial navigation staff concerning patients' cancer-related financial burden. Staff who provided financial navigation support services to cancer patients were interviewed from different types of cancer programs across seven states representing rural, micropolitan, and urban settings. Interviews lasted approximately one hour, were audio recorded, and transcribed. Transcripts were double coded for thematic analysis. Results Thirty-five staff from 29 cancer centers were interviewed. The first theme involved communication issues related to patient and financial navigation staff expectations, timing and the sensitive nature of financial discussions. The second theme involved the multi-faceted impact of financial burden on patients, including stress, difficulty adhering to treatments, and challenges meeting basic, non-medical needs. Conclusions and Implications for Cancer Survivors Cancer-related financial burden has a profound impact on cancer survivors' health and non-health outcomes. Discussions regarding cancer-related costs between cancer survivors and healthcare team members could help to normalize conversations and mitigate the multi-faceted determinants and effects of cancer-related financial burden. As treatment may span months and years and unexpected costs arise, having this discussion regularly and systematically is needed.
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Details
- Title
- Financial navigation: Staff perspectives on patients' financial burden of cancer care
- Creators
- Katherine A. Yeager - Emory UniversityWhitney E. Zahnd - University of IowaJan M. Eberth - University of South CarolinaRobin C. Vanderpool - University of KentuckyCatherine Rohweder - University of North Carolina at Chapel HillRandall Teal - University of North Carolina at Chapel HillMaihan Vu - University of North Carolina at Chapel HillLindsay Stradtman - University of KentuckyElizabeth L. Frost - Case Western Reserve UniversityErika Trapl - Case Western Reserve UniversitySarah Koopman Gonzalez - Case Western Reserve UniversityThuy Vu - University of WashingtonLinda K. Ko - University of WashingtonAllison Cole - University of WashingtonPaige E. Farris - Oregon Health & Science UniversityJackilen Shannon - Oregon Health & Science UniversityNatoshia Askelson - University of IowaLaura Seegmiller - University of IowaArica White - Centers for Disease Control and PreventionJean Edward - University of KentuckyMelinda Davis - Oregon Health & Science UniversityVictoria Petermann - University of North Carolina at Chapel HillStephanie B. Wheeler - University of North Carolina at Chapel Hill
- Publication Details
- Journal of cancer survivorship, v 17(5), pp 1461-1470
- Publisher
- Springer Nature
- Number of pages
- 10
- Grant note
- T32CA057726-27 / Cancer Control Education Program T32 Centers for Disease Control and Prevention of the US Department of Health and Human Services (HHS) U48 DP006377; U48 DP006389; U48 DP006400; U48 DP006401; U48 DP006398; 3 U48 DP005030-01S5; 3 U48 DP005006-01S3; 3 U48 DP005014-01S2 / CDC/HHS K07CA211971 / National Cancer Institute Career Development Award; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000747077000001
- Scopus ID
- 2-s2.0-85123620282
- Other Identifier
- 991021855181504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Oncology
- Social Sciences, Biomedical