Journal article
Financial navigation: Staff perspectives on patients' financial burden of cancer care
Journal of cancer survivorship, Vol.17(5), pp.1461-1470
10/2023
DOI: 10.1007/s11764-022-01175-2
PMCID: PMC9314461
PMID: 35080699
Abstract
To describe perceptions of financial navigation staff concerning patients' cancer-related financial burden.
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.
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.
Details
- Title: Subtitle
- Financial navigation: Staff perspectives on patients' financial burden of cancer care
- Creators
- Katherine A Yeager - Emory University, Atlanta, GA, USA. kyeager@emory.eduWhitney E Zahnd - University of South Carolina, Columbia, SC, USAJan M Eberth - University of South Carolina, Columbia, SC, USARobin C Vanderpool - University of Kentucky, Lexington, KY, USACatherine Rohweder - University of North Carolina at Chapel Hill, Chapel Hill, NC, USARandall Teal - University of North Carolina at Chapel Hill, Chapel Hill, NC, USAMaihan Vu - University of North Carolina at Chapel Hill, Chapel Hill, NC, USALindsay Stradtman - University of Kentucky, Lexington, KY, USAElizabeth L Frost - Case Western Reserve University, Cleveland, OH, USAErika Trapl - Case Western Reserve University, Cleveland, OH, USASarah Koopman Gonzalez - Case Western Reserve University, Cleveland, OH, USAThuy Vu - University of Washington, Seattle, WA, USALinda K Ko - University of Washington, Seattle, WA, USAAllison Cole - University of Washington, Seattle, WA, USAPaige E Farris - Oregon Health & Science University, Portland, OR, USAJackilen Shannon - Oregon Health & Science University, Portland, OR, USANatoshia Askelson - University of Iowa, Iowa City, IA, USALaura Seegmiller - University of Iowa, Iowa City, IA, USAArica White - Centers for Disease Control and Prevention, Atlanta, GA, USAJean Edward - University of Kentucky, Lexington, KY, USAMelinda Davis - Oregon Health & Science UniversityVictoria Petermann - University of North Carolina at Chapel Hill, Chapel Hill, NC, USAStephanie B Wheeler - University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Resource Type
- Journal article
- Publication Details
- Journal of cancer survivorship, Vol.17(5), pp.1461-1470
- DOI
- 10.1007/s11764-022-01175-2
- PMID
- 35080699
- PMCID
- PMC9314461
- NLM abbreviation
- J Cancer Surviv
- ISSN
- 1932-2259
- eISSN
- 1932-2267
- Grant note
- U48 DP006401 / CDC HHS T32CA057726-27 / NCI NIH HHS U48 DP006400 / CDC HHS 3 U48 DP005014-01S2 / CDC HHS K07CA211971 / NCI NIH HHS U48 DP006398 / CDC HHS 3 U48 DP005006-01S3 / CDC HHS Number U48 DP006377 / CDC HHS U48 DP006389 / CDC HHS 3 U48 DP005030-01S5 / CDC HHS
- Language
- English
- Electronic publication date
- 01/26/2022
- Date published
- 10/2023
- Academic Unit
- Health Management and Policy; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984221642502771
Metrics
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