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Financial navigation: Staff perspectives on patients' financial burden of cancer care.

Katherine A YeagerWhitney E ZahndJan M EberthRobin C VanderpoolCatherine RohwederRandall TealMaihan VuLindsay StradtmanElizabeth L FrostErika TraplSarah Koopman GonzalezThuy VuLinda K KoAllison ColePaige E FarrisJackilen ShannonNatoshia AskelsonLaura SeegmillerArica WhiteJean EdwardMelinda DavisVictoria PetermannStephanie B Wheeler
Published in: Journal of cancer survivorship : research and practice (2022)
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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