"I wish I knew about these programs before!" A brief report exploring barriers to financial assistance reported by gynecological oncology patients.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2023-01-01 Epub Date: 2022-12-14 DOI:10.1080/07347332.2022.2149374

Meredith Doherty, Jessica Jacoby, Francesca Gany

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引用次数: 1

Abstract

Purpose: Despite widespread reports of cancer-related financial hardship, hospital financial assistance programs are underutilized.

Approach: Rapid qualitative research.

Sample: Gynecologic oncology patients with recurrent or metastatic disease, under 65 years old, and Comprehensive Score for Financial Toxicity of 26 or under.

Methods: Semi-structured interviews to elicit (1) financial assistance awareness/knowledge, (2) barriers to accessing assistance, and (3) suggestions for improving access. We analyzed the transcripts using thematic analysis: open coding, consensus building/codebook, and identification of salient themes.

Findings: We interviewed 25 patients and identified four barriers and three suggestions for improving access. Barriers: lack of awareness, perceptions of ineligibility, fear of negative consequences, and being overwhelmed. Suggestions: simplifying financial processes, providing individualized assistance, and being more proactive by intervening earlier.

Conclusion: Increase access by reducing stigma, misconceptions, and more proactively engaging at-risk patients.

Implications for psychosocial providers: Patients may be too afraid or overwhelmed to ask for help. A more proactive, psychosocial approach is needed.

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“我希望我以前知道这些项目！”一份简短的报告探讨了妇科肿瘤患者报告的经济援助障碍。

目的：尽管与癌症相关的经济困难报道广泛，但医院的经济援助计划没有得到充分利用。方法：快速定性研究。样本：65岁以下患有复发或转移性疾病的妇科肿瘤患者年龄，财务毒性综合评分为26分或以下。方法：半结构化访谈，以引出（1）财政援助意识/知识，（2）获得援助的障碍，以及（3）改善获得援助的建议。我们使用主题分析来分析转录本：开放编码、建立共识/代码簿和识别显著主题。研究结果：我们采访了25名患者，确定了四个障碍和三条改善准入的建议。障碍：缺乏意识、对无资格的认知、对负面后果的恐惧以及不知所措。建议：简化财务流程，提供个性化援助，并通过尽早干预更加积极主动。结论：通过减少污名化、误解和更积极地参与高危患者来增加获得机会。对心理社会服务提供者的影响：患者可能过于害怕或不知所措，无法寻求帮助。需要采取更加积极主动的心理社会方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.