未经批准:尽管有广泛报道称癌症相关的经济困难,医院财政援助计划未得到充分利用。
未经评估:快速定性研究。
UNASSIGNED:患有复发性或转移性疾病的妇科肿瘤患者,65岁以下,财务毒性综合评分为26分或以下。
UNASIGNED:半结构化访谈,以引起(1)财务援助意识/知识,(2)获得援助的障碍,(3)改善准入的建议。我们使用主题分析对成绩单进行了分析:开放编码,共识构建/码本,和确定突出的主题。
UNASSIGNED:我们采访了25名患者,确定了改善获取的四个障碍和三个建议。障碍:缺乏意识,对不合格的看法,害怕负面后果,不知所措。建议:简化财务流程,提供个性化援助,并通过更早的干预来更加积极主动。
未经评估:通过减少污名来增加访问权限,误解,更积极主动地接触有风险的患者。
UNASSIGNED:患者可能太害怕或不知所措,无法寻求帮助。更积极主动,社会心理方法是必要的。
Despite widespread reports of cancer-related financial hardship, hospital financial assistance programs are underutilized.
Rapid qualitative research.
Gynecologic oncology patients with recurrent or metastatic disease, under 65 years old, and Comprehensive Score for Financial Toxicity of 26 or under.
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.
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.
Increase access by reducing stigma, misconceptions, and more proactively engaging at-risk patients.
Patients may be too afraid or overwhelmed to ask for help. A more proactive, psychosocial approach is needed.