Implementation of Systematic Financial Screening in an Outpatient Breast Oncology Setting

Area of Science:

• Oncology
• Health Services Research
• Health Equity

Background:

• Financial toxicity is a significant concern for cancer patients, impacting treatment adherence and outcomes.
• Routine financial screening is crucial for identifying and mitigating financial hardship among patients undergoing cancer treatment.

Purpose of the Study:

• To evaluate the feasibility, sustainability, and acceptability of systematic financial screening in an outpatient breast oncology clinic.
• To assess the effectiveness of a stakeholder-informed process for identifying financial hardship and worry.

Main Methods:

• A 2-item assessment was administered in English or Spanish via electronic portal or paper forms.
• Completion rates and modes of completion were evaluated.
• Feedback from patients, clinicians, and staff informed strategies for improvement.

Main Results:

• 39% of 3,500 patients responded to screening; young adults and English-preferring, Non-Hispanic White patients were more likely to respond.
• Younger patients (18-39) had higher response rates (61%) than older patients (30%).
• Strategies to improve completion included staff assistance, portal optimization, and clear communication of screening purpose.

Conclusions:

• Systematic financial screening is feasible in breast oncology settings, with electronic data capture aiding implementation.
• Inclusive procedures addressing language and technology preferences are essential for optimizing screening reach and effectiveness.