Implementation of a financial navigation program in gynecologic oncology

Area of Science:

• Oncology
• Health Services Research
• Patient Support

Background:

• Financial toxicity (FT) significantly impacts approximately 50% of gynecologic oncology patients.
• The financial burden of cancer treatment necessitates innovative patient support strategies.

Purpose of the Study:

• To describe the implementation and outcomes of a novel financial navigation program (FNP) for gynecologic oncology patients.
• To assess the impact of a financial navigator (FN) and FT screening on patient referrals and support service utilization.

Main Methods:

• Prospective study of 1029 gynecologic oncology patients from July 2022 to September 2023.
• Implementation of an FNP including hiring a financial navigator (FN) and FT screening.
• Quantification of referrals to FN and support services before and after screening implementation.

Main Results:

• Post-screening, referrals to the FN significantly increased (5% vs. 12.9%, p < 0.001).
• Identified patient needs included transportation, financial assistance, and emotional support.
• Patients referred to the FN were more likely to be Black, have government insurance, or have uterine/cervical cancer diagnoses.

Conclusions:

• The FNP is feasible and effective in gynecologic oncology care.
• Integrating a financial navigator with FT screening optimizes program effectiveness.
• Further research is needed to address screening barriers and long-term outcomes.