Screening and Referral for Health-Related Social Needs and Financial Distress: Current Processes Among National...

Area of Science:

• Oncology
• Health Services Research
• Social Determinants of Health

Background:

• Health-related social needs (HRSNs) significantly impact cancer patient outcomes.
• Financial distress is a common challenge for individuals undergoing cancer treatment.
• Understanding current screening and response mechanisms is crucial for improving cancer care delivery.

Purpose of the Study:

• To assess screening and response processes for HRSNs and financial distress in National Cancer Institute Community Oncology Research Program (NCORP) practices.
• To describe the methods, tools, and staff involved in addressing these needs.
• To identify factors associated with screening practices in community oncology settings.

Main Methods:

• A national survey (NCORP 2022 Landscape Assessment) was administered to community oncology practices.
• Data on screening for HRSNs and financial distress, and subsequent responses, were collected and analyzed.
• Multivariable logistic regression models were used to examine associations between practice characteristics and screening rates.

Main Results:

• A high proportion of practices screened for HRSNs (79%) and financial distress (78%).
• Commonly screened HRSNs included transportation, social support, housing, and food security.
• Social worker evaluation and referral were the predominant methods for screening and responding to both HRSNs and financial distress.

Conclusions:

• Current screening and referral practices for HRSNs and financial distress are widespread in community oncology.
• Further research is essential to evaluate the impact of various screening and referral approaches on patient outcomes and health equity.
• Evidence generation is critical for developing best practices and interventions to improve cancer care for all patients.