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Measuring and Addressing Health-Related Social Needs in Cancer.
Victoria Hood1, Alyssa Schatz1, Yelak Biru2
11National Comprehensive Cancer Network, Plymouth Meeting, PA.
Summary
Social determinants of health (SDOH) significantly impact cancer outcomes. Addressing health-related social needs (HRSN) through screening and policy is crucial for reducing cancer disparities and improving patient care.
Area of Science:
- Public Health
- Health Services Research
- Oncology
Background:
- Social determinants of health (SDOH) are external factors influencing health outcomes.
- Systemic injustices create disparities in SDOH and adverse health outcomes, impacting cancer incidence and survival across diverse populations.
- Health systems and payers are increasingly focusing on screening for health-related social needs (HRSN) to mitigate these disparities.
Purpose of the Study:
- To convene a multistakeholder working group to explore opportunities and recommendations for measuring and addressing HRSN in oncology.
- To identify high-impact screening measures and barriers to HRSN screening and follow-up care in cancer settings.
- To offer policy and practice recommendations for integrating HRSN screening into routine oncology care.
Main Methods:
- Convened a multistakeholder working group focused on HRSN in oncology.
- Explored and identified high-impact screening measures for endorsement.
- Identified barriers to HRSN screening and follow-up.
- Formulated policy and practice recommendations.
Main Results:
- The working group identified key screening measures and barriers to HRSN implementation in oncology.
- Policy and practice recommendations were developed to support HRSN screening and intervention.
- Findings and recommendations were presented at the 2023 NCCN Policy Summit, fostering further discussion.
Conclusions:
- System transformation is needed to effectively measure and address HRSN in cancer care.
- Policy and practice advancements are essential to support HRSN screening and improve health equity in oncology.
- Continued dialogue and strategic development are necessary to integrate HRSN into cancer care pathways.
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