Patient Perspectives on Prior Authorization for Cancer Care
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View abstract on PubMed
Summary
This summary is machine-generated.Prior authorization in cancer care creates significant administrative, psychosocial, and financial burdens for patients, often delaying or interfering with necessary treatment. Patients perceive the system as broken and profit-driven, necessitating urgent reform centered on their experiences.
Area Of Science
- Oncology
- Health Services Research
- Patient Advocacy
Background
- Health insurance prior authorization can delay or deny cancer diagnosis, treatment, and survivorship care.
- Patient perspectives on prior authorization are under-researched, with a focus primarily on clinician experiences.
Purpose Of The Study
- To characterize patient experiences with prior authorization in cancer care.
- To understand the impact of prior authorization on patients with cancer using their own words.
Main Methods
- Qualitative secondary thematic analysis of open-ended survey responses from patients with cancer.
- Online survey data collected from July to October 2022, with responses coded in May 2023.
- Inductive coding and thematic development by the research team.
Main Results
- Four interconnected themes emerged: blinded navigation, intersecting burdens, interference with care, and a broken system.
- Patients described prior authorization as confusing, adding administrative, psychosocial, and financial burdens.
- Respondents highlighted concerns about the profit-driven nature of the US healthcare system.
Conclusions
- Prior authorization significantly burdens patients undergoing cancer care, impacting their treatment and well-being.
- The current system is perceived as broken, emphasizing the need for patient-centered reforms.
- Policy reform is crucial to ensure timely access to care and prioritize the patient experience.
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