在患有癌症的美洲原住民患者中进行财务困难查的试点实施和定性评估
Amanda E Janitz1, Amber S Anderson-Buettner2, Stefani D Madison3
1The University of Oklahoma Health Sciences, Oklahoma City, OK, 73104, USA. Amanda-Janitz@ouhsc.edu.
概括
一项针对美国原住民 (NA) 癌症患者的试点财务困难查 (FHS) 成功发现了重大财务挑战,76.2%的人报告中度至严重困难. 患者和工作人员都认为查是有益的,尽管需要改善人员配置和可持续性.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 美国原住民 (NA) 癌症患者面临更高的财政困难风险,由于诸如有限的保险和并发症等因素.
- 现有的金融选工具可能无法完全捕捉到这一群体的独特需求.
研究的目的:
- 为接受癌症治疗的NA患者实施和评估一项试点财务困难查 (FHS) 计划.
- 评估 COmprehensive Score for financial Toxicity-Functional Assessment of Chronic Illness Therapy (COST-FACIT) 工具在这个人口群体中的可行性和接受程度.
主要方法:
- 一个使用COST-FACIT工具的FHS试点计划在2022年为成年NA癌症患者实施.
- 根据COST-FACIT得分,根据经济困难的严重程度对患者进行了分类.
- 与患者和临床工作人员进行了定性采访,并进行了主题分析.
主要成果:
- 在接受查的42名患者中,76.2%报告中度至严重的经济困难.
- 患者报告了FHS的积极经验,有助于识别财务挑战.
- 临床工作人员注意到后勤和可持续性挑战,但发现该工具和由此产生的推有益.
结论:
- 试点FHS计划得到了NA患者和临床工作人员的好评,这有助于识别和解决经济困难.
- 加强人员配备和可持续性对于更广泛地为这一弱势群体实施FHS至关重要.
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