Sheetal Mehta Kircher|Jessica Lee Yarber|Josh Rutsohn|Yanina Guevara|Madison Lyleroehr|Hannah Alphs Jackson|Jessica Walradt|Bijal Desai|Mary F. Mulcahy|Aparna Kalyan|Al B. Benson|Mark Agulnik|Nisha Mohindra|Jonas DeSouza|Sofia F. Garcia
Piloting a Financial Counseling Intervention for Patients With Cancer Receiving Chemotherapy
Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Northwestern Medicine|Humana (United States)|Northwestern Medicine|Northwestern Medicine
national organizations encourage communication costs cancer care however data available health system models identifying assisting patients financial distress fd report feasibility acceptability financial counseling fc intervention patients receive chemotherapy comprehensive cancer centerpatients randomly assigned 11 fc standard care fc arm received education financial assistance screening estimation tool total billed charges outofpocket oop cost one cycle chemotherapy financial counselor phone call inperson visit participants completed measures fd healthrelated quality life acceptabilityninetyfive participants enrolled mean age 61 years 72 white 50 commercially insured 32 attrition rate assessments rates completion phone call inperson entire intervention 98 47 30 respectively oop estimation tool considered understandable acceptable majority participants significant changes fd found arms emotional functioning negatively associated high fd 95 ci 013379 0013 p 0189 married associated decrease logodds high fd 1916 95 ci 3358 0475 p 0092implementation fc program provides transparent cost data feasible acceptable incorporation fc clinical workflow including phone counseling important improve feasibility additional work needed develop tailored educational materials patient specific