ArticleThe Permanente journal2019
Evaluation of a Novel Financial Navigator Pilot to Address Patient Concerns about Medical Care Costs.
Article in The Permanente journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed.
- Trial
- Financial Navigation for People Newly Diagnosed With Cancer: Primary Outcomes From the Cancer Financial Experience Randomized Trial.JCO oncology practice · 2025Trial
- Trial
- Evaluating the Impact of Financial Navigation on Financial Catastrophe and Distress for Cancer Care: A Randomized Control Trial- COST-FIN.Research square · 2026Article
- Barriers and facilitators of adoption and implementation of a financial navigation program: cost-fin trial.Ecancermedicalscience · 2026Article
- The administrative burden of medication affordability resources: an environmental scan with implications for health informatics to advance health equity.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- The Program Cost Effectiveness of a Safety-Net Hospital Program Expanding Social Needs Activities in Atlanta.Journal of health care for the poor and underserved · 2025Article
- Out-of-Pocket Costs and Potential Surprise Bills for Tracheostomy in Commercially Insured Patients.Tracheostomy (Warrenville, Ill.) · 2025Article
- Cancer survivor preferences on the timing and content of interventions to mitigate financial toxicity associated with cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Career disruption and limitation of financial earnings due to cancer.JNCI cancer spectrum · 2023Article
- Factors associated with increased financial toxicity after the completion of radiation treatment for gynecologic cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Financial toxicity among head and neck cancer patients and their caregivers: A cross-sectional pilot study.Laryngoscope investigative otolaryngology · 2023Article
- Clinical Management of Financial Toxicity-Identifying Opportunities through Experiential Insights of Cancer Survivors, Caregivers, and Social Workers.Current oncology (Toronto, Ont.) · 2022Article
- A Scoping Review of Behavioral Interventions Addressing Medical Financial Hardship.Population health management · 2021Article
- Article
- Parent Preferences for Transparency of Their Child's Hospitalization Costs.JAMA network open · 2021Article
- The implementation cost of a safety-net hospital program addressing social needs in Atlanta.Health services research · 2021Article
- Article
- How, When, and With Whom Should Cost of Care Conversations Occur? Preferences of Two Distinct Cancer Survivor Groups.JCO oncology practice · 2020Article
- Medical Financial Hardship Intensity and Financial Sacrifice Associated with Cancer in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextInterventions are required that address patients' medically related financial needs.
objectiveTo evaluate a Financial Navigator pilot addressing patients' concerns/needs regarding medical care costs in an integrated health care system.
methodsAdults (aged ≥ 18 years) enrolled at Kaiser Permanente Northwest, who had a concern/need about medical care costs and received care in 1 of 3 clinical departments at the intervention or comparison clinic were recruited between August 1, 2016, and October 31, 2016. Baseline and 30-day follow-up participant surveys were administered to assess medical and nonmedical socioeconomic needs, satisfaction with medical care, and satisfaction with assistance with cost concerns. Physicians at both clinics were invited to complete a survey on medical care costs. We assessed participant characteristics and survey responses using descriptive statistics and 30-day change in satisfaction measures using multivariable linear regression models.
resultsEighty-five intervention and 51 comparison participants completed the baseline survey. At baseline, intervention participants reported transportation (52.9%), housing (38.2%), and social isolation (32.4%) needs; comparison participants identified employment (33.3%), food (33.3%), and housing (33.3%) needs. Intervention participants reported higher satisfaction with care (p = 0.01) and higher satisfaction with cost concerns assistance (p = 0.01) vs comparison participants at 30-day follow-up, controlling for baseline responses. Although most physicians (80%) reported discussing medical care costs with their patients, only 18% reported knowing about their patients' financial well-being.
conclusionWe demonstrated the promise of a novel Financial Navigator pilot intervention to address medical care cost concerns and needs, and underscored the prevalence of nonmedical social needs in an economically vulnerable population.
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