ArticleJNCI cancer spectrum2021
Delivery of Financial Navigation Services Within National Cancer Institute-Designated Cancer Centers.
Article in JNCI cancer spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.
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Who cites it
49 citing papers in PubMed.
- A point-of-care pilot randomized intervention to connect patients with cancer-induced financial toxicity to telehealth financial counseling.Cancer causes & control : CCC · 2024Trial
- Evaluating the impact of virtual oncology financial and legal navigation on cancer-related financial toxicity.JNCI cancer spectrum · 2026Article
- Household income and county income inequality are associated with financial hardship among cancer survivors in New Jersey.Journal of cancer survivorship : research and practice · 2026Article
- Exploring Cancer Experiences and Community Health Concerns Among Asian Americans in St. Louis: A Formative Study to Guide Photovoice Implementation.AJPM focus · 2026Article
- Assessing Training Practices and Gaps for Staff Involved in the Delivery of Oncology Financial Navigation: A Qualitative Study.Current oncology (Toronto, Ont.) · 2026Article
- Assessing barriers to genomic testing in breast cancer among diverse patients: a qualitative community-engaged research study.Breast cancer research and treatment · 2025Article
- Cancer-Related Impacts on Employment and Strategies for Support Among Long-Term Young Adult Survivors of Hematologic Malignancies.JCO oncology practice · 2025Article
- Evaluating potential determinants of health system implementation of a virtual oncology financial and legal navigation intervention to address cancer-related financial toxicity.Implementation science communications · 2025Article
- Screened but Still Struggling: Challenges in Delivering Financial Assistance After Positive Financial Toxicity Screens.JCO oncology practice · 2025Article
- Screening and Referral for Health-Related Social Needs and Financial Distress: Current Processes Among National Cancer Institute Community Oncology Research Program Practices.JCO oncology practice · 2025Article
- Nationwide Analysis of Legal Barriers to Cancer Care.JAMA network open · 2025Article
- Observational
- The Role of Social Support in Buffering the Financial Toxicity of Breast Cancer: A Qualitative Study of Patient Experiences.Cancers · 2025Article
- Interventions to Address Cancer-Related Financial Hardship: A Scoping Review and Call to Action.JCO oncology practice · 2025Article
- Impact of a Comprehensive Financial Navigation Intervention to Reduce Cancer-Related Financial Toxicity.Journal of the National Comprehensive Cancer Network : JNCCN · 2024Article
- Cancer patient and caregiver communication about economic concerns and the effect on patient and caregiver partners' perceptions of family functioning.Journal of cancer survivorship : research and practice · 2024Article
- Evaluation of a Conference on Cancer-Related Financial and Legal Issues: A Potential Resource to Counter Financial Toxicity.Current oncology (Toronto, Ont.) · 2024Article
- Financial hardship and neighborhood socioeconomic disadvantage in long-term childhood cancer survivors.JNCI cancer spectrum · 2024Article
- Financial-legal navigation reduces financial toxicity of pediatric, adolescent, and young adult cancers.JNCI cancer spectrum · 2024Article
- Dedicated financial hardship screening adds value to routine distress screening among gynecologic cancer patients.Gynecologic oncology · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Cancer centers have a responsibility to help patients manage the costs of their cancer treatment. This article describes the availability of financial navigation services within the National Cancer Institute (NCI)-designated cancer centers. Methods: Data were obtained from the NCI Survey of Financial Navigation Services and Research, an online survey administered to NCI-designated cancer centers from July to September 2019. Of the 62 eligible centers, 57 completed all or most of the survey, for a response rate of 90.5%. Results: Nearly all cancer centers reported providing help with applications for pharmaceutical assistance programs and medical discounts (96.5%), health insurance coverage (91.2%), assistance with nonmedical costs (96.5%), and help understanding medical bills and out-of-pocket costs (85.9%). Although other services were common, in some cases they were only available to certain patients. These services included direct financial assistance with medical and nonmedical costs and referrals to outside organizations for financial assistance. The least common services included medical debt management (63.2%), detailed discussions about the cost of treatment (54.4%), and guidance about legal protections (50.1%). Providing treatment cost transparency to patients was reported as a common challenge: 71.9% of centers agreed or strongly agreed that it is difficult to determine how much a cancer patient's treatment will cost, and 70.2% of oncologists are reluctant to discuss financial issues with patients. Conclusions: Cancer centers provide many financial services and resources. However, there remains a need to build additional capacity to deliver comprehensive financial navigation services and to understand the extent to which patients are referred and helped by these services.
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