ArticleJCO oncology practice2026
Implementing Financial Screening for Adolescents and Young Adults Treated in the Outpatient Oncology Setting.
Article in JCO oncology practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- Application of digital health interventions in the management of economic toxicity in cancer patients: a scoping review.Frontiers in public health · 2026Article
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Authors and funding
16 authors.
Funding
Abstract
purposeAdolescents and young adults (AYAs) with cancer are susceptible to financial hardship during and after a cancer diagnosis. Implementing systematic financial screening is essential to effectively addressing financial hardship. In this study, we evaluated the implementation of a financial screening process in outpatient oncology clinics treating AYAs at an urban academic cancer center.
methodsWe evaluated the implementation of financial screening through direct-to-patient prompts via the electronic health record (EHR) patient portal using an implementation science framework. Evaluation metrics included screening response rates (reach, adoption), prevalence of financial hardship (effectiveness), and comparisons of AYA patients age 15-39 years by clinical and sociodemographic factors (implementation). Patient and caregiver interviews offered contextual insights for future scaling.
resultsFrom November 2022 to July 2024, 567 AYAs received cancer care across the clinics. Of them, 50% (N = 286) responded to screening via the portal, 15% declined, and 34% were not screened because of lack of engagement with the portal. Higher response rates were associated with identifying as women (55%), non-Hispanic White (55%), Asian (77%), Hispanic (54%), or preferring English (53%). Among respondents, 74% (n = 212) screened positive for financial hardship, with men (83%), non-Hispanic Black (76%), Hispanic (95%), Asian (82%), or Spanish-speaking (96%) AYAs more likely to screen positive. Interviews with 24 participants, including caregivers and Spanish speakers, revealed general comfort with the portal-based screening, although some preferred in-person conversations. Participants expressed interest in how the data would be used and if it would prompt follow-up support.
conclusionLeveraging technology, such as through the EHR patient portal, facilitates the implementation of financial screening. However, it is likely most effective when combined with clinical team collaboration and multimodal screening approaches to enhance access and engagement.
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