Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.
Identifieur interne : 000294 ( Main/Corpus ); précédent : 000293; suivant : 000295Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.
Auteurs : M C Haverfield ; A E Singer ; C. Gray ; A. Shelley ; A. Nash ; K A LorenzSource :
- Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer [ 1433-7339 ] ; 2020.
English descriptors
- KwdEn :
- Caregivers (economics), Caregivers (psychology), Communication (MeSH), Family (psychology), Female (MeSH), Health Expenditures (MeSH), Humans (MeSH), Male (MeSH), Medical Oncology (economics), Medical Oncology (methods), Neoplasms (economics), Neoplasms (psychology), Neoplasms (therapy), Patient-Centered Care (MeSH), Physician-Patient Relations (MeSH), Qualitative Research (MeSH), United States (MeSH).
- MESH :
- geographic : United States.
- economics : Caregivers, Medical Oncology, Neoplasms.
- methods : Medical Oncology.
- psychology : Caregivers, Family, Neoplasms.
- therapy : Neoplasms.
- Communication, Female, Health Expenditures, Humans, Male, Patient-Centered Care, Physician-Patient Relations, Qualitative Research.
Abstract
OBJECTIVES
Rising costs in oncology care often impact patients and families directly, making communication about costs and financial impacts of treatment crucial. Cost expenditures could offer opportunities for estimation and prediction, affording personalized conversations about financial impact. We sought to explore providers', patients', and caregivers' preferences towards implementing communication about cost, including when, how, and by whom such information might be provided.
METHODS
We conducted semi-structured phone interviews with a diverse population including 12 oncology providers, 12 patients, and 8 patient caregivers (N = 32). The constant comparative method was used to identify mutually agreed upon themes.
RESULTS
Participant groups differed in their concerns surrounding cost communication, namely whether they want to receive this information and how such information might impact provider and patient treatment decisions. All participants agreed that oncology providers should not be leading cost conversations. Patients and caregivers identified social workers or financial advisors as most equipped to communicate about cost. Participants emphasized timely cost conversations, ideally around the time of diagnosis. Participants favored various metrics of financial impact beyond overall costs of care including disability, days lost from work, and out-of-pocket expenses.
CONCLUSION
Cost transparency should be incorporated into usual care; however, there are several challenges to making cost conversations a part of everyday practice. Patients and family members need resources related to cost to aid in decision-making and those delivering cost information should have competency in oncology, financial advisement, and patient-centered care.
DOI: 10.1007/s00520-019-05274-2
PubMed: 31900612
Links to Exploration step
pubmed:31900612Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.</title><author><name sortKey="Haverfield, M C" sort="Haverfield, M C" uniqKey="Haverfield M" first="M C" last="Haverfield">M C Haverfield</name><affiliation><nlm:affiliation>Department of Communication Studies, San José State University, 220 E San Fernando Street, San Jose, CA, 95112, USA. marie.haverfield@sjsu.edu.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA. marie.haverfield@sjsu.edu.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, 1265 Welch Road, Stanford, CA, 94035, USA. marie.haverfield@sjsu.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Singer, A E" sort="Singer, A E" uniqKey="Singer A" first="A E" last="Singer">A E Singer</name><affiliation><nlm:affiliation>Department of Medicine, UCLA, 100 Medical Plaza Driveway, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Gray, C" sort="Gray, C" uniqKey="Gray C" first="C" last="Gray">C. Gray</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Shelley, A" sort="Shelley, A" uniqKey="Shelley A" first="A" last="Shelley">A. Shelley</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nash, A" sort="Nash, A" uniqKey="Nash A" first="A" last="Nash">A. Nash</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lorenz, K A" sort="Lorenz, K A" uniqKey="Lorenz K" first="K A" last="Lorenz">K A Lorenz</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, 1265 Welch Road, Stanford, CA, 94035, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:31900612</idno><idno type="pmid">31900612</idno><idno type="doi">10.1007/s00520-019-05274-2</idno><idno type="wicri:Area/Main/Corpus">000294</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000294</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.</title><author><name sortKey="Haverfield, M C" sort="Haverfield, M C" uniqKey="Haverfield M" first="M C" last="Haverfield">M C Haverfield</name><affiliation><nlm:affiliation>Department of Communication Studies, San José State University, 220 E San Fernando Street, San Jose, CA, 95112, USA. marie.haverfield@sjsu.edu.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA. marie.haverfield@sjsu.edu.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, 1265 Welch Road, Stanford, CA, 94035, USA. marie.haverfield@sjsu.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Singer, A E" sort="Singer, A E" uniqKey="Singer A" first="A E" last="Singer">A E Singer</name><affiliation><nlm:affiliation>Department of Medicine, UCLA, 100 Medical Plaza Driveway, Los Angeles, CA, 90095, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Gray, C" sort="Gray, C" uniqKey="Gray C" first="C" last="Gray">C. Gray</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Shelley, A" sort="Shelley, A" uniqKey="Shelley A" first="A" last="Shelley">A. Shelley</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Nash, A" sort="Nash, A" uniqKey="Nash A" first="A" last="Nash">A. Nash</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lorenz, K A" sort="Lorenz, K A" uniqKey="Lorenz K" first="K A" last="Lorenz">K A Lorenz</name><affiliation><nlm:affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</nlm:affiliation></affiliation><affiliation><nlm:affiliation>Stanford University School of Medicine, 1265 Welch Road, Stanford, CA, 94035, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</title><idno type="eISSN">1433-7339</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Caregivers (economics)</term><term>Caregivers (psychology)</term><term>Communication (MeSH)</term><term>Family (psychology)</term><term>Female (MeSH)</term><term>Health Expenditures (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Medical Oncology (economics)</term><term>Medical Oncology (methods)</term><term>Neoplasms (economics)</term><term>Neoplasms (psychology)</term><term>Neoplasms (therapy)</term><term>Patient-Centered Care (MeSH)</term><term>Physician-Patient Relations (MeSH)</term><term>Qualitative Research (MeSH)</term><term>United States (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Caregivers</term><term>Medical Oncology</term><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Medical Oncology</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Caregivers</term><term>Family</term><term>Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Communication</term><term>Female</term><term>Health Expenditures</term><term>Humans</term><term>Male</term><term>Patient-Centered Care</term><term>Physician-Patient Relations</term><term>Qualitative Research</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Rising costs in oncology care often impact patients and families directly, making communication about costs and financial impacts of treatment crucial. Cost expenditures could offer opportunities for estimation and prediction, affording personalized conversations about financial impact. We sought to explore providers', patients', and caregivers' preferences towards implementing communication about cost, including when, how, and by whom such information might be provided.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We conducted semi-structured phone interviews with a diverse population including 12 oncology providers, 12 patients, and 8 patient caregivers (N = 32). The constant comparative method was used to identify mutually agreed upon themes.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Participant groups differed in their concerns surrounding cost communication, namely whether they want to receive this information and how such information might impact provider and patient treatment decisions. All participants agreed that oncology providers should not be leading cost conversations. Patients and caregivers identified social workers or financial advisors as most equipped to communicate about cost. Participants emphasized timely cost conversations, ideally around the time of diagnosis. Participants favored various metrics of financial impact beyond overall costs of care including disability, days lost from work, and out-of-pocket expenses.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Cost transparency should be incorporated into usual care; however, there are several challenges to making cost conversations a part of everyday practice. Patients and family members need resources related to cost to aid in decision-making and those delivering cost information should have competency in oncology, financial advisement, and patient-centered care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31900612</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>11</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1433-7339</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>9</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</Title><ISOAbbreviation>Support Care Cancer</ISOAbbreviation></Journal><ArticleTitle>Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.</ArticleTitle><Pagination><MedlinePgn>4255-4262</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00520-019-05274-2</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Rising costs in oncology care often impact patients and families directly, making communication about costs and financial impacts of treatment crucial. Cost expenditures could offer opportunities for estimation and prediction, affording personalized conversations about financial impact. We sought to explore providers', patients', and caregivers' preferences towards implementing communication about cost, including when, how, and by whom such information might be provided.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We conducted semi-structured phone interviews with a diverse population including 12 oncology providers, 12 patients, and 8 patient caregivers (N = 32). The constant comparative method was used to identify mutually agreed upon themes.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Participant groups differed in their concerns surrounding cost communication, namely whether they want to receive this information and how such information might impact provider and patient treatment decisions. All participants agreed that oncology providers should not be leading cost conversations. Patients and caregivers identified social workers or financial advisors as most equipped to communicate about cost. Participants emphasized timely cost conversations, ideally around the time of diagnosis. Participants favored various metrics of financial impact beyond overall costs of care including disability, days lost from work, and out-of-pocket expenses.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Cost transparency should be incorporated into usual care; however, there are several challenges to making cost conversations a part of everyday practice. Patients and family members need resources related to cost to aid in decision-making and those delivering cost information should have competency in oncology, financial advisement, and patient-centered care.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haverfield</LastName><ForeName>M C</ForeName><Initials>MC</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-2949-0229</Identifier><AffiliationInfo><Affiliation>Department of Communication Studies, San José State University, 220 E San Fernando Street, San Jose, CA, 95112, USA. marie.haverfield@sjsu.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA. marie.haverfield@sjsu.edu.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University School of Medicine, 1265 Welch Road, Stanford, CA, 94035, USA. marie.haverfield@sjsu.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Singer</LastName><ForeName>A E</ForeName><Initials>AE</Initials><AffiliationInfo><Affiliation>Department of Medicine, UCLA, 100 Medical Plaza Driveway, Los Angeles, CA, 90095, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gray</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shelley</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nash</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lorenz</LastName><ForeName>K A</ForeName><Initials>KA</Initials><AffiliationInfo><Affiliation>VA Palo Alto Health Care System, Center for Innovation to Implementation (Ci2i), 795 Willow Road, Menlo Park, CA, 94025, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Stanford University School of Medicine, 1265 Welch Road, Stanford, CA, 94035, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>N/A</GrantID><Agency>VA Palo Alto Center for Innovation to Implementation Locally Initiated Project</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>01</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Support Care Cancer</MedlineTA><NlmUniqueID>9302957</NlmUniqueID><ISSNLinking>0941-4355</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D017028" MajorTopicYN="N">Caregivers</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003142" MajorTopicYN="Y">Communication</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005190" MajorTopicYN="N">Family</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005102" MajorTopicYN="N">Health Expenditures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008495" MajorTopicYN="N">Medical Oncology</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018802" MajorTopicYN="N">Patient-Centered Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010817" MajorTopicYN="N">Physician-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cancer care</Keyword><Keyword MajorTopicYN="N">Cost estimates</Keyword><Keyword MajorTopicYN="N">Financial toxicity</Keyword><Keyword MajorTopicYN="N">Implementation</Keyword><Keyword MajorTopicYN="N">Patient-provider communication</Keyword><Keyword MajorTopicYN="N">Qualitative research</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>05</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>12</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>1</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31900612</ArticleId><ArticleId IdType="doi">10.1007/s00520-019-05274-2</ArticleId><ArticleId IdType="pii">10.1007/s00520-019-05274-2</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Bois/explor/WillowV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000294 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000294 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Bois
|area= WillowV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:31900612
|texte= Implementing routine communication about costs of cancer treatment: perspectives of providers, patients, and caregivers.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:31900612" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a WillowV1
| This area was generated with Dilib version V0.6.37. |  |