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Nursing Science 2025
财务导航在慢性病经济毒性干预中的应用进展
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Abstract:
当前,各类慢性病呈快速增长趋势,对我国居民健康构成严重威胁。随着社会的发展和医疗水平的提高,疾病治疗费用大幅上升,所导致的经济毒性问题亟待解决。近年来,财务导航模式已成为众多解决经济毒性的研究中的一个突出解决方案,广泛应用于癌症等慢性病患者中,并取得了积极成果。尽管财务导航逐渐受到国际关注,但我国尚未建立系统性的财务导航计划。本文将对财务导航在慢性病经济毒性干预中的应用进展进行综述,旨在为国内慢性病经济毒性高风险患者提供新的应对思路。
Currently, the prevalence of various chronic diseases is increasing rapidly, posing a significant threat to the health of our residents. As society develops and medical standards improve, the cost of disease treatment has risen substantially, creating urgent challenges related to economic toxicity. In recent years, the financial navigation model has emerged as a prominent solution in numerous studies aimed at addressing financial toxicity, demonstrating positive outcomes, particularly among patients with chronic diseases such as cancer. Although financial navigation is gradually gaining international attention, no systematic financial navigation plan has yet been established in China. This article will review the application progress of financial navigation in the intervention of economic toxicity of chronic diseases, aiming to provide new ideas for domestic patients at high risk of economic toxicity from chronic diseases.
[1] | 王丽敏, 陈志华, 张梅, 等. 中国老年人群慢性病患病状况和疾病负担研究[J]. 中华流行病学杂志, 2019, 40(3): 277-283. |
[2] | 郑伟, 韩笑, 吕有吉. 中国人口慢性病的总体状况与群体差异[J]. 社会科学辑刊, 2022(3): 139-149. |
[3] | Boulanger, M., Mitchell, C., Zhong, J. and Hsu, M. (2022) Financial Toxicity in Lung Cancer. Frontiers in Oncology, 12, Article 1004102. https://doi.org/10.3389/fonc.2022.1004102 |
[4] | Zafar, S.Y. and Abernethy, A.P. (2013) Financial Toxicity, Part II: How Can We Help with the Burden of Treatment-related Costs? Oncology (Williston Park), 27, 253-254, 256. |
[5] | 江莹, 余旻虹, 张春燕, 等. 肺动脉高压患者经济负担影响因素分析及护理对策[J]. 中华护理杂志, 2023, 58(14): 1733-1741. |
[6] | 姜华, 江庆华. 我国癌症病人经济毒性现状及应对策略研究进展[J]. 护理研究, 2022, 36(18): 3299-3303. |
[7] | Smith, G.L., Banegas, M.P., Acquati, C., Chang, S., Chino, F., Conti, R.M., et al. (2022) Navigating Financial Toxicity in Patients with Cancer: A Multidisciplinary Management Approach. CA: A Cancer Journal for Clinicians, 72, 437-453. https://doi.org/10.3322/caac.21730 |
[8] | Bell-Brown, A., Hopkins, T., Watabayashi, K., Overstreet, K., Leahy, A., Bradshaw, E., et al. (2024) A Proactive Financial Navigation Intervention in Patients with Newly Diagnosed Gastric and Gastroesophageal Junction Adenocarcinoma. Supportive Care in Cancer, 32, Article No. 189. https://doi.org/10.1007/s00520-024-08399-1 |
[9] | Dessources, K., Hari, A., Pineda, E., Amneus, M.W., Sinno, A.K. and Holschneider, C.H. (2020) Socially Determined Cervical Cancer Care Navigation: An Effective Step toward Health Care Equity and Care Optimization. Cancer, 126, 5060-5068. https://doi.org/10.1002/cncr.33124 |
[10] | Sadigh, G., Gallagher, K., Obenchain, J., Benson, A., Mitchell, E., Sengupta, S., et al. (2019) Pilot Feasibility Study of an Oncology Financial Navigation Program in Brain Cancer Patients. Journal of the American College of Radiology, 16, 1420-1424. https://doi.org/10.1016/j.jacr.2019.07.014 |
[11] | Yezefski, T., Steelquist, J., Watabayashi, K., et al. (2018) Impact of Trained Oncology Financial Navigators on Patient Out-of-Pocket Spending. The American Journal of Managed Care, 24, S74-S79. |
[12] | Sherman, D. and Fessele, K. (2019) Financial Support Models: A Case for Use of Financial Navigators in the Oncology Setting. Clinical Journal of Oncology Nursing, 23, 14-18. https://doi.org/10.1188/19.cjon.s2.14-18 |
[13] | Doherty, M.J., Thom, B. and Gany, F. (2021) Evidence of the Feasibility and Preliminary Efficacy of Oncology Financial Navigation: A Scoping Review. Cancer Epidemiology, Biomarkers & Prevention, 30, 1778-1784. https://doi.org/10.1158/1055-9965.epi-20-1853 |
[14] | Watabayashi, K., Steelquist, J., Overstreet, K.A., Leahy, A., Bradshaw, E., Gallagher, K.D., et al. (2020) A Pilot Study of a Comprehensive Financial Navigation Program in Patients with Cancer and Caregivers. Journal of the National Comprehensive Cancer Network, 18, 1366-1373. https://doi.org/10.6004/jnccn.2020.7581 |
[15] | Sadigh, G., Coleman, D., Switchenko, J.M., Hopkins, J.O. and Carlos, R.C. (2022) Treatment Out-of-Pocket Cost Communication and Remote Financial Navigation in Patients with Cancer: A Feasibility Study. Supportive Care in Cancer, 30, 8173-8182. https://doi.org/10.1007/s00520-022-07270-5 |
[16] | Elgadi, A., Hisham, A., Ahmed, H.A., Elzaki, H.A., shaaban, K.M.A., Dafaalla, O., et al. (2022) Economic Hardship among Principal Family Caregivers of Cancer Patients at Khartoum Oncology Hospital 2020: A Cross-Sectional Study. BMC Health Services Research, 22, Article No. 1497. https://doi.org/10.1186/s12913-022-08918-y |
[17] | Wheeler, S.B., Biddell, C.B., Manning, M.L., Gellin, M.S., Padilla, N.R., Spees, L.P., et al. (2022) Lessening the Impact of Financial Toxicity (LIFT): A Protocol for a Multi-Site, Single-Arm Trial Examining the Effect of Financial Navigation on Financial Toxicity in Adult Patients with Cancer in Rural and Non-Rural Settings. Trials, 23, Article No. 839. https://doi.org/10.1186/s13063-022-06745-4 |
[18] | Case, M.A.B. (2011) Oncology Nurse Navigator. Clinical Journal of Oncology Nursing, 15, 33-40. https://doi.org/10.1188/11.cjon.33-40 |
[19] | Lee, T., Ko, I., Lee, I., Kim, E., Shin, M., Roh, S., et al. (2011) Effects of Nurse Navigators on Health Outcomes of Cancer Patients. Cancer Nursing, 34, 376-384. https://doi.org/10.1097/ncc.0b013e3182025007 |
[20] | Harvey, C., Palmer, J., Hegney, D., Willis, E., Baldwin, A., Rees, C., et al. (2019) The Evaluation of Nurse Navigators in Chronic and Complex Care. Journal of Advanced Nursing, 75, 1792-1804. https://doi.org/10.1111/jan.14041 |
[21] | Shankaran, V., Leahy, T., Steelquist, J., Watabayashi, K., Linden, H., Ramsey, S., et al. (2018) Pilot Feasibility Study of an Oncology Financial Navigation Program. Journal of Oncology Practice, 14, e122-e129. https://doi.org/10.1200/jop.2017.024927 |
[22] | Offodile, A.C., Gallagher, K., Angove, R., Tucker-Seeley, R.D., Balch, A. and Shankaran, V. (2022) Financial Navigation in Cancer Care Delivery: State of the Evidence, Opportunities for Research, and Future Directions. Journal of Clinical Oncology, 40, 2291-2294. https://doi.org/10.1200/jco.21.02184 |
[23] | Altice, C.K., Banegas, M.P., Tucker-Seeley, R.D. and Yabroff, K.R. (2016) Financial Hardships Experienced by Cancer Survivors: A Systematic Review. Journal of the National Cancer Institute, 109, djw205. https://doi.org/10.1093/jnci/djw205 |
[24] | Kircher, S.M., Yarber, J., Rutsohn, J., Guevara, Y., Lyleroehr, M., Alphs Jackson, H., et al. (2019) Piloting a Financial Counseling Intervention for Patients with Cancer Receiving Chemotherapy. Journal of Oncology Practice, 15, e202-e210. https://doi.org/10.1200/jop.18.00270 |
[25] | Zheng, Z., Han, X., Zhao, J., Banegas, M.P., Tucker-Seeley, R., Rai, A., et al. (2020) Financial Hardship, Healthcare Utilization, and Health among U.S. Cancer Survivors. American Journal of Preventive Medicine, 59, 68-78. https://doi.org/10.1016/j.amepre.2020.02.016 |
[26] | Tucker-Seeley, R.D. and Thorpe, R.J. (2019) Material-Psychosocial-Behavioral Aspects of Financial Hardship: A Conceptual Model for Cancer Prevention. The Gerontologist, 59, S88-S93. https://doi.org/10.1093/geront/gnz033 |
[27] | Henrikson, N.B., Anderson, M.L., Dickerson, J., Ewing, J.J., Garcia, R., Keast, E., et al. (2022) The Cancer Financial Experience (CAFÉ) Study: Randomized Controlled Trial of a Financial Navigation Intervention to Address Cancer-Related Financial Hardship. Trials, 23, Article No. 402. https://doi.org/10.1186/s13063-022-06344-3 |
[28] | Yuan, X., Zhang, X., He, J. and Xing, W. (2023) Interventions for Financial Toxicity among Cancer Survivors: A Scoping Review. Critical Reviews in Oncology/Hematology, 192, Article 104140. https://doi.org/10.1016/j.critrevonc.2023.104140 |
[29] | Linendoll, N., Murphy-Banks, R., Sae-Hau, M., Rodday, A.M., DiFilippo, C., Jain, A., et al. (2023) Evaluating the Role of Financial Navigation in Alleviating Financial Distress among Young Adults with a History of Blood Cancer: A Hybrid Type 2 Randomized Effectiveness-Implementation Design. Contemporary Clinical Trials, 124, Article 107019. https://doi.org/10.1016/j.cct.2022.107019 |
[30] | Tarnasky, A.M., Tran, G.N., Nicolla, J., Friedman, F.A.P., Wolf, S., Troy, J.D., et al. (2021) Mobile Application to Identify Cancer Treatment-Related Financial Assistance: Results of a Randomized Controlled Trial. JCO Oncology Practice, 17, e1440-e1449. https://doi.org/10.1200/op.20.00757 |
[31] | Yeager, K.A., Zahnd, W.E., Eberth, J.M., Vanderpool, R.C., Rohweder, C., Teal, R., et al. (2024) Correction To: Financial Navigation: Staff Perspectives on Patients’ Financial Burden of Cancer Care. Journal of Cancer Survivorship, 18, 631-632. https://doi.org/10.1007/s11764-022-01191-2 |
[32] | Thornton, M. and Travis, S.S. (2003) Analysis of the Reliability of the Modified Caregiver Strain Index. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, S127-S132. https://doi.org/10.1093/geronb/58.2.s127 |
[33] | Borno, H.T., Lin, T.K., Zhang, S., Skafel, A., Lalanne, A., Dornsife, D., et al. (2021) Accelerating Cancer Clinical Trial Recruitment through a Financial Reimbursement Program Integrated with Patient Navigation: An Interrupted Time Series Analysis. Journal of Cancer Policy, 30, Article 100305. https://doi.org/10.1016/j.jcpo.2021.100305 |
[34] | 王正君, 司峰, 周郁秋, 等. 财务导航模式在癌症患者中的应用进展[J]. 军事护理, 2023, 40(12): 81-84. |
[35] | 候琳琳, 李营阳, 刘素婷, 等. 社区中老年脑卒中患者药物素养现状及影响因素分析[J]. 护理学杂志, 2024, 39(3): 5-9. |