Table 3.

Examples of research questions for developing and informing interventions to minimize financial hardship in cancer survivors

Level of frameworkExample questions
Patient and familyDoes enrollment in patient assistance programs reduce hardship? Improve treatment adherence? Does offering detailed survivorship care planning minimize financial hardship and improve health outcomes? Can decision aids help patients understand aspects of health insurance and risk of financial hardship? What is the best timing for introduction of decision aids? Do they reduce hardship and improve health outcomes? What is the effectiveness and cost-effectiveness?
Provider and care teamHow can providers and care team best discuss financial hardship with patients and their families? Are EHR reminders or prompts effective in improving communication about costs and benefits of treatment? What is the effectiveness and cost-effectiveness of financial navigators for a practice?
Health care systemWhat is the effectiveness and cost-effectiveness of financial navigators for a health system? What are the best models of care to minimize financial hardship and how can they be best integrated into routine healthcare?
EmployerHow can employers offer accommodations to support cancer survivors and their caregivers to minimize hardship? What is the effectiveness and cost-effectiveness of offering accommodations from employer perspective?
State and national policyWhat is the effectiveness and cost-effectiveness associated with interventions to reduce financial hardship from state perspective? Do effectiveness and cost-effectiveness vary from national perspective?