Research Priorities

HDRP has identified the following topics of priority within the area of financial hardship. These topics fall into three broad categories, including measuring, understanding, and addressing financial hardship among those impacted by cancer.

Measuring Financial Hardship

  • Developing and validating self-reported measures of financial hardship
  • Developing clinically relevant and pragmatic measures of financial hardship
  • Measuring financial hardship within the dimensions of material conditions, coping behaviors, and psychological response
  • Measuring the effect of cancer and its treatment on employment outcomes
  • Measuring financial hardship across the cancer care continuum (diagnosis, treatment, survivorship, end-of-life)

Understanding Financial Hardship

  • Assessing the economic effect of cancer and its treatment on patients
  • Examining the effect of financial hardship on patient’s physical functioning and clinical outcomes, psychosocial functioning and quality of life, and health care access and utilization
  • Identifying patients at risk of financial hardship, with an emphasis on identifying modifiable risk factors
  • Examining contextual factors (e.g., community, provider, system-level factors) that modify financial hardship

Addressing Financial Hardship

  • Leveraging resources in the healthcare system and broader community to address financial hardship
  • Developing and evaluating multi-level interventions to mitigate financial hardship; Examples include:
    • Development of an intervention that considers the influence of setting (academic medical center vs. community setting) on the delivery of intervention
    • Understanding the impact of team interactions and communication flow on the effectiveness of interventions
    • Understanding the usefulness of digital tools for assessing patient risk for financial hardship and linking them to possible sources of support
Last Updated: 16 May, 2019