Community-Designed Messaging Interventions to Improve Cost-of-Care Conversations in Settings Serving Low-Income, Latino Populations

Mader, Kari; Sammen, Joseph M; Klene, Christopher; Nguyen, Jessica; Simpson, Matthew; Ruland, Sandra L; Westfall, John M.

doi:10.7326/m18-2140

Cited by 3 publications

(6 citation statements)

References 19 publications

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“…Moreover, Mader et al, examined the impact of delivering community‐designed messages to patients about the importance of cost conversations. Their intervention demonstrated an increase in the frequency of cost conversations (Table 2) and a decrease in the frequency of patients expressing cost concern during medical encounters (58% vs 39%, P = .005 ) 18 . Finally, Carroll et al, found that after a single training session for clinicians regarding the importance of cost conversations and cost‐saving strategies, the frequency of cost conversations (Table 2) and the usage of cost reduction strategies increased (25% vs 16%, P = .002) 19 …”

Section: Resultsmentioning

confidence: 99%

“…Several interventions such as decision aids, training sessions and messages for specific patient communities increase the frequency of cost conversations. [17][18][19] The interventions found targeted patients, clinicians and the medical encounter.…”

Section: Main Findingsmentioning

confidence: 99%

“…Interventions designed to initiate and foster these conversations could have a positive impact on patients and on care delivery. Several research groups have designed interventions such as decision aids or training sessions to prompt these conversations during medical encounters 17‐19 . However, the effectiveness (ie, change in frequency of cost conversations) of these interventions is still controversial 17‐19 .…”

Section: Introductionmentioning

confidence: 99%

“…[17][18][19] However, the effectiveness (ie, change in frequency of cost conversations) of these interventions is still controversial. [17][18][19] Therefore, the aim of this systematic review was to examine which interventions exist and assess their effectiveness at promoting cost conversations.…”

mentioning

confidence: 99%

“…Several research groups have designed interventions such as decision aids or training sessions to prompt these conversations during medical encounters. [17][18][19] However, the effectiveness (ie, change in frequency of cost conversations) of these interventions is still controversial. [17][18][19] Therefore, the aim of this systematic review was to examine which interventions exist and assess their effectiveness at promoting cost conversations.…”

mentioning

confidence: 99%

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Interventions supporting cost conversations between patients and clinicians: A systematic review

Barrera

Ponce

Suárez

et al. 2021

Int. J. Clin. Pract.

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Discussing costs during the medical encounter can help address patients' and physician's concerns about the costs and affordability for care. A recent national survey in the United States found that four out of 10 patients reported that it is somewhat or very difficult to afford health care. [1][2][3][4][5] Patient's financial hardship negatively affects the quality of life and their health outcomes. 4 Patients unable to afford health care may not have access to evidence-based treatment or might decide to postpone it. [6][7][8][9][10] In addition, to mitigate the impact of health care costs, patients resort to problematic actions: forgoing necessities, such as food and clothing, not paying bills or rationing their medications. [11][12][13] Discussing cost during medical encounters may help decrease the impact of high out-of-pocket costs on patients by aligning

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Section: Resultsmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Interventions supporting cost conversations between patients and clinicians: A systematic review

Barrera

Ponce

Suárez

et al. 2021

Int. J. Clin. Pract.

View full text Add to dashboard Cite

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Factors Affecting Adherence in Allergic Disorders and Strategies for Improvement

Udemgba,

Burbank,

Gleeson

et al. 2024

The Journal of Allergy and Clinical Immunology: In Practice

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The financial burden experienced by families of preterm infants after NICU discharge

et al. 2021

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BACKGROUND AND OBJECTIVES: Describe the financial burden and worry that families of preterm infants experience after discharge from the neonatal intensive care unit (NICU). METHODS: We surveyed 365 parents of preterm infants in a cross-sectional study regarding socio-demographics, supplemental security income (SSI), and financial worry. We completed a multivariable logistic regression model to examine the adjusted association of financial worry with modifiable factors. RESULTS: We found that 53% of participants worried about healthcare costs after NICU discharge. After adjusting for sociodemographic and infant characteristics, we identified that, aOR (95% CI), out-of-pocket costs from the NICU index hospitalization, 3.51 (1.7, 7.26) and durable medical equipment use, 2.41 (1.11, 5.23) was associated with increased financial worry while enrollment in SSI, 0.38 (0.19, 0.76) was associated with decreased financial worry. CONCLUSIONS: We identified factors that could contribute to financial burden after NICU discharge that may advise future work to target financial support systems.

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Community-Designed Messaging Interventions to Improve Cost-of-Care Conversations in Settings Serving Low-Income, Latino Populations

Cited by 3 publications

References 19 publications

Interventions supporting cost conversations between patients and clinicians: A systematic review

Interventions supporting cost conversations between patients and clinicians: A systematic review

Factors Affecting Adherence in Allergic Disorders and Strategies for Improvement

The financial burden experienced by families of preterm infants after NICU discharge

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