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Table 2 A guide for clinicians to improve cost communication

From: Physician-patient communication of costs and financial burden of cancer and its treatment: a systematic review of clinical guidelines

Time

Costs of care

Financial burden

At initial appointment

Discuss options of therapy, with estimates of costs

Provide information on fees to attend services, e.g., healthcare appointments, hospital services

Discuss patient employment, insurance coverage and household income status

Suggest local and national support services if available

Consider early introduction to financial navigator to develop a financial plan

At follow-up appointments

Discuss costs of treatment when prescribing new therapies

Discuss ability to afford current prescribed therapy

Assess for presence of cost-saving strategies, e.g., skipping doses or appointments

Screen for presence of psychosocial issues arising from financial burden

Explore ability to work and patient’s support network

Consider referral to financial navigator or counsellor