COOPE: A digital health system to facilitate financial navigation of out-of-pocket cancer costs

COOPE：一个数字医疗系统，可促进自付费用的癌症费用的财务导航

• 批准号: 10079971
• 负责人: Y. Xian Ho
• 金额: $ 25.18万
• 依托单位: DIMAGI, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10079971
• 关键词: Academy; Address; Affect; Architecture; Authorization documentation; Back; Benchmarking; Cancer Patient; Caregivers; Caring; Client satisfaction; Clinical; Clinical effectiveness; Communication; Companions; Comprehension; Controlled Study; Counseling; Data; Deductibles; Development; Dose; Drug Prescriptions; Enrollment; Fee-for-Service Plans; Feedback; Financial Hardship; Financial Support; Future; Goals; Health Care Costs; Health system; Hospitals; Human; Industry; Institute of Medicine (U.S.); Insurance; Internet; Interview; Knowledge; Malignant Neoplasms; Measures; Medicare; Medicine; Methods; Modeling; Newly Diagnosed; Oncologist; Oncology; Online Systems; Patients; Pattern; Perception; Pharmaceutical Preparations; Pharmacotherapy; Phase; Pilot Projects; Process; Professional counselor; Recommendation; Reporting; Sampling; Small Business Innovation Research Grant; Structure; Surveys; System; Technology; Testing; Time; Treatment Cost; United States Centers for Medicare and Medicaid Services; Urban Hospitals; Validation; Work; base; beneficiary; cancer care; cancer therapy; cancer type; care costs; cohort; copayment; cost; cost estimate; dashboard; design; digital; field study; financial toxicity; follow-up; improved; informant; malignant mouth neoplasm; member; mobile application; novel; novel anticancer drug; prototype; safety net; success; tertiary care; tool; tool development; usability; web app

PROJECT SUMMARY Out-of-pocket (OOP) costs of cancer treatment are increasing as patients pay more of their health care costs in general, including higher insurance premiums and higher deductibles, co-insurance, and copayments. Cancer delivery has been described as a “system in crisis” as the financial burden of treatment costs affects nearly half of newly-diagnosed cancer patients. In this Phase I SBIR project, we will build and test Cancer Out-Of-Pocket Estimator (COOPE), a mobile/web system to assist with financial counseling for cancer patients initiating new cancer treatments. Following three specific aims, we will use a human-centered design (HCD) approach to develop a system for primary use by financial counselors working directly with patients. In Aim 1, we will conduct a requirements analysis with 20 potential system end users (financial counselors, cancer patients and their caregivers, oncologists, authorization representatives) to probe current perceptions of cancer cost discussions and the availability of estimated OOP cost data before initiation of patient treatment. In Aim 2, we will build a user-informed prototype of COOPE based on recommendations and specifications identified and outlined in Aim 1. The prototype will be reviewed by financial counselors and iterated to generate a version that will be used in subsequent field testing. In Aim 3, we will conduct a pilot study using mixed methods to study the use of COOPE in financial counseling at an urban, tertiary safety net hospital participating in the Oncology Care Model (OCM). We will examine usability and usefulness, usage patterns, perceived knowledge of cost information, patient satisfaction, accuracy of estimates, and financial distress. Measures of usability and usefulness (i.e., SEQ, UMUX-Lite) will be used to assess system acceptability and determine the potential of a Phase II project. Results of this Phase I SBIR project will go towards further development and validation of a pilot system to assess the effects of this system on financial planning and financial toxicity.

项目摘要 随着患者支付更多的医疗保健费用，癌症治疗的自付费用（OOP）正在增加 一般，包括更高的保险费和更高的免赔额，共同保险和共付额。癌症 交货被描述为“危机系统” 新诊断的癌症患者。在此I阶段I SBIR项目中，我们将自付构建和测试癌症 估算器（Coope），一种移动/网络系统，可协助为癌症患者提供财务咨询 癌症治疗。按照三个具体目标，我们将使用以人为本的设计（HCD）进行 通过直接与患者合作的财务查询开发主要用途的系统。在AIM 1中，我们将进行 与20个潜在系统最终用户的需求分析（金融疾病，癌症患者及其 护理人员，肿瘤学家，授权代表），以探讨当前对癌症成本讨论的看法 以及在开始患者治疗之前估计的OOP成本数据的可用性。在AIM 2中，我们将建立一个 根据建议和规格确定和概述AIM中的建议和规格 1。原型将根据财务利益进行审查，并迭代以生成将在 随后的现场测试。在AIM 3中，我们将使用混合方法进行研究座的使用 在城市的第三级安全网医院参加肿瘤护理模型（OCM）的财务咨询中。 我们将检查可用性和实用性，使用模式，感知到成本信息的知识，患者 满意度，估计准确性和财务困境。可用性和实用性的度量（即Seq， Umux-Lite）将用于评估系统的可接受性并确定II期项目的潜力。结果 I阶段I SBIR项目将用于进一步开发和验证试点系统以评估 该系统对财务计划和财务毒性的影响。