The purpose of this study is to understand the implementation and impact of a pragmatically-delivered oncology financial navigation program. The main questions it aims to answer are: 1. How did oncology financial navigation implementation strategies affect implementation outcomes? 2. What is the impact of financial navigation on patient financial hardship, quality of life, and psychological distress? 3. How were implementation strategies utilized to overcome barriers to oncology financial navigation? Researchers will examine secondary, standard-of-care collected, patient-reported data, electronic medical record data, and qualitative interview data to answer these questions.
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Change in financial hardship
Timeframe: 6 months post-initiation of systemic therapy
Change in financial difficulties
Timeframe: 6 months post-initiation of systemic therapy
Change in quality of life
Timeframe: 6 months post-initiation of systemic therapy
Change in psychological distress
Timeframe: 6 months post-initiation of systemic therapy
Utilization of implementation strategies
Timeframe: Quarterly tracking of strategies with monthly assessment of implementation outcomes, through study completion, an average of 4 years
Patient, provider, and health system perspectives of oncology financial navigation implementation barriers addressed via implementation strategies
Timeframe: Annually through study completion, an average of 4 years