Strategies to support General Practitioners in addressing financial toxicity in people with cancer

Background:The term financial toxicity (FT) is used to describe financial distress or hardship as an outcome of cancer and its treatment. Financial toxicity can negatively affect quality of life and other outcomes. There is a potential for FT to be alleviated in the primary care setting. However, little is known about the role General Practitioners (GPs) can play, as well as the support and tools they may require in addressing FT in people with cancer.Aims:The aim of this study was to understand GPs’ perspectives on addressing FT amongst cancer patients, as well as support that may be required to facilitate delivery of care in the primary care setting. Methods:GPs were recruited through the Primary Care Collaborative Cancer Clinical Trials Group and other professional networks. Semi-structured telephone interviews were used to collect data. Data were analysed using inductive thematic analysis techniques. Results:A total of 20 GPs from across Queensland, New South Wales and Victoria participated in the study. Responses were diverse and often dependent on practice setting, patient population and the GPs’ experience in caring for people with cancer. Most GPs felt they should play a role in supporting FT in cancer patients if they are equipped with the right information. Many identified that improved cost and service resources would assist pathway facilitation. More knowledge about the services available from cancer organisations and education on psychosocial toxicities was also recognised as a priority. Furthermore, improved collaboration and communication with the specialist and multidisciplinary teams was essential. Telehealth was identified as an innovative option to support this. Finally, policy review around Medicare support is imperative to address FT in primary care.Conclusion:If supported with information and collaboration from cancer providers, GPs can play an important role in helping to address FT associated with cancer