Kuang Yi, Zhang Tingting, Ma Yan, Zhu Zheng, So Winnie K W, Xing Weijie
School of Nursing, Fudan University, Shanghai, China.
Fudan University Centre for Evidence-Based Nursing: A Joanna Briggs Institute Centre of Excellence, Shanghai, China.
Support Care Cancer. 2023 Feb 27;31(3):192. doi: 10.1007/s00520-023-07647-0.
The aim of this study was to synthesize qualitative research regarding communication of costs and financial burdens between patients and healthcare providers to provide evidence for the subsequent development of intervention programs.
Studies published prior to 11 February 2023 were collected from electronic databases, including PubMed/MEDLINE, MEDLINE (Ovid), Web of Science, EMBASE (Ovid), CINAHL (EBSCO), and ProQuest. A checklist for qualitative research drawn from the Joanna Briggs Institute Reviewer's Manual was applied to assess the quality of the included studies. Meta-aggregation was performed to synthesize the findings of the included studies.
Four synthesized findings were derived from 15 studies: cost communication offered more benefits than drawbacks, and most patients were willing to engage in cost communication; cost communication has been implemented in clinical practice but continued to face shortcomings and barriers; an expected cost communication should take into account timing, location, personnel, personality, and content; healthcare providers required education, information, tools, standardized processes, and policy and organizational support to increase their ability to deliver cost communication.
Cost communication can help optimize decision-making and reduce the risk of financial difficulties, as has been widely recognized by patients and healthcare providers. However, a complete clinical practice plan to facilitate cost communication has not yet been created.
本研究旨在综合关于患者与医疗服务提供者之间成本及经济负担沟通的定性研究，为后续干预项目的开展提供证据。
从电子数据库中收集2023年2月11日前发表的研究，包括PubMed/MEDLINE、MEDLINE（Ovid）、科学网、EMBASE（Ovid）、CINAHL（EBSCO）和ProQuest。应用从乔安娜·布里格斯研究所审稿手册中提取的定性研究清单来评估纳入研究的质量。进行元聚合以综合纳入研究的结果。
从15项研究中得出了四项综合结果：成本沟通利大于弊，大多数患者愿意参与成本沟通；成本沟通已在临床实践中实施，但仍面临不足和障碍；预期的成本沟通应考虑时间、地点、人员、个性和内容；医疗服务提供者需要教育、信息、工具、标准化流程以及政策和组织支持，以提高其进行成本沟通的能力。
成本沟通有助于优化决策并降低经济困难风险，这已得到患者和医疗服务提供者的广泛认可。然而，尚未制定出完善的促进成本沟通的临床实践计划。
