Implementing and Evaluating a Pilot Interprofessional Training Program to Engage Health Care Teams in Cost of Care Conversations.

Autor:	Edward J; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY., Northrip KD; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY., Kay Rayens M; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY., Costich J; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY., Welker A; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY., O'Farrell R; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY., D'Orazio J; Dr. Jean Edward: Associate Professor and PhD Program Director, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Kimberly D. Northrip: President of SACME; Professor and Director for UK Healthcare CECentral, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Dr. Mary Kay Rayens: Professor, College of Nursing, University of Kentucky, Lexington, KY.; Dr. Julia Costich: Peter P. Bosomworth Professor of Health Services Research, Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY.; Ms. Andrea Welker: Supervising Attorney, Children's Advocacy Today, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.; Ms. Rachel O'Farrell: Social Worker Supervisor, DanceBlue Kentucky Children's Hospital Hematology Oncology Clinic, Lexington, KY; and.; Dr. John D'Orazio: Chief, Division of Hematology/Oncology, Department of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY.
Jazyk:	angličtina
Zdroj:	The Journal of continuing education in the health professions [J Contin Educ Health Prof] 2024 Nov 01. Date of Electronic Publication: 2024 Nov 01.
DOI:	10.1097/CEH.0000000000000583
Abstrakt:	Introduction: This study evaluated the impact of Financial and Insurance Navigation Assistance-Training - a pilot interprofessional training program to facilitate cost of care (CoC) conversations and address health-harming social determinants of health in a pediatric hematology-oncology clinic. Methods: A pre-post study design was used to evaluate the impact of Financial and Insurance Navigation Assistance-Training on an interprofessional health care team's (clinicians, social workers, financial navigator, and legal advocates) knowledge, attitudes, and behaviors related to CoC conversations and screening, referring, and collaborating with interprofessional team members. Data were collected via surveys administered at baseline/pretraining, immediate post-training, and 12-month post-training. Results: Most health care team members (n= 21) reported improvement in their knowledge of available financial (66.7%) and legal resources (86.7%) and ability to address social needs (93.3%), financial needs (93.3%), and facilitate CoC conversations with patients and caregivers (66.7%). Discussion: Improvements in attitudes and behaviors toward engaging in CoC conversations, screenings, and referrals were relatively improved as a result of the training. However, there was a lower positive rate for actual behaviors around routine screening and initiating discussions on out-of-pocket costs, suggesting a need to address barriers. Study findings highlight the importance of interprofessional education in helping health care teams address social determinants of health through effective CoC conversations. Competing Interests: Disclosures: The authors declare no conflict of interest. (Copyright © 2024 The Alliance for Continuing Education in the Health Professions, the Association for Hospital Medical Education, and the Society for Academic Continuing Medical Education.)
Databáze:	MEDLINE
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