“经济毒性”（FT）是指由于疾病及其治疗而给患者带来的经济负担。大约 50% 的妇科肿瘤患者经历 FT。本研究描述了妇科肿瘤学中新型财务导航计划 (FNP) 的实施和结果。纳入了 2022 年 7 月至 2023 年 9 月期间向妇科肿瘤科医生进行初步咨询的患者。 FNP 启动，包括于 2022 年 7 月雇用一名财务导航员 (FN)，并于 2022 年 10 月实施 FT 筛查。我们前瞻性地捕获转诊至 FN 的患者，收集临床、人口、财务和社会需求信息，以及 FN 干预措施和机构支持服务转介。在筛查实施前后对 FN 和支持服务的转诊进行了量化。共有 1029 名患者，其中 21.6% 在筛查开始前就诊，78.4% 在筛查开始后就诊。中位年龄为 58 岁（IQR 46-68）。大多数人是非西班牙裔白人 (60%)，拥有私人保险 (61%)。共有 10.5% 的患者被转介至 FN。交通（32%）、经济援助（20.5%）和情感支持（15.4%）是最常见的需求。在 FN 中被识别为黑人的患者中，有较高比例的人拥有政府资助的保险或被诊断患有子宫癌或宫颈癌 (p < 0.05)。筛选后转介至 FN 的人数有所增加（5% vs. 12.9%，p < 0.001），而转介至其他支持服务的人数则有所减少（9.5% vs. 2.9%，p < 0.001）。尽管存在FN 和 FT 筛查都最大限度地提高了其有效性。需要进一步调查以了解筛查障碍并评估长期影响。版权所有 © 2024。由 Elsevier Inc. 出版。

"Financial Toxicity" (FT) is the financial burden imposed on patients due to disease and its treatment. Approximately 50% of gynecologic oncology patients experience FT. This study describes the implementation and outcomes of a novel financial navigation program (FNP) in gynecologic oncology.Patients presenting for initial consultation with a gynecologic oncologist from July 2022 to September 2023 were included. A FNP was launched inclusive of hiring a financial navigator (FN) in July 2022, and implementing FT screening in October 2022. We prospectively captured patient referrals to the FN, collecting clinical, demographic, financial and social needs information, along with FN interventions and institutional support service referrals. Referrals to the FN and support services were quantified before and after screening implementation.There were 1029 patients with 21.6% seen before and 78.4% after screening initiation. Median age was 58 (IQR 46-68). The majority were non-Hispanic white (60%) with private insurance (61%). A total of 10.5% patients were referred to the FN. Transportation (32%), financial assistance (20.5%) and emotional support (15.4%) were the most common needs identified. A higher proportion of patients referred to the FN identified as Black, had government-funded insurance or diagnoses of uterine or cervical cancers (p < 0.05). Post-screening referrals to FN increased (5% vs. 12.9%, p < 0.001), while referrals to other support services decreased (9.5% vs. 2.9%, p < 0.001).Implementation of the FNP was feasible, though presence of both a FN and FT screening maximized its effectiveness. Further investigation is needed to understand screening barriers and evaluate longer-term impact.Copyright © 2024. Published by Elsevier Inc.