Exploring the role of General Practitioners in addressing financial toxicity in cancer patients

Background:
The term financial toxicity (FT) is used to describe financial distress or hardship as an outcome of cancer and its treatment. Financial burden can negatively affect quality of life in cancer survivors, especially emotional and physical well-being. General practice plays a significant role in the support of a person with cancer and may have an important role in management of FT. However, little is known about the potential role of General Practitioners (GPs) in addressing FT in cancer patients.
Aims:
The aim of this study was to understand perspectives of GPs on addressing FT in the primary care setting, which may then help inform strategies to further support collaborative efforts to address FT.

Methods:
A qualitative interpretive approach was utilised for this study. GPs were recruited through a GP conference, PC4 and other professional networks, using purposive, snowballing sampling techniques. Twenty (n=20) GPs from across Queensland, New South Wales and Victoria participated in semi-structured in-depth telephone interviews. The data were analysed using inductive thematic analysis techniques.
Results:
Responses were diverse and often dependent on GP practice setting, patient population and the GPs’ experience caring for people with cancer. GPs identified that their role positions them well to provide some FT support but there are limitations to this role. Perceptions and philosophies about cancer management were drivers of referrals and financial conversations. Priorities for care of FT by GPs included improved cost information provision and cost-health literacy, increased collaboration with specialist teams, and accessible support.
Conclusion:
While solutions to manage FT associated with a cancer require a multidisciplinary approach GPs can play an important role in helping to address FT associated with cancer and its treatments if supported with the right information.