Table 2 Existing support and nuances of Native American cancer care quotes
From: Financial hardship screening among Native American patients with cancer: a qualitative analysis
Provider Quotes | Patient Quotes |
|---|---|
Existing Resources • “So, our Indian Health navigation team is a really small team…I know they stay very, very busy…They’re trying to coordinate a lot of different things for our patients…my experience with them is they have been very helpful. Usually when I’m in touch with them-it’s, I have, like a specific question about, you know, ‘This patient lives in McAlester and is needing help to get transportation. Do you know what tribe they belong to? Do you know if that tribe helps with transportation assistance?’…and generally speaking, they have been very helpful.” CI1 Cultural Nuances • “For us, at least on my provider side, it's interfacing with the Indian health system is where things get complicated. Some of the medications have to go to the Indian health pharmacy. Those can't be prescribed electronically. I have to do a printed prescription and I either fax them or give them to the patient, which gets a little more complicated than if I just put a prescription normally through the computer. Especially with like ordering CT scans to follow up on their cancer. The Indian health system usually wants those scans done there because that's a service that they provide. But a lot of times, their scanners aren’t as good as the ones that we have here, so then we fight with them to try to get their scans done here. And that's a lot of back-and-forth for both the patient trying to integrate those two systems of what will Indian health pay for and what do I have to pay for.” CI3 | Existing Resources • “Yeah, my tribe is, they help but they only help, you know, about every three, six months, you know.” PT 6 |
• “During that transition, I did receive a bill from OU, but all I had to do was…I emailed a copy of it to my Indian representative there at [referring tribal nation] …and she said she’d take care of it, and…she got it properly filled out through the referral…[referring tribal nation] has taken care of all of my treatment cost and everything.” PT7 | |
Cultural Nuances • “And I speak on that behalf and not just because of myself but…for all other patients that come through there…you don't look out for one. You got to look out as a whole…You got to expand your visions. And not just for yourself.” PT3 |