Asthma care teams are well-positioned to help caregivers address financial toxicity in pediatric asthma care, although discussing cost can be challenging. We sought to characterize cost conversations in pediatric asthma specialty care. We surveyed 45 caregivers of children aged 4–17 with asthma. Eligible caregivers reported costs concerns and had accompanied their child to a multisite asthma specialty practice in North Carolina. About one-third of caregivers reported a cost conversation (36%). Cost conversations were less common among caregivers whose child had public versus private health insurance (16% vs. 56%), who attended a telehealth versus in-person visit (6% vs. 52%), or who did not versus did want a conversation (19% vs. 77%, all < .05). Common cost conversation topics were medications and equipment like spacers. Our findings suggest cost conversations may be relatively uncommon in pediatric asthma care, particularly for publicly insured patients and telehealth visits.

中文翻译：

---

利用成本对话来解决小儿哮喘护理中的财务毒性：护理人员调查的结果

哮喘护理团队有能力帮助护理人员解决儿科哮喘护理中的经济问题，尽管讨论成本可能具有挑战性。我们试图描述小儿哮喘专科护理中的成本对话。我们调查了 45 名 4-17 岁哮喘儿童的照顾者。符合资格的护理人员报告了费用问题，并陪同孩子去了北卡罗来纳州的多地点哮喘专科诊所。大约三分之一的护理人员报告了费用对话（36%）。在孩子有公共健康保险与私人健康保险（16% vs. 56%）、参加远程医疗与亲自就诊（6% vs. 52%）、或者不想要与确实想要医疗保险的看护者中，费用对话不太常见。对话（19% 与 77%，全部 < .05）。常见的成本话题是药物和垫片等设备。我们的研究结果表明，在儿科哮喘护理中，成本对话可能相对不常见，特别是对于公共保险患者和远程医疗就诊而言。