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Strategies for Mitigating Cancer-Related Financial Toxicity in China: A Multiperspective Qualitative Study Based on
Xiaoyi Yuan1, Yanling Sun2, Yi Kuang1
1School of Nursing, Fudan University, Shanghai, China.
JCO Oncology Practice
|January 24, 2025
Summary
Cancer survivors in China need multi-level strategies to combat financial toxicity (FT). Interventions should address individual, interpersonal, organizational, community, and policy levels for effective FT management.
Area of Science:
- Oncology
- Health Economics
- Public Health
Background:
- Cancer-related financial toxicity (FT) poses a significant burden on patients.
- Understanding diverse perspectives on FT mitigation is crucial for developing effective interventions.
Purpose of the Study:
- To explore strategies for mitigating cancer-related financial toxicity (FT) from the perspectives of cancer survivors and stakeholders in China.
- To evaluate these strategies within the framework of the social ecological model (SEM).
Main Methods:
- A descriptive qualitative study was conducted between March and July 2022.
- Semistructured interviews were performed with 23 cancer survivors and 14 stakeholders.
- Qualitative content analysis based on the SEM was employed using NVivo 12.
Main Results:
- Twelve subthemes on FT mitigation strategies were identified, categorized by SEM levels.
- Individual strategies include enhancing health literacy and resilience.
- Interpersonal, organizational, community, and policy-level strategies focus on support systems, communication, and systemic improvements.
Conclusions:
- Findings offer a comprehensive understanding of multi-level strategies for managing cancer-related financial toxicity.
- Multi-level interventions, integrating individual to policy levels, are likely more beneficial than single-level approaches.
- Insights can inform the development of targeted interventions to alleviate FT in cancer patients.
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