Assessing Healthcare Pathway through patient experience with Completing Cancer Treatment Incentive (CCTI) Program for Low-Income Populations in Malaysia

Abstract

Background Cancer diagnosis imposes a significant economic burden on healthcare systems, patients, and their families. Technological advancements in cancer detection and treatment, leading to improved cancer detection rates and increased treatment uptake, have intensified this burden particularly among the economically disadvantaged. Despite efforts like universal health coverage and financial assistance programs, challenges persist in addressing the financial impact of cancer on patients. Methods Using qualitative methods, the study explores cancer patients’ experiences with the Completing Cancer Treatment Incentive (CCTI) in Malaysia. Interviews were conducted with both CCTI recipients and non-applicants from eight public hospitals. The RE-AIM framework was employed to evaluate dimensions such as reach, adoption, and implementation. Results Patients’ awareness of CCTI varied, with recipients mostly informed through acquaintances, media, or healthcare providers. Non-recipients lacked awareness, with limited information provided by healthcare personnel. CCTI was viewed positively by recipients, particularly for easing transportation costs, but challenges in the application process were evident. Patients faced difficulties navigating complex procedures, redundant health screenings, and limited communication about application progress. Conclusions The study highlights the need for improved implementation of CCTI to mitigate financial burdens on low-income cancer patients. Simplifying application processes, enhancing information dissemination, and addressing challenges such as redundant health screenings are crucial. The findings underscore the importance of proactive measures in policy implementation to improve CCTI effectiveness and accessibility for low-income cancer patients.