Financial risk and decision-making strategies for lung cancer: insights from Northern Thailand 10.55131/jphd/2026/240102

Abstract

Lung cancer remains a significant health issue in Northern Thailand, driven by socio-economic factors and environmental pollutants that negatively impact patient outcomes. This study explores the relationship between financial risk, treatment accessibility, and survival rates among lung cancer patients. A total of 290 patients were analyzed concerning their demographics, treatment methods, financial burdens, and outcomes. Utilizing logistic regression and decision curve analysis, a prediction model for financial burden risk was developed, achieving an accuracy of 85.42%, with a sensitivity of 81.82%, and a specificity of 77.97%. Key factors contributing to financial toxicity included irregular income, prior financial difficulties, and inadequate reserve funds.  Recommendations for managing patients based on financial risk categories are provided. Low-risk patients can benefit from financial counseling, affordable treatment options, and regular evaluations to mitigate unexpected expenses. Those classified as intermediate risk require timely financial planning, access to support services, and the optimization of healthcare coverage.  High-risk patients should receive intensive encouragement through financial assistance programs, multidisciplinary care teams, and palliative care options to alleviate economic stress. The findings highlight the necessity for improved financial assistance policies and integrated care strategies that address financial security, promote environmental wellness, and foster community support, ultimately enhancing treatment adherence and patient outcomes.