Sustainable Health Services for Hepatocellular Carcinoma Survivors in Thailand: Financial and Social Experiences from a Cross-Sectional Study

Abstract

BACKGROUND: Despite advances in medical treatments that have extended survival among patients with hepatocellular carcinoma (HCC) in many developed countries, significant challenges continue to persist in Thailand, even with the Universal Coverage Scheme.

OBJECTIVES This study aimed to understand the socioeconomic experiences of HCC survivors to inform improvements in national health insurance policies and clinical care.

METHODS: A multicenter cross-sectional survey was conducted at major Thai liver cancer centers. HCC patients attending outpatient clinics were invited to participate and provide information on demographic characteristics, social experiences, financial barriers, perspectives on existing support policies, and the perceived benefits of increased public awareness. Ethical approvals were obtained from all participating centers.

RESULTS: Among the 92 respondents (mean age 62.1±11.5 years; 78.3% male), 65.2% reported that medical expenses influenced their treatment decisions, and 71.7% experienced family-related financial difficulties. Socially, 97.8% felt understood by friends and family, while 47.8% reported that their illness affected personal relationships. Most participants indicated a need for mental support (98.9%), financial assistance (91.3%), and improved public awareness to enhance their quality of life (98.9%).

CONCLUSIONS: Thai HCC survivors face significant financial barriers to access advanced treatments but receive considerable community support. These findings highlight the need to refine Thailand’s health insurance framework to better address the financial and social needs of HCC patients.