{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:20:54Z","timestamp":1772166054207,"version":"3.50.1"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"name":"National Institutes of Health, Ministry of Health Malaysia"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-025-12544-9","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T14:43:32Z","timestamp":1743000212000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Navigating the completing cancer treatment incentive in Malaysia: patient insights and implementation challenges"],"prefix":"10.1186","volume":"25","author":[{"given":"Nur Hidayati Abdul","family":"Halim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nur Azmiah","family":"Zainuddin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farhana","family":"Aminuddin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nurul Athirah","family":"Naserrudin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nor Zam Azihan Mohd","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"12544_CR1","doi-asserted-by":"publisher","unstructured":"Ritter J, Allen S, Cohen PD, Fajardo AF, Marx K, Loggetto P, et al. Financial hardship in families of children or adolescents with cancer: a systematic literature review. Lancet Oncol. 2023;24. https:\/\/doi.org\/10.1016\/S1470-2045(23)00320-0.","DOI":"10.1016\/S1470-2045(23)00320-0"},{"key":"12544_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/jnci\/djw205","volume":"109","author":"CK Altice","year":"2017","unstructured":"Altice CK, Banegas MP, Tucker-Seeley RD, Yabroff KR. Financial hardships experienced by cancer survivors: a systematic review. J Natl Cancer Inst. 2017;109:1\u201317. https:\/\/doi.org\/10.1093\/jnci\/djw205.","journal-title":"J Natl Cancer Inst"},{"key":"12544_CR3","doi-asserted-by":"publisher","first-page":"e0311815","DOI":"10.1371\/journal.pone.0311815","volume":"19","author":"F Aminuddin","year":"2024","unstructured":"Aminuddin F, Raman S, Bahari MS, Zaimi NA, Mohd Nor Sham Kunusagaran MSJ, Zainuddin NA, et al. Cancer impact on lower-income patients in Malaysian public healthcare: an exploration of out-of-pocket expenses, productivity loss, and financial coping strategies. PLoS One. 2024;19:e0311815. https:\/\/doi.org\/10.1371\/journal.pone.0311815.","journal-title":"PLoS One."},{"key":"12544_CR4","doi-asserted-by":"publisher","first-page":"e537","DOI":"10.1200\/jop.18.00619","volume":"15","author":"N Bhoo-Pathy","year":"2019","unstructured":"Bhoo-Pathy N, Ng C-W, Lim GC-C, Tamin NSI, Sullivan R, Bhoo-Pathy NT, et al. Financial toxicity after cancer in a setting with universal health coverage: a call for urgent action. J Oncol Pract. 2019;15:e537-46. https:\/\/doi.org\/10.1200\/jop.18.00619.","journal-title":"J Oncol Pract."},{"key":"12544_CR5","doi-asserted-by":"publisher","unstructured":"Odahowski CL, Zahnd WE, Zgodic A, Edward JS, Hill LN, Davis MM, et al. Financial hardship among rural cancer survivors: an analysis of the Medical Expenditure Panel Survey. Prev Med (Baltim). 2019;129. https:\/\/doi.org\/10.1016\/j.ypmed.2019.105881.","DOI":"10.1016\/j.ypmed.2019.105881"},{"key":"12544_CR6","doi-asserted-by":"publisher","first-page":"6385","DOI":"10.1007\/s00520-022-06913-x","volume":"30","author":"A Alzehr","year":"2022","unstructured":"Alzehr A, Hulme C, Spencer A, Morgan-Trimmer S. The economic impact of cancer diagnosis to individuals and their families: a systematic review. Support Care Cancer. 2022;30:6385\u2013404. https:\/\/doi.org\/10.1007\/s00520-022-06913-x.","journal-title":"Support Care Cancer"},{"key":"12544_CR7","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1002\/jso.25374","volume":"120","author":"R Lentz","year":"2019","unstructured":"Lentz R, Benson AB, Kircher S. Financial toxicity in cancer care: Prevalence, causes, consequences, and reduction strategies. J Surg Oncol. 2019;120:85\u201392. https:\/\/doi.org\/10.1002\/jso.25374.","journal-title":"J Surg Oncol"},{"key":"12544_CR8","doi-asserted-by":"publisher","unstructured":"Min HS, Yang HK, Park K. Supporting low-income cancer patients: Recommendations for the public financial aid program in the Republic of Korea. Cancer Res Treat. 2018;50. https:\/\/doi.org\/10.4143\/crt.2017.401.","DOI":"10.4143\/crt.2017.401"},{"key":"12544_CR9","unstructured":"Chang J, Peysakhovich F, Wang W, Zhu J. The UK Health Care System History of UK Healthcare System. Columbia University; 2010."},{"key":"12544_CR10","unstructured":"Patient treatment fund terms & conditions. n.d. https:\/\/www.rarecancers.org.au\/page\/64\/patient-treatment-fund-terms-conditions#:~:text=The%20Rare%20Cancers%20Australia%20(RCA,a%20direct%20consequence%20of%20cancer. Accessed 8 Apr 2023."},{"key":"12544_CR11","volume-title":"White paper: cancer care challenges, gaps and opportunities in Malaysia","author":"W Ong","year":"2021","unstructured":"Ong W, MohdKhalib A. White paper: cancer care challenges, gaps and opportunities in Malaysia. 2021."},{"key":"12544_CR12","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1634\/theoncologist.2019-0426","volume":"25","author":"Y-C Kong","year":"2020","unstructured":"Kong Y-C, Wong L-P, Ng C-W, Taib NA, Bhoo-Pathy NT, Yusof MM, et al. Understanding the financial needs following diagnosis of breast cancer in a setting with universal health coverage. Oncologist. 2020;25:497\u2013504. https:\/\/doi.org\/10.1634\/theoncologist.2019-0426.","journal-title":"Oncologist"},{"key":"12544_CR13","volume-title":"Evaluation of the Completing Cancer Treatment Incentive (CCTI) of PeKa B40","author":"Z NurAzmiah","year":"2022","unstructured":"NurAzmiah Z, AinulNadziha MH, MasrolHafizal I, Farhana A, Nor ZamAzihan MH, Zarina ME, et al. Evaluation of the Completing Cancer Treatment Incentive (CCTI) of PeKa B40. 2022."},{"key":"12544_CR14","unstructured":"Lum M. Health Policy Implementation Gap \u2014 mySalam And Peka B40. CodeBlue. 2019. https:\/\/codeblue.galencentre.org\/2019\/11\/15\/health-policy-implementation-gap-mysalam-and-peka-b40\/. Accessed 12 Apr 2022."},{"key":"12544_CR15","unstructured":"Ramli NA. 90% Of Eligible Malaysians Not Tapping Into PeKa B40 Free Health Screenings. 2022. https:\/\/ringgitplus.com\/en\/blog\/personal-finance-news\/90-of-eligible-malaysians-not-tapping-into-peka-b40-free-health-screenings.html. Accessed 2 Apr 2023."},{"key":"12544_CR16","doi-asserted-by":"publisher","first-page":"S55","DOI":"10.1038\/sj.bjc.6605391","volume":"101","author":"DP Weller","year":"2009","unstructured":"Weller DP, Campbell C. Uptake in cancer screening programmes: a priority in cancer control. Br J Cancer. 2009;101:S55\u20139. https:\/\/doi.org\/10.1038\/sj.bjc.6605391.","journal-title":"Br J Cancer"},{"key":"12544_CR17","doi-asserted-by":"publisher","unstructured":"Glasgow RE, Harden SM, Gaglio B, Rabin B, Smith ML, Porter GC, et al. RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review. Front Public Health. 2019;7. https:\/\/doi.org\/10.3389\/fpubh.2019.00064.","DOI":"10.3389\/fpubh.2019.00064"},{"key":"12544_CR18","doi-asserted-by":"publisher","unstructured":"Hudson B, Hunter D, Peckham S. Policy failure and the policy-implementation gap: can policy support programs help? Policy Design Pract. 2019;2. https:\/\/doi.org\/10.1080\/25741292.2018.1540378.","DOI":"10.1080\/25741292.2018.1540378"},{"key":"12544_CR19","doi-asserted-by":"publisher","first-page":"678","DOI":"10.21474\/IJAR01\/10197","volume":"7","author":"G Teddy","year":"2019","unstructured":"Teddy G, Lembani M, Hwabamungu B, Molosiwa D. Policy and implementation gap: a multi - country perspective. Int J Adv Res (Indore). 2019;7:678\u2013704. https:\/\/doi.org\/10.21474\/IJAR01\/10197.","journal-title":"Int J Adv Res (Indore)."},{"key":"12544_CR20","volume-title":"Bridging the Gap between Policy Intent and Implementation","author":"M Abdullahi","year":"2020","unstructured":"Abdullahi M, Othman N. Bridging the Gap between Policy Intent and Implementation, vol. 6. 2020."},{"key":"12544_CR21","doi-asserted-by":"publisher","unstructured":"Braithwaite J, Churruca K, Long JC, Ellis LA, Herkes J. When complexity science meets implementation science: a theoretical and empirical analysis of systems change. BMC Med. 2018;16. https:\/\/doi.org\/10.1186\/s12916-018-1057-z.","DOI":"10.1186\/s12916-018-1057-z"},{"key":"12544_CR22","doi-asserted-by":"publisher","unstructured":"Reilly KL, Kennedy S, Porter G, Estabrooks P. Comparing, contrasting, and integrating dissemination and implementation outcomes included in the RE-AIM and implementation outcomes frameworks. Front Public Health. 2020;8. https:\/\/doi.org\/10.3389\/fpubh.2020.00430.","DOI":"10.3389\/fpubh.2020.00430"},{"key":"12544_CR23","first-page":"11661173","volume":"10","author":"L Kuang Kuay","year":"2020","unstructured":"Kuang Kuay L, Ismail H, Ab Majid NL, Saminathan TA, Ramly R, Chan YY, et al. Factors associated with non-participation in a health screening programme and its barriers: findings from the Community Empowers the Nation Programme (KOSPEN), Malaysia 2016. Int J Public Health Res. 2020;10:11661173.","journal-title":"Int J Public Health Res"},{"key":"12544_CR24","doi-asserted-by":"publisher","first-page":"3757","DOI":"10.2217\/fon-2020-1078","volume":"17","author":"B Young","year":"2021","unstructured":"Young B, Robb KA. Understanding patient factors to increase uptake of cancer screening: a review. Future Oncol. 2021;17:3757\u201375. https:\/\/doi.org\/10.2217\/fon-2020-1078.","journal-title":"Future Oncol"},{"key":"12544_CR25","doi-asserted-by":"publisher","unstructured":"Vlaev I, King D, Darzi A, Dolan P. Changing health behaviors using financial incentives: a review from behavioral economics. BMC Public Health. 2019;19. https:\/\/doi.org\/10.1186\/s12889-019-7407-8.","DOI":"10.1186\/s12889-019-7407-8"},{"key":"12544_CR26","doi-asserted-by":"publisher","first-page":"e196570","DOI":"10.1001\/JAMANETWORKOPEN.2019.6570","volume":"2","author":"BB Green","year":"2019","unstructured":"Green BB, Anderson ML, Cook AJ, Chubak J, Fuller S, Kimbel KJ, et al. Financial incentives to increase colorectal cancer screening uptake and decrease disparities: a randomized clinical trial. JAMA Netw Open. 2019;2:e196570\u2013e196570. https:\/\/doi.org\/10.1001\/JAMANETWORKOPEN.2019.6570.","journal-title":"JAMA Netw Open"},{"key":"12544_CR27","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1111\/puar.13131","volume":"80","author":"AM Fox","year":"2020","unstructured":"Fox AM, Stazyk EC, Feng W. Administrative easing: rule reduction and medicaid enrollment. Public Adm Rev. 2020;80:104\u201317. https:\/\/doi.org\/10.1111\/puar.13131.","journal-title":"Public Adm Rev"},{"key":"12544_CR28","doi-asserted-by":"publisher","unstructured":"Camillo CA. Understanding the mechanisms of administrative burden through a within-case study of Medicaid expansion implementation. J Behav Public Admin. 2021;4. https:\/\/doi.org\/10.30636\/jbpa.41.196.","DOI":"10.30636\/jbpa.41.196"},{"key":"12544_CR29","doi-asserted-by":"publisher","unstructured":"Martin L, Delaney L, Doyle O. The distributive effects of administrative burdens on decision-making. J Behav Public Admin. 2023;6. https:\/\/doi.org\/10.30636\/jbpa.61.315.","DOI":"10.30636\/jbpa.61.315"},{"key":"12544_CR30","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.ypmed.2015.03.001","volume":"75","author":"E Mantzari","year":"2015","unstructured":"Mantzari E, Vogt F, Shemilt I, Wei Y, Higgins JPT, Marteau TM. Personal financial incentives for changing habitual health-related behaviors: a systematic review and meta-analysis. Prev Med (Baltim). 2015;75:75\u201385. https:\/\/doi.org\/10.1016\/j.ypmed.2015.03.001.","journal-title":"Prev Med (Baltim)"},{"key":"12544_CR31","doi-asserted-by":"publisher","unstructured":"Giles EL, Robalino S, McColl E, Sniehotta FF, Adams J. The effectiveness of financial incentives for health behaviour change: systematic review and meta-analysis. PLoS One. 2014;9. https:\/\/doi.org\/10.1371\/journal.pone.0090347.","DOI":"10.1371\/journal.pone.0090347"},{"key":"12544_CR32","doi-asserted-by":"publisher","unstructured":"Herd P, Moynihan D. Administrative burdens in health policy. J Health Hum Serv Adm. 2020;43. https:\/\/doi.org\/10.37808\/jhhsa.43.1.2.","DOI":"10.37808\/jhhsa.43.1.2"},{"key":"12544_CR33","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/25741292.2018.1540378","volume":"2","author":"B Hudson","year":"2019","unstructured":"Hudson B, Hunter D, Peckham S. Policy failure and the policy-implementation gap: can policy support programs help? Policy Design Pract. 2019;2:1\u201314. https:\/\/doi.org\/10.1080\/25741292.2018.1540378.","journal-title":"Policy Design Pract"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-12544-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-025-12544-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-12544-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T14:44:05Z","timestamp":1743000245000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmchealthservres.biomedcentral.com\/articles\/10.1186\/s12913-025-12544-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,26]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["12544"],"URL":"https:\/\/doi.org\/10.1186\/s12913-025-12544-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-4580048\/v1","asserted-by":"object"}]},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,26]]},"assertion":[{"value":"14 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 March 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The institutional review board for National Institutes of Health (NIH), Malaysia, approved this study [study registration number: NMRR-20\u2013279-53249; and Medical Research and Ethics Committee\u00a0(MREC) of the Ministry of Health (MOH) [approval number MREC: KKM\/NIHSEC\/P20-1558(12) dated 15 November 2020] (Additional file 2). All the data obtained are restricted to the principal investigators only and solely used for research purposes. Study was conducted in compliance with ethical principles outlined in the Declaration of Helsinki and Malaysian Good Clinical Practice Guideline. Verbal informed consent was obtained prior to data collection.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"435"}}