The impact of financial toxicity levels on shared decision-making among cancer patients in Türkiye

BACKGROUND: This study examines the impact of financial toxicity levels on shared decision-making in cancer patients. While the impact of financial toxicity on clinical outcomes has been elucidated by numerous studies, its effect on shared decision-making is quite limited. METHODS: A quantitative research design was used. The study included 216 cancer patients. RESULTS: Patients with high levels of financial toxicity reported lower levels of shared decision-making. Financial toxicity was found to have a critical effect on the level of shared decision-making. Furthermore, some socio-demographic and economic characteristics of the participants were found to be associated with financial toxicity and shared decision-making. CONCLUSIONS: Financial toxicity has been shown to be not only an economic burden but also a psychosocial determinant affecting patients' autonomy and active participation in decision-making processes. It is recommended that support mechanisms be established to raise patients' awareness of financial considerations.