Table 3.

Overview of key issues and themes from the needs assessment.

Key issues			Themes
Detecting symptoms and need for supportive care
	Assessment of survivors’ symptoms
		Consulting survivor	Verbal questioning (based on checklist or according to protocol)
			Observing and physical examination (according to protocol)
			Wait and see what symptoms survivor describes
			Use of PROs (OncoQuest)
		Consulting colleagues
		Consulting patient information system
	Barriers in determination
		Limited scope of issues being raised during consultation	Limited consultation time
			Limited skills or expertise of health care professional
			Limited responsibility of health care professional
		Do not wish to burden the survivor by asking about…	Irrelevant symptoms
			“Irreversible” symptoms caused by treatment
		No complete picture of a survivors’ symptoms	Patients do not mention all symptoms
			Fragmentation in care
Current referral to supportive care options
	Supportive care services referred
		Available services within the hospital	Allied health services, ie, physical therapist, dietician
		Services outside hospital	Specialized cancer centers
			Cancer rehabilitation program
			Allied health services in the region
			General practitioner
	Barriers in referral
		Lack of options	Lack of overview of available and adequate supportive care
		Practical barriers in referral	Lack of time to encourage survivors to obtain supportive care
			Referral to region complicated due to lack of expertise on HNC
			Referral only possible through physician
		No need of survivor to be referred	Survivor is unwilling to be referred
			Survivor already has adequate supportive care
Expected added value of eHealth application in follow-up care for health care professionals
	Increases insight into symptoms
		Provides a complete picture of patients’ symptoms	Provides insight into the interdependence of patients’ symptoms
			Signal function: creates awareness of the severity of symptoms
			In support of their own observation/impression of health care professional
			By monitoring symptoms ability to serve as treatment outcome
		Improved (preparation for) consultation	Low threshold to speak up about specific issues/symptoms
			Option to target questions regarding specific symptoms
			Option to elaborate on and prioritize symptoms
	Personalized advice/information
		Provides tailored information	More detailed information than provided by physician
			Back up for advice provided by health care professional
			Supportive to information provided by health care professional
		Platform to deliver additional care	Informative support to self-management advice
			Availability of physical therapy exercises
		Increases insight into QOL domains	Improved knowledge in QOL domains out of health care professionals’ expertise
	Insight into supportive care options		Increased insight into supportive care options
	Additional service in follow-up care		Showcase for hospital