Table 5.
N. respondents | % | |||
---|---|---|---|---|
D1 | Do you think it may be useful to integrate Units of Oncology and Palliative Care Services for a global care approach of the cancer patient? | |||
Yes, in an early phase of diagnosis of advanced disease | 340 | 86 | ||
Yes, but only in end-stage / terminal disease | 33 | 9 | ||
No | 9 | 2 | ||
I don't know | 9 | 3 | ||
D2 | Which of these models proposed by Bruera (8) do you consider more effective? | |||
Model A: the Medical Oncology Unit takes care of all patient-related issues, from the oncological treatment to symptom control | 89 | 24 | ||
Model B: the Medical Oncology Unit focuses on cancer assessment and treatment and refers the patient to various subspecialties for other concerns (i.e. pneumologist for dyspnea, anesthesiologist for pain management, psychiatrist for emotional distress, etc) | 74 | 19 | ||
Model C: the Medical Oncology Unit focuses on cancer assessment and treatment and collaborates with the palliative care team, which provides control of symptoms and participates in multidisciplinary tumor boards | 228 | 57 | ||
D3 | Of the three model proposed by Bruera, which one is actuated or could be feasible in your place of work? | |||
A | 94 | 25 | ||
B | 122 | 31 | ||
C | 144 | 36 | ||
None | 31 | 8 | ||
D4 | Do you think that the integration between the Units of Medical Oncology and Palliative Care Services should take place in a structured way? | |||
Yes, through a departmental structured organization | 284 | 63 | ||
Yes, through regular meetings and case discussions | 154 | 34 | ||
No, it should take place on a spontaneous basis | 2 | 0 | ||
I don't know | 9 | 2 | ||
D5 | Which aspect of patient care do you think could improve through the integration between Medical Oncology and Palliative Care Units/ Services? | |||
Caring for the patient in all patient-related issues | 281 | 42* | 63^ | |
Having more professionals to provide better quality of life for the patient | 216 | 32 | 48 | |
Deal more effectively with the issues of ending active treatment | 96 | 14 | 21 | |
Allows for a more effective delivery of oncological treatments | 80 | 12 | 18 | |
None of the above | 4 | 1 | 1 | |
D6 | What do you think may be the main critical issues with the palliative care team after referral of the patient? | |||
The organizational aspects for the management of the patient (periodical meetings, contact only when needed etc) | 261 | 48* | 58^ | |
The possibility of conflicts between professionals | 108 | 20 | 24 | |
The loss of the main decisional role in therapeutic choices | 24 | 4 | 5 | |
The introduction of an element of confusion in the therapeutic path of the patient | 88 | 16 | 20 | |
None of the above | 63 | 12 | 14 |
Footnotes: * % on total options; ^ % on single options