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. 2016 Sep 27;7(14):1968–1978. doi: 10.7150/jca.14634

Table 5.

The organizational and management models for the realization of Simultaneous Care (PART D).

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