. Author manuscript; available in PMC: 2018 Mar 1.

Published in final edited form as: Int J Gynecol Cancer. 2017 Mar;27(3):588–596. doi: 10.1097/IGC.0000000000000893

Table 5.

Gynecologic oncologists prefer palliative care services embedded within their own clinics.

View	Representative Quotes
Prefer embedded palliative care services	I think the model of having palliative care available in the clinic where patients are being treated, being seen for their clinical services and being treated, is probably the best model for outpatient. I think in a perfect world we’d have a representative or two of their service in our clinic setting. I think that would be the ideal scenario, where we could identify patients during the clinic that were flagged as being at a point in their treatment where they may be benefitted by palliative care services as an outpatient and have them available to those patients during their clinic visit, I think that would be the ideal scenario. So that they’re not going somewhere else. And that they were actually integrated into our clinic setting, that would be ideal. My ideal scenario, that the services are basically incorporated in the same facility and that there’s good communication. I feel like they’re more accessible because we’re generally around the same area, so you can have more of an open discussion with the other team members. So I think that dialogue amongst the providers is more available. And we work as a team, they’ll come out as soon as they’re done talking to my patient they’ll tell me what they think, I’ll tell them what I think and then we’ll sort of you know, come up with what we think is the best plan. Having a provider who really works specifically with our group, with GYN oncology patients, who is physically based in our office, five days a week, I really do feel like that is ideal for our patients.
Interest in non-physician embedded palliative care clinicians	Ideally they would be in my clinic just like I have my nurse practitioners and nurse clinicians and we have our own chemotherapy center for just GYN oncology I’d rather have a nurse practitioner that was interested in palliative care be part of our clinic, I mean we have such a high volume of patients I don’t know why they have to be seen somewhere else, that’s the part that confuses me, and I don’t think it has to be a physician at all I think when we started we didn’t have [nurse practitioner] down in the clinic and I definitely think that it was definitely harder to refer, because then they had to go, they had to make an appointment to go see somebody, and for some of these patients it’s hard for them you know, going and then come back to the hospital. In the best of both worlds it should be a dual visit instead of separate visits in series, it should be together, but certainly part of the same office visit […] and I think it’s far more economical to have non-physician based teams that are palliative care based that are taking care of patients as outpatients

View

Representative Quotes

Prefer embedded palliative care services

I think the model of having palliative care available in the clinic where patients are being treated, being seen for their clinical services and being treated, is probably the best model for outpatient.

I think in a perfect world we’d have a representative or two of their service in our clinic setting. I think that would be the ideal scenario, where we could identify patients during the clinic that were flagged as being at a point in their treatment where they may be benefitted by palliative care services as an outpatient and have them available to those patients during their clinic visit, I think that would be the ideal scenario. So that they’re not going somewhere else. And that they were actually integrated into our clinic setting, that would be ideal.

My ideal scenario, that the services are basically incorporated in the same facility and that there’s good communication.

I feel like they’re more accessible because we’re generally around the same area, so you can have more of an open discussion with the other team members. So I think that dialogue amongst the providers is more available.

And we work as a team, they’ll come out as soon as they’re done talking to my patient they’ll tell me what they think, I’ll tell them what I think and then we’ll sort of you know, come up with what we think is the best plan.

Having a provider who really works specifically with our group, with GYN oncology patients, who is physically based in our office, five days a week, I really do feel like that is ideal for our patients.

Interest in non-physician embedded palliative care clinicians

Ideally they would be in my clinic just like I have my nurse practitioners and nurse clinicians and we have our own chemotherapy center for just GYN oncology

I’d rather have a nurse practitioner that was interested in palliative care be part of our clinic, I mean we have such a high volume of patients I don’t know why they have to be seen somewhere else, that’s the part that confuses me, and I don’t think it has to be a physician at all

I think when we started we didn’t have [nurse practitioner] down in the clinic and I definitely think that it was definitely harder to refer, because then they had to go, they had to make an appointment to go see somebody, and for some of these patients it’s hard for them you know, going and then come back to the hospital.

In the best of both worlds it should be a dual visit instead of separate visits in series, it should be together, but certainly part of the same office visit […] and I think it’s far more economical to have non-physician based teams that are palliative care based that are taking care of patients as outpatients