Table 4.

Summary of barriers and enablers for each domain of integrated palliative care identified in this study.

	Barrier	Enabler
Content of care	Lack of palliative care knowledge/awareness among healthcare professionals in the wider professional community and therefore lack of a shared proactive multidisciplinary approach	Shared proactive multidisciplinary palliative care approach Extended professional networks Education
Patient flow	Lack of awareness of available palliative care services Lack of referral criteria, protocols and pathways	Extended professional networks
Information logistics	Lack of widely shared electronic information systems or information transfer protocols Multidisciplinary team meetings not always accessible beyond core teams	Use of (electronic) information systems (although mainly within core teams) Multidisciplinary team meetings, personal notes and phone calls Extended professional networks
Availability of (human) resources and material	Lack of (funding for) trained staff Lack of out-of-hour availability of staff, medication and material	Local solutions, such as on-call (consultation) services within small teams Just-in-case stocks for medicines and material Extended professional networks including pharmacies