Table 2.

Workplace Qualities that Support or Hinder Providing Comprehensive OT Services to the Oncology Population

	Barriers		Facilitators
Factor	Examples	n (%) (N=120)	Examples	n (%) (N=112)
Time & Logistics		67 (55.8)		16 (14.3)
	Time constraints; high caseload/not enough staff; productivity requirements		Adequate time to see patients, flexible scheduling, electronic medical records
Resources	Total for category	40 (33.3)	Total for category	48 (42.9)
Education/Training	Need for oncology-specific training, mentoring, and education programs	17 (14.3)	Continuing education, training and mentoring opportunities	23 (20.5)
Equipment/Space	Lack of supplies, space, privacy	19 (15.8)	Provides needed equipment and space	11 (9.8)
Oncology-Specific Resources	Difficulty ordering & delay for equipment (e.g., compression garments)	2 (1.7)	Separate oncology unit, gym for BMT clients, lymphedema program, compression garments on site	9 (8.0)
Access to Other Disciplines	Lack of social services, psychologist	2 (1.7)	Psychologist, social services, dietician, etc. on site	5 (4.5)
Healthcare Team / Role of OT		29 (24.2)		83 (74.1)
	No interdisciplinary team, poor team communication / other disciplines’ limited understanding of OT, lack of appropriate referrals		Multidisciplinary team approach, team communication / other disciplines’ support & advocate for OT services, appropriate & regular referrals
Patient Population (Medical Status)		17 (14.2)		0 (0.0)
	Patients too ill for treatment, medical complexity, fatigue		N/A
Billing / Reimbursement		10 (8.3)		3 (2.7)
	Billing, insurance approval and verification		Independence from insurance, outside money to provide free programs
Institutional Culture		4 (3.3)		27 (25.2)
	Focus on ADLs, triage and prioritize other patients; community/home outreach		Individualized, innovative, direct 1:1 treatment; autonomy; community/home outreach
None		7 (5.8)		0 (0.0)
	No barriers		N/A

Note: Percentages do not sum to 100% as participants could report multiple answers