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Integrating Palliative Care Into Oncology: A Way Forward
Kavitha Ramchandran1, Erika Tribett, Brian Dietrich
1American Society of Clinical Oncology, Alexandria, VA. Jamie.VonRoenn@asco.org.
Cancer Control : Journal of the Moffitt Cancer Center
|December 19, 2015
Summary
Integrating palliative care into oncology improves patient outcomes and satisfaction. Successful system-wide integration requires commitment to quality, infrastructure, stakeholder engagement, and shared metrics for value.
Area of Science:
- Oncology
- Palliative Care
- Healthcare Integration
Background:
- Cancer patients have complex needs, including physical, psychosocial, and spiritual, that evolve over time.
- Increasing cancer survival necessitates addressing illness and treatment-related morbidity.
- Palliative care addresses physical symptoms and psychosocial/spiritual needs, improving care quality and aligning patient-provider goals.
Purpose of the Study:
- To evaluate the evidence for integrating palliative care into oncology care.
- To identify barriers and sustainable paths for palliative care integration.
- To provide case studies illustrating successful integration.
Main Methods:
- Conducted a literature search of randomized clinical trials and practice reviews.
- Analyzed evidence on palliative care integration in oncology.
- Utilized case studies for practical examples.
Main Results:
- Integration improves symptom control, patient/family satisfaction, and end-of-life care quality.
- System-wide success requires commitment to quality improvement, supportive infrastructure, and stakeholder engagement.
- Demonstrating value through quality, utilization, and satisfaction metrics is crucial.
Conclusions:
- Most US cancer centers offer palliative care, but its scope is often limited.
- A systems-based approach with shared metrics is essential for effective palliative care integration in oncology.
- Agreement on common value metrics among all stakeholders is necessary for successful integration.
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