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Lessons Learned: A Case for Reforming Siloed, Referral-Based Oncologic Palliative Care for High-Risk Opioid Patients
Benjamin Bailey1, Georgetta Bundley1, Hannah Bromberg1
1Department of Supportive Care Medicine, Moffitt Cancer Center, Tampa, Florida, USA.
Palliative Medicine Reports
|October 20, 2025
Summary
Fragmented medical care requires better interdisciplinary cooperation, especially in palliative care for complex oncology patients needing pain management. Early collaboration and advanced pain interventions can improve care delivery and patient outcomes.
Area of Science:
- Oncology
- Palliative Care
- Pain Management
Background:
- Medical care complexity necessitates specialization, leading to fragmented services and collaboration barriers.
- Interdisciplinary cooperation is crucial for managing medically and psychosocially complex patients.
Purpose of the Study:
- To highlight challenges in palliative care for oncology patients with complex pain management needs.
- To discuss barriers to provider collaboration in fragmented healthcare systems.
Main Methods:
- Case study analysis of an oncology patient with complex pain.
- Review of care barriers and potential areas for reform.
Main Results:
- The case illustrates fragmentation and collaboration issues in managing opioid pain.
- Identified need for earlier collaboration, intensified case management, and nonopioid interventions.
Conclusions:
- Earlier collaboration and case review are essential for improving care for complex patients.
- Intensified case management and early access to advanced nonopioid pain interventions are recommended reforms.
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