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dc.contributor.authorBrenne, Anne-Tove
dc.contributor.authorKnudsen, Anne Kari
dc.contributor.authorRaj, Sunil Xavier
dc.contributor.authorSkjelvan, Laila Strand
dc.contributor.authorLund, Jo-Åsmund
dc.contributor.authorThronæs, Morten
dc.contributor.authorLøhre, Erik Torbjørn
dc.contributor.authorHågensen, Liv Ågot
dc.contributor.authorBrunelli, Cinzia
dc.contributor.authorKaasa, Stein
dc.identifier.citationPain and Therapy. 2020, .en_US
dc.description.abstractIntroduction Early access to cancer palliative care is recommended. Descriptions of structures and processes of outpatient palliative care clinics operated within smaller hospitals are scarce. This paper presents the development and operation of a fully integrated cancer and palliative care outpatient clinic at a local hospital in a rural region of Mid-Norway offering palliative care concurrent with cancer treatment. A standardized care pathway was applied. Methods Palliative care is in Norway part of the public healthcare system. Official recommendations recent years point out action points to improve delivery of palliative care. An integrated cancer and palliative care outpatient clinic at a local hospital and an innovative care delivery model was developed and operated in this setting. Patients were recruited for a descriptive study of the patient population. Clinical data were collected by clinical staff and 13 symptom intensities were reported by the patients. Results Cancer and palliative care were provided by one team of healthcare professionals trained in both fields. There was a close collaboration with the other departments at the hospital, with its affiliated tertiary hospital, and with community health and care services to provide timely referral, enhanced continuity, and improved coordination of care. Eighty-eight patients were included. Mean age was 65.6 years, the most common cancer diagnoses were digestive organs (22.7%), male genital organs (20.5%) or breast (25.0%), 75.0% had metastatic or locally advanced cancer, 59.1% were treated with non-curative intention and 93.1% had Karnofsky Performance Status ≥ 80%. Median scores of individual symptoms ranged from 0 to 3 (numerical rating scale, 0–10) and 61.0% reported at least one clinically significant symptom rating (≥ 4). Conclusion This delivery model of integrated outpatient cancer and palliative care is particularly relevant in rural regions allowing cancer patients access to palliative care earlier in the disease trajectory and closer to homeen_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.titleFully Integrated Oncology and Palliative Care Services at a Local Hospital in Mid-Norway: Development and Operation of an Innovative Care Delivery Modelen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.source.journalPain and Therapyen_US
dc.description.localcodeThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en_US

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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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