Practical Strategies for Optimizing and Integrating Palliative Care in Cancer
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Purpose of Review
Recent reforms in medical payment coupled with a rapidly evolving pharmacotherapeutic armamentarium is creating a transition in the field of oncology. This transition represents a key period for conceptual reevaluation, providing an opportunity for furthered strategic integration of palliative care within the realm of oncology.
Historically, oncologists have relied upon prognostic assessments to gauge appropriateness for referrals to specialty palliative care. Recent literature has elucidated on the early palliative burdens of cancer, demonstrated the importance of complexity-based palliative referrals, and begun the conversation to define provider-specific roles.
Herein, we describe a model that overlaps complexity with oncology capacity, to target specialty services to those who could benefit most. This article will review the role of palliative care as a care philosophy, the enduring and important role of the oncologist in providing palliative care, and the important areas for integration of specialty services when needed.
KeywordsSecondary palliative care Complexity based Integration Palliative care Early palliative care Early integrated palliative care
Compliance with Ethical Standards
Conflict of Interest
Michael Burt declares that he has no conflict of interest. Arif H. Kamal owns stock in and is the Chief Executive Officer of Prepped Health LLC, and owns stock in and is the Chief Medical Officer of Acclivity Health Solutions.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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