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Tara B. Sanft and Jamie H. Von Roenn

Optimal oncology care requires the integration of palliative medicine into oncology care across the disease trajectory. All patients require screening for palliative care services at the initial oncologic visit and reassessment throughout the continuum of care. As a result of the increasing attention focused on palliative care nationally and internationally, the domains of palliative cancer care have been elucidated and have fostered the development of guidelines for quality palliative care. The recent recognition of palliative medicine as a subspecialty in the United States, the growing number of hospital-based palliative care programs, and the accreditation of palliative medicine fellowship programs by the Accreditation Council for Graduate Medical Education highlight the increased visibility of palliative medicine. This provides hope for the future of oncologic care. The palliative approach is subsumed in cancer care—it provides assistance with decision-making, symptom management, and access to financial, emotional, and spiritual services. A fully integrated program of oncology and palliative care provides the greatest opportunity for care and cure.

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Maxwell T. Vergo and Amelia M. Cullinan

, oncologists and their staff provide both cancer-directed assessment/treatment and palliative care. In the Congress Practice Model, multiple services are consulted to address each symptomatic or psychosocial need individually. The Integrated Care Model, which

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Lydia F.J. van Overveld, Robert P. Takes, Jozé C.C. Braspenning, Robert J. Baatenburg de Jong, Jan P. de Boer, John J.A. Brouns, Rolf J. Bun, Eric A. Dik, Boukje A.C. van Dijk, Robert J.J. van Es, Frank J.P. Hoebers, Barry Kolenaar, Arvid Kropveld, Ton P.M. Langeveld, Hendrik P. Verschuur, Jan G.A.M. de Visscher, Stijn van Weert, Max J.H. Witjes, Ludi E. Smeele, Matthias A.W. Merkx, and Rosella P.M.G. Hermens

integrated care throughout the care process. In 2014, a dashboard in the form of a quality registration, with census- and evidence-based QIs, was developed for measuring the quality of integrated care for patients with HNC, (eg, the Dutch Head and Neck

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Jessica R. Bauman and Jennifer S. Temel

patients with advanced cancer. 21 – 23 This article reviews the designs and results of the 3 studies that support the novel approach of integrating early PC within oncology care, explores barriers to the integrated care model, and concludes with future

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Christian G. Downs, Liz Fowler, Michael Kolodziej, Lee H. Newcomer, Mohammed S. Ogaily, W. Thomas Purcell, John C. Winkelmann, and Clifford Goodman

practitioners, and physician assistants) can provide that care. “If we rethink it, we can solve the problem,” proposed Dr. Newcomer. Integrated care, payment reform, increased focus on value, and awareness of quality metrics are the keys to the success of the

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will be. The answers: integrated care, payment reform, and an increased focus on value and quality.

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Ishveen Chopra, Nilanjana Dwibedi, Malcolm D. Mattes, Xi Tan, Patricia Findley, and Usha Sambamoorthi

cancer. An example of integrated care is the cardio-oncology clinics that provide an interdisciplinary and integrative management approach to patients with cardiovascular risks or conditions. 42 It is possible that certain CAD-related hospitalizations

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Jimmie C. Holland, Brian J. Kelly, and Mark I. Weinberger

care, stigma is reduced because patients feel their mental health needs are as important and require equal attention as their medical needs. They perceive a fully integrated care system that focuses on the whole person, not just the tumor. This is

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Jagar Jasem, Christine M. Fisher, Arya Amini, Elena Shagisultanova, Rachel Rabinovitch, Virginia F. Borges, Anthony Elias, and Peter Kabos

multiple facilities providing integrated care. 22 , 23 Charlson comorbidity score (CCI) was used to account for patient comorbidities in the involved study population. This score is a method of predicting mortality based on the weight each comorbid

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Anke Wind, Francisco Rocha Gonçalves, Edit Marosi, Lucia da Pieve, Monica Groza, Marco Asioli, Marco Albini, and Wim van Harten

/Care pathways,” with varying nomenclature such as critical pathways, integrated care pathways, case management plans, and care maps, are used to systematically manage a patient-focused care program. 6 Although clinician views on purpose, content, and