From: Integration of palliative rehabilitation in cancer care: a multinational mixed method study
Main theme | Needs and access to rehabilitation | Settings, responsible parties and essential services | Timing and care pathways | Goals, interventions, and professionals | Research and future palliative rehabilitation |
---|---|---|---|---|---|
Denmark | People living with cancer in all phases of the disease trajectory, including those living with incurable disease. | Community health care | R and PC separate care pathways Time of referral inconsistent, but important for integration of R and PC. | R and PC overlap but goals are unclear. Defines the term “palliative rehabilitation”. | Advocates for integration of R and PC although differences still exist. |
France | People who need palliative care services. | Hospitals | R is part of holistic care planning in PC | MDT should include rehabilitation practitioners. | ND |
Italy | People with advanced cancer with complex needs and need of PC, also in terminal stage. | Both in the specialist- and community health care | Essential part of care pathway throughout the disease trajectory | Comprehensive approach with focus on QoL, R essential part of PC service, multidisciplinary team require RP competence. | ND |
Norway | All people with cancer regardless of curative or palliative intention. | Both in hospital and community setting | Early in the disease trajectory | R considered part of PC through common goals and use of MDT including RPs. | R should be available to all cancer patients |
UK | All with people with cancer, although access is variable but expanding for people with progressively deteriorating cancers. | Hospitals, hospices, and primary care | Throughout disease trajectory | R as part of supportive care, is essential to patients with complex needs to improve QoL. Assessment of needs should include R. AHPs have specialist role and part in the PC MDT. | Research on R in PC is lacking and should focus on the patients’ needs. |