Improving the interdisciplinary dialogue between the oncological team in the hospital and primary care in the light of providing early palliative care to advanced cancer patients.

Project Details


The majority of advanced cancer patients wants to be cared at home and prefers to die at home. To achieve this, interdisciplinary collaboration between professional caregivers working in the hospital setting and professional caregivers working in the home setting is crucial. As we see in current health care, the general practitioner (GP) who is a key person in the care for a patient, often loses contact with his patients from the moment they receive active oncological treatment in the hospital.

By involving specialized palliative home care early in the disease trajectory of advanced cancer patients, those teams can support the GP in taking up the role as coordinator of care. However, in current practice, professional caregivers in different settings rarely communicate with each other leading to a discontinuity of care between different care settings. If we find a possibility to bring the patient and family caregiver, the GP and other primary caregivers, the oncological team and the palliative home care team together to give expertise and support, continuity of care can be guaranteed in supervision of the GP.

We will use an existing model for interdisciplinary collaboration and communication in the primary care setting and together with involved professional caregivers, patients and family caregivers, this model will
be adapted to be usable in the light of providing early palliative care for advanced cancer patients.
Effective start/end date1/01/2028/02/22


  • cancer

Flemish discipline codes

  • Cancer therapy