Palliative care is the active, total care for patients (and their relatives)
whose disease is not responsive to curative treatment(s). Early initiated
palliative care has the potential to improve the quality of life of patients
and their relatives through timely identification of emerging needs and
problems of physical, psychosocial and spiritual nature. Yet, for many
cancer patients palliative care is initiated late in their disease course or
even not at all. This dissertation starts from the assumption that open,
compassionate and timely communication about palliative care with
cancer patients will result in better and earlier implementation of
palliative care. It aims to understand the barriers and facilitating factors
in the communication on palliative care in medical oncology settings in
hospitals in Belgium.
The dissertation learns that barriers to communicate are not mere
individual but take form in a complex mix of individual factors, team
factors, organizational factors and factors on the level of the health care
system. It demonstrates the lack of training in adequate communication
skills as well as the lack of palliative care training for medical oncologists.
It also shows that multidisciplinary communication is a process over
longer time in which different health care professionals in different team
settings contribute cumulatively to the overall assessment of the
oncological patient. The dissertation also puts forward that the
introduction of financial incentives on health system level will not be
effective if these incentives are not considered within the complex mix of
factors affecting communication.
Datum prijs23 aug 2017
Originele taalEnglish
Prijsuitreikende instantie
  • Vrije Universiteit Brussel
BegeleiderMarcus Leys (Promotor), Simon Van Belle (Co-promotor), Johan Bilsen (Jury), Brigitte Velkeniers-Hoebanckx (Jury), Jacques De Grève (Jury), Wim Distelmans (Jury), Myriam Deveugele (Jury) & Julia van Weert (Jury)

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