Table 2

Responses to questions on major indicators of integration

Major indicatorsResponseNumber of responses*
N (%)
Number of affirmative responses†,
N (%)‡
1. Presence of palliative care inpatient consultation teamYes/No151 (99)136 (90)
2. Presence of palliative care outpatient clinicYes/No151 (99)135 (89)
3. Presence of interdisciplinary palliative care team§Yes/No152 (100)144 (95)
4. Routine symptoms screeningYes/No151 (99)118 (78)
5. Early referral to palliative care (>6 months)¶Yes/No121 (80)24 (20)
6. Proportion of routine documentation of advance care plan, median (IQR)0%–100%92 (61)20 (10, 38)
7. Proportion of outpatients with pain assessed before death, median (IQR)0%–100%134 (88)90 (70, 100)
8. Proportion of patients with two or more emergency room visits in last 30 days of life, median (IQR)**0%–100%112 (74)20 (10, 40)
9. Proportion of place of death consistent with patient’s preference, median (IQR)0%–100%109 (72)70 (50, 80)
10. Didactic palliative care curriculumYes/No150 (99)78 (52)
11. Continuing education in palliative careYes/No150 (99)109 (73)
12. Combined palliative care and oncology educational activitiesYes/No150 (99)109 (73)
13. Routine rotation in palliative care for oncology fellowsYes/No147 (97)47 (32)
  • *The number of responses obtained from the 152 respondents for each major indicator.

  • †For questions with a dichotomised response (ie, questions #1–5, #10–13), 1 point was given for an affirmative response (ie, ‘present’ or ‘yes’). For questions with continuous variable as response (ie, questions #6–#9), we assigned a score between 0 and 1 based on the proportion of patients.

  • ‡Unless otherwise specified.

  • §Defined as of at least one physician, one nurse and one psychosocial team member, such as psychologist/counsellor, chaplain or social worker.

  • ¶Defined as median interval between referral to outpatient palliative care to death of ≥6 months. Centres without outpatient palliative care were coded as no.

  • **This variable was reverse coded for integration index calculation (ie, 100%-response).