{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T20:13:12Z","timestamp":1782936792708,"version":"3.54.5"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006662","name":"NIHR","doi-asserted-by":"publisher","award":["GHRUG NIHR134440"],"award-info":[{"award-number":["GHRUG NIHR134440"]}],"id":[{"id":"10.13039\/100006662","id-type":"DOI","asserted-by":"publisher"}]},{"name":"UK aid from the UK Government"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer is a main driver of death and serious health-related suffering. The growing body of evidence for early integration of palliative care alongside oncological treatment to optimizes patient-reported outcomes is almost exclusively from high-income countries, while the greatest need is in low- and middle-income countries (LMICs). We aimed to explore the perspectives of patients, families and clinical staff on what constitutes a feasible, acceptable and appropriate model of integrated palliative and oncology care in Zimbabwe.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted an exploratory qualitative study underpinned by indicators for integrated oncology and palliative care. Participants comprised healthcare professionals, patients, and families. Semistructured guides were developed and iteratively refined. Deductive framework analysis was conducted to Hui\u2019s evidence-based framework of integrated oncology and palliative care indicators. The data were then further inductively coded into the framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis of data from 45 stakeholders (n\u2009=\u200915 per group) identified 19 of 38 indicators (50%) aligned with Hui\u2019s model, indicating partial and uneven integration. Alignment was strongest in clinical processes (n\u2009=\u20099) and education (n\u2009=\u20095), with more limited support for administration (n\u2009=\u20093) and structure (n\u2009=\u20092). No findings aligned with the research domain. Inductive coding identified 3 indicators that aligned with clinical processes (routine discussion of prognosis, advance care planning and goals), clinical structure (physical environment) and education (training needs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>While the Hui model is broadly applicable, substantial contextual adaptation is required. Integration cannot be achieved through coordination alone and requires system-level investment in workforce, training, infrastructure, and policy. We propose a phased \u201cminimum package\u201d for integration tailored to Zimbabwe and similar LMIC settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/oncolo\/oyag218","type":"journal-article","created":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T11:45:23Z","timestamp":1780141523000},"source":"Crossref","is-referenced-by-count":0,"title":["How can integration of oncology and palliative care services be achieved for optimal patient benefit? Stakeholders\u2019 perspectives in Zimbabwe"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2991-8160","authenticated-orcid":false,"given":"Kennedy Bashan","family":"Nkhoma","sequence":"first","affiliation":[{"name":"Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King\u2019s College London , London SE5 9PJ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dickson","family":"Chifamba","sequence":"additional","affiliation":[{"name":"Island Hospice and Healthcare , Belgravia , Harare, Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zvavahera Mike","family":"Chirenje","sequence":"additional","affiliation":[{"name":"Clinical Trials Research Centre, University of Zimbabwe , Milton Park , Harare, Zimbabwe"},{"name":"Department of Obstetrics, Gynaecology and Reproductive Science, University of California San Francisco , San Francisco, CA 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