Although robust evidence demonstrates that specialty palliative care integrated into oncology care improves patient and health system outcomes, few clinicians are familiar with the standards, guidelines, and quality measures related to integration. These types of guidance outline principles of best practice and provide a framework for assessing the fidelity of their implementation. Significant advances in the understanding of effective methods and procedures to guide integration of specialty palliative care into oncology have led to a proliferation of guidance documents around the world, with several areas of commonality but also some key differences. Commonalities originate from a shared vision for integration; differences arise from diverse roles of palliative care specialists within cancer care globally. In this review we discuss three of the most cited standards/guidelines, as well as quality measures related to integrated palliative and oncology care. We also recommend changes to the quality measurement framework for palliative care and a new way to match palliative care services to patients with advanced cancer on the basis of care complexity and patient needs, irrespective of prognosis.

中文翻译：

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将专科姑息治疗成功整合到肿瘤学的标准、指南和质量措施：当前方法和未来方向

尽管强有力的证据表明，将专业姑息治疗整合到肿瘤护理中可以改善患者和卫生系统的结果，但很少有临床医生熟悉与整合相关的标准、指南和质量措施。这些类型的指南概述了最佳实践的原则，并提供了一个评估其实施保真度的框架。对指导将专业姑息治疗融入肿瘤学的有效方法和程序的理解取得重大进展，导致世界各地的指导文件激增，这些文件有几个共同点，但也有一些关键差异。共同点源于对整合的共同愿景；差异源于姑息治疗专家在全球癌症护理中的不同角色。在这篇综述中，我们讨论了三个最常被引用的标准/指南，以及与综合姑息治疗和肿瘤治疗相关的质量措施。我们还建议更改姑息治疗的质量测量框架，并根据护理复杂性和患者需求，采用新方法将姑息治疗服务与晚期癌症患者相匹配，而不管预后如何。