Table 3 Summary of barriers and facilitators regarding the feasibility of treating CRF in supportive care in hospital environments in the views of the stakeholders
Barriers | Facilitators | |
|---|---|---|
Assessment | ⋅ No standard diagnostic tool | ⋅ Standard diagnostic tool |
⋅ No systematic CRF assessment | ⋅ Systematic CRF assessment | |
⋅ Patient orientation | ||
Reporting | ⋅ CRF has multiple causes | ⋅ Encouraging patients to report CRF symptoms |
⋅ CRF differs in its clinical expression in the individual patients | ||
⋅ Patients rarely address symptoms of fatigue on their own accord | ||
Information | ⋅ No specific systematic information of patients about CRF | ⋅ Information about CRF early after diagnoses |
⋅ Online information tool | ||
Treatability | ⋅ Not treatable with a single intervention | ⋅ Interdisciplinary collaboration |
⋅ No treatment guidelines in the hospital | ⋅ Integrative treatment program | |
⋅ Monitoring | ||
⋅ Working towards self-efficacy of the patients | ||
Attitude | ⋅ Feelings of helplessness | ⋅ Patient-orientation |
⋅ Experiencing a life-threatening disease | ⋅ Individualized approach | |
⋅ Self-Care options | ||
⋅ Self-management | ||
Infrastructure | ⋅ Hospitals are short of infrastructure | ⋅ Drop-in-center (coordination, monitoring) |
Time-management | ⋅ Doctors and patients are short of time | ⋅ Prioritization of treatments |
⋅ Overload of consultations and therapies | ⋅ Focus on self-care | |
⋅ Coordination of work and treatment | ⋅ Geographically reachable treatment options | |
Costs and affordability | ⋅ Hospitals are short of manpower | ⋅ Coverage by public health insurance |
⋅ No coverage by public health insurance | ⋅ Social welfare funds | |
Integrative approach | ⋅ Lack of interdisciplinary collaboration | ⋅ Evidence-based integrative medicine approach |
⋅ Lack of coordinated integrative programs | ⋅ Integrative treatment program |