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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

From: Experiences and views of different key stakeholders on the feasibility of treating cancer-related fatigue

 BarriersFacilitators
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