title: Palliative care delivery models.
abstract: OBJECTIVE
  To provide an overview of the four major palliative care delivery models: ambulatory clinics, home-based programs, inpatient palliative care units, and inpatient consultation services. The advantages and disadvantages of each model and the generalist and specialist roles in palliative care will be discussed.
  
  
  METHODS
  Literature review.
  
  
  CONCLUSIONS
  The discipline of palliative care continues to experience growth in the number of programs and in types of delivery models. Ambulatory- and home-based models are the newest on the scene.
  
  
  CONCLUSIONS
  Nurses caring for oncology patients with life-limiting disease should be informed about these models for optimal impact on patient care outcomes. Oncology nurses should demonstrate generalist skills in the care of the seriously ill and access specialist palliative care providers as warranted by the patient's condition.
authors.forename: Clareen
authors.initials: C
authors.lastname: Wiencek
authors.forename: Patrick
authors.initials: P
authors.lastname: Coyne
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration*; D002173:Cancer Care Facilities / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D016294:Models, Nursing; D009369:Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D009859:Oncology Nursing / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010166:Palliative Care / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D012017:Referral and Consultation / Q000458:organization & administration*; D016019:Survival Analysis; D014481:United States
keywords: Palliative care; delivery models; generalist and specialist palliative care