title: [Consultations in oncological supportive care mono-, multi-, ou interdisciplinary: What should we favour?].
abstract: According to the point 7.6 and 7.7 of the Cancer Plan 2014, all cancer patients should have access to supportive care. Indeed, the supportive care consultation in oncology is an important tool for the symptom management of cancer patients at all times of treatment. This consultation can be mono-disciplinary or multi-disciplinary (with different professions: physician, nurse, psychologist, social service assistant…) with or without integration (multidisciplinary or interdisciplinary). There are few studies focusing on the types of consultations (mono- or multidisciplinary) to promote based on their expected outcomes. After describing the different types of consultations (initial, follow-up, unscheduled, discharge) and having highlighted the main issues of these consultations, we will present the possible configurations. Our discussion will concern then the advantages and disadvantages of monodisciplinarity and different types of multidisciplinary highlighting the possible improvements. At the end of this work, after a brief synthesis of the different outcomes associated with each type of consultation, we would like to discuss the type of consultation to choose according to the outcomes.
authors.affiliation: Aix-Marseille université, faculté de médecine, unité d'aide méthodologique à la recherche clinique, EA 3279 « qualité de vie concepts, usages et limites, déterminants », 13015 Marseille, France; CHU Timone, pôle de neurosciences cliniques, centre d'évaluation et traitement de la douleur, 13005 Marseille, France.
authors.forename: Stéphanie Ranque
authors.initials: SR
authors.lastname: Garnier
authors.affiliation: Pôle psychologues et santé PACA, réseau ILHUP, 13009 Marseille, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Pelletti
authors.affiliation: Clinique Mon-Repos, groupe CLINEA, 67, boulevard Leau, 13008 Marseille, France.
authors.forename: Christelle
authors.initials: C
authors.lastname: Quenard
authors.affiliation: Centre hospitalier William-Morey, 71321 Chalon-sur-Saône, France.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Vallet
authors.affiliation: Clinique Meyzieu, groupe CLINEA, 69883 Lyon, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Lemoine
authors.affiliation: CHU de Clermont-Ferrand, centre de soins palliatifs, 63000 Clermont-Ferrand, France.
authors.forename: Virginie
authors.initials: V
authors.lastname: Guastella
authors.affiliation: Clinique Mon-Repos, groupe CLINEA, 67, boulevard Leau, 13008 Marseille, France. Electronic address: wadihrhondali@gmail.com.
authors.forename: Wadih
authors.initials: W
authors.lastname: Rhondali
mesh_terms: D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D010348:Patient Care Team / Q000458:organization & administration*; D012017:Referral and Consultation / Q000145:classification / Q000458:organization & administration*
keywords: Consultation; Oncologic supportive care; Pluridisciplinarity; Pluridisciplinarité; Soins de support oncologiques