https://nova.newcastle.edu.au/vital/access/ /manager/Index ${session.getAttribute("locale")} 5 https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:21954 Wed 11 Apr 2018 12:49:49 AEST ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:5149 60% of patients to SPC services. Most frequent reasons for referral were: the future need for symptom control, the presence of a terminal illness or uncontrolled physical symptoms. Psychosocial issues rarely triggered referral. Main reasons reported for not referring included: ability to manage patients’ symptoms; the absence of symptoms or rapid deterioration. Significant predictors of referral (P < 0.05) included: being female; >10 years of practice in the speciality; agreeing all people with advanced cancer need referral, referral for the purpose of multidisciplinary management and having SPC services available. Conclusions: Specialists mainly refer people with advanced cancer for symptom-related reasons. Measures are needed to encourage ongoing needs-based assessments, especially of emotional, cultural and spiritual issues.]]> Sat 24 Mar 2018 07:49:40 AEDT ]]> https://nova.newcastle.edu.au/vital/access/ /manager/Repository/uon:329 Sat 24 Mar 2018 07:42:40 AEDT ]]>