Table 4 Barriers to providing Integrative oncology (IO) services and potential solutions
Barriers (n = 204) | Number | Percent | Potential Solutions (n = 130) | Number | Percent |
|---|---|---|---|---|---|
Lack of funding | 123 | 60.3 | Funding | 59 | 45.4 |
Low patient demand / awareness | 65 | 31.9 | Staff education / training | 30 | 23.1 |
Unsure about which IO services to provide | 64 | 31.4 | Build the evidence-base | 18 | 13.8 |
Unsure how to set up an IO service | 55 | 27.1 | Help with developing a business model | 8 | 6.2 |
Lack of support or interest from oncologists | 51 | 25.0 | Determine clinical governance | 7 | 5.4 |
Organisational policy does not allow IO | 38 | 18.6 | Change organisational attitudes / culture | 7 | 5.4 |
Not enough evidence | 22 | 10.8 | Ensure sufficient demand for service | 5 | 3.8 |
Management does not want IO services | 16 | 7.8 | Policy support | 4 | 3.1 |
Other Comments: | Â | Â | More space to provide services | 3 | 2.3 |
 Inadequate resources e.g. time, staff, space | 17 | 8.3 |  |  |  |
 No champion or organisational interest | 8 | 3.9 |  |  |  |
 Unsure of patient demand | 7 | 3.4 |  |  |  |
 Difficulty recruiting CM practitioners | 6 | 2.9 |  |  |  |
 Patient affordability / high out-of-pocket costs | 2 | 1 |  |  |  |