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Palliative care is a complex care
  1. Silvia Tanzi1,2,
  2. Carlo Peruselli3 and
  3. Matteo Moroni2,4
  1. 1Palliative Care Unit, Azienda USL-IRCCS, Reggio Emilia, Italy
  2. 2Trieste University Integrated Health Authority, Trieste, Friuli-Venezia Giulia, Italy
  3. 3Former President of SICP, Italian Society of Palliative Care, Biella, Italy
  4. 4Palliative Care Unit, ASL Ravenna, Ravenna Medical Center, Ravenna, Emilia-Romagna, Italy
  1. Correspondence to Professor Silvia Tanzi, Reggio Emilia Local Agency - IRCCS Advanced Technologies and Care Models in Oncology, Reggio Emilia, Emilia-Romagna, Italy; silvia.tanzi{at}

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We carefully read the review Acute palliative care units: characteristics, activities and outcomes - scoping review; the organisational model proposed in the article, while interesting, seems to us an inappropriate and simplistic response to the needs of an increasing number of patients with palliative care needs.

As known, all the palliative care needs of a population cannot be met by palliative care specialists alone. Providers across many care settings and specialty areas, with core palliative care skills and supported by specialist palliative care team (SPCT), can provide appropriate responses to the needs of patients and their families.

Moreover, since many years, the specialist palliative care support teams within hospitals are the model universally recognised to early and appropriately intercept patients with complex palliative care needs.1 These patients, suffering from multiple diseases not only oncological, require gradual, …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.