The Orkdal Model. Collaboration Between Specialist and Community Care Within Palliative Cancer Care

Inclusion Criteria (Patients): * Advanced loco-regional disease and/or metastatic cancer disease * For the intervention group in the Orkdal region: Inhabitant of one of the following thirteen districts: Surnadal, Halsa, Rindal, Hemne, Orkdal, Frøya, Hitra, Snillfjord, Agdenes, Meldal, Rennebu, Skaun, and Oppdal * For the intervention group in the Romsdal region: Inhabitiant of one of the following nine districts: Aukra, Molde, Eide, Vestnes, Sunndal, Fræna, Midsund, Nesset, Rauma * Acceptance of participation, based on information about the study and that participation is voluntary. Documented by a signed consent form. * Able to comply with the study procedures * Able to read and write Norwegian Inclusion criteria (Carers) (a carer a person identified as such by the patient) * the patient is eligible for the study * the patient has given his or her consent to allow the study nurse to approach the carer to participate in the study * the patient has identified the carer to be approached * acceptance of participation, based on information about the study and that participation is voluntary. Documented by a signed consent form. Inclusion Criteria (Health care providers) * has accepted to participate in the study * Acceptance of participation, based on information about the study and that participation is voluntary. Documented by an electronically signed consent form. Exclusion Criteria (Patients): * Receiving anti-cancer treatment with curative intent Exclusion Criteria (…