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Literature suggests that integrated palliative care (IPC) increases the quality of care for palliative patients at lower costs. However, knowledge on models encompassing all integration levels for successfully implementing IPC is scarce. The purpose of this paper is to describe the experiences of IPC leaders in seven European countries regarding core elements, facilitators and barriers of IPC implementation and provides recommendations for future policy and practice.

A qualitative interview study was conducted between December 2013 and May 2014. In total, 34 IPC leaders in primary and secondary palliative care or public health in Belgium, Germany, Hungary, Ireland, the Netherlands, Spain and the UK were interviewed. Transcripts were analysed using thematic data analysis.

IPC implementation efforts involved a multidisciplinary team approach and cross-sectional coordination. Informal professional relationships, basic medical education and general awareness were regarded as facilitators of IPC. Identified barriers included lack of knowledge about when to start palliative care, lack of collaboration and financial structures. Recommendations for improvement included access, patient-centeredness, coordination and cooperation, financing and ICT systems.

Although IPC is becoming more common, action has been uneven at different levels. IPC implementation largely remains provisional and informal due to the lack of standardised treatment pathways, legal frameworks and financial incentives to support multilevel integration. In order to make IPC more accessible, palliative care education as well as legal and financial support within national healthcare systems needs to be enhanced.

The purpose of this paper is to study the real role of historical satisfaction (HSat), i.e., satisfaction only deriving from past experiences, excluding the most recent, in B2C service contexts when services are experienced offline, while the actual services are purchased online through the service providers’ website.

The proposed conceptual framework was tested by focusing on a particular travel industry firm which is responsible for providing travel services as well as managing the website where these services are purchased. The study population included customers who had purchased at least two travel tickets during the last 12 months online. In order to reduce possible self-selection bias and to improve the generalizability of the web survey findings, post-stratification was applied. The measurement model was evaluated by using confirmatory factor analyses. The direct and indirect effects of HSat on encounter overall satisfaction (EOS) were analyzed using structural equation modeling.

The direct effect of HSat on EOS was observed to be higher than its indirect effect through offline service dimensions and website dimensions. It was also observed that offline service dimensions have a direct impact on EOS, while they do not have an indirect impact since the website dimensions do not have a direct effect on EOS.

Historical satisfaction is really important in building EOS for services purchased previously online but experienced offline.

The results could provide managers with useful tools for allocating resources and also build an even higher level of EOS. They also shed light on how HSat molds offline service perception for services sold online.

To the authors’s knowledge, only one empirical paper focused on “historical satisfaction,” while no studies have taken into consideration the fact that service offline dimensions and e-customer satisfaction could be indirectly linked by website quality dimensions, the issue studied in this paper.