The idea for this book of essays arose after several years during which the co-editors collaborated at the University of Pittsburgh on the medical oncology and psychological care of patients diagnosed with hepato-biliary cancer. Although the need for patient psychosocial support was evident, the time available in an ever-busy clinic was not conducive to the extended discussions that many patients and families wanted. The time pressures on staff in US hospitals are increasing annually, in the name of system and business efficiencies.
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