Services are centralized, with 13 Centres intégré de santé et de services sociaux and nine Centres intégré universitaire de santé et de services sociaux coordinating the health services for each region of the province. Healthcare facilities are linked to regional organizations. [1] Cancer care services are divided into local, regional and supra-regional. Local organizations provide services based on the psychosocial needs of the patient and the regional centers provide more specific services such as physiotherapy and speech-language pathology. Supra-regional centers, such as university centers provide more advanced interventions like reconstruction after surgery.[2]
In Montreal, McGill University has a Cancer Nutrition-Rehabilitation program staffed by a team of specialized physicians, nurses, physiotherapists, dieticians, occupational therapists and psychologists that provide a comprehensive program in cancer rehabilitation. This includes nutritional therapies, community-based exercise programs and education and support for patients and their families.
[1] http://www.realizecanada.org/en/documents/an-environmental-scan-of-publicly-funded-rehabilitation-services-across-canada/
[2] http://publications.msss.gouv.qc.ca/msss/fichiers/1997/97-729-5.pdf