 Early integration of palliative care into oncological care has been shown to improve quality of life and to prolong survival, as well as to reduce inappropriately aggressive oncological care at end of life, and reduce costs of care. We will test an early oncology-integrated palliative care model, with the aims of determining whether 1 the introduction of PSMPC support at the time of diagnosis leads to better symptom management and quality of life of patients, 2 early integration of palliative care into medical oncology care reduces aggressiveness of cancer treatment near end of life, and 3 a fully integrated service delivery model is sustainable. 