Published Online: August 10, 2015. doi:10.1001/jamainternmed.2015.3982.
Study concept and design: All authors.
Acquisition, analysis, or interpretation of data: All authors.
Drafting of the manuscript: Dierickx, Cohen, Chambaere.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Dierickx, Chambaere.
Obtained funding: Deliens, Cohen.
Administrative, technical, or material support: Deliens.
Study supervision: Deliens, Cohen, Chambaere.
Conflict of Interest Disclosures: None reported.
Funding/Support: This study was supported by Strategic Basic Research (Strategisch Basis Onderzoek) grant 100036 from the Agency for Innovation by Science and Technology (Agentschap voor Innovatie door Wetenschap en Technologie).
Role of the Funder/Sponsor: The funding source had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Additional Information: This study is part of the Flanders Study to Improve End-of-Life Care and Evaluation Tools (FLIECE) project, a collaboration between the Vrije Universiteit Brussel, Ghent University, and the Katholieke Universiteit Leuven in Belgium, and VU University Medical Centre Amsterdam in the Netherlands. Kenneth Chambaere and Joachim Cohen are Postdoctoral Fellows of the Research Foundation Flanders.
Additional Contributions: The Flemish Agency for Care and Health; Jef Deyaert, MSc, and Lenzo Robijn, MSc, End-of-Life Care Research Group, Vrije Universiteit Brussel and Ghent University; Brecht Haex, MSc, Agency for Care and Health; and Wim De Brock, LLM, an independent attorney, contributed to the data collection. The Belgian Medical Disciplinary Board recommended the study to the investigators. Jane Ruthven, PhD, End-of-Life Care Research Group, provided critical and language review of the manuscript. We are also deeply indebted to the thousands of Flemish physicians participating in the survey. Messrs Haex and De Brock and Ms Ruthven received financial compensation for their contributions.