{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T22:28:28Z","timestamp":1792189708922,"version":"4.4.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Physicians have significant influence on end-of-life decisions. Therefore, it is important to understand the connection between physicians\u2019 personal end-of-life care preferences and clinical practice, and whether there is congruence between what they prefer for themselves and for patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Study to what extent physicians believe their personal end-of-life preferences impact their clinical practice and to what extent physicians\u2019 personal treatment option preferences differ from what they prefer for their patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted from May 2022 to February 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Eight jurisdictions: Belgium, Italy, Canada, USA (Oregon, Wisconsin, and Georgia), and Australia (Victoria and Queensland). Three physician types were included: general practitioners, palliative care physicians, and other medical specialists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We analyzed 1157 survey responses. Sixty-two percent of physicians acknowledge considering their own preferences when caring for patients at the end of life and 29.7% believe their personal preferences impact the recommendations they make. Palliative care physicians are less likely to consider their own preferences when caring for and making recommendations to patients. Congruence was found between what physicians prefer for patients and themselves with cardiopulmonary resuscitation considered \u201cnot a good option for both\u201d by 99.1% of physicians. Incongruence was found with physicians considering some options \u201cnot good for the patient, but good for themselves\u201d\u2014palliative sedation (8.3%), physician-assisted suicide (7.0%), and euthanasia (11.6%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Physicians consider their own preferences when providing care and their preferences impact the recommendations they make to patients. Incongruence exists between what physicians prefer for themselves and what they prefer for patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163241300853","type":"journal-article","created":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T03:33:39Z","timestamp":1734060819000},"page":"266-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Associations between physicians\u2019 personal preferences for end-of-life decisions and their own clinical practice: PROPEL survey study in Europe, North America, and Australia"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3851-8385","authenticated-orcid":false,"given":"Sarah","family":"Mroz","sequence":"first","affiliation":[{"name":"End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium"},{"name":"Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium"},{"name":"Department of Public Health and Primary Care, Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0657-5468","authenticated-orcid":false,"given":"Frederick","family":"Daenen","sequence":"additional","affiliation":[{"name":"End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium"},{"name":"Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigrid","family":"Dierickx","sequence":"additional","affiliation":[{"name":"End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium"},{"name":"Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), Brussels, Belgium"},{"name":"Department of Public Health and Primary Care, Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freddy","family":"Mortier","sequence":"additional","affiliation":[{"name":"End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium"},{"name":"Department of Philosophy and Moral Sciences, Bioethics Institute Ghent, Ghent University Gent, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5509-7626","authenticated-orcid":false,"given":"Ludovica","family":"De Panfilis","sequence":"additional","affiliation":[{"name":"Legal Medicine and Bioethics, Azienda Unit\u00e0 Sanitaria Locale\u2014IRCCS di Reggio Emilia, Reggio Emilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7479-1560","authenticated-orcid":false,"given":"James","family":"Downar","sequence":"additional","affiliation":[{"name":"Department of Critical Care, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada"},{"name":"The Ottawa Hospital Research Institute, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5358-5685","authenticated-orcid":false,"given":"Julie","family":"Lapenskie","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital Research Institute, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koby","family":"Anderson","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital Research Institute, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Skold","sequence":"additional","affiliation":[{"name":"Southeast Permanente Medical Group, Atlanta, GA, USA"},{"name":"Medical Association of Georgia, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Campbell","sequence":"additional","affiliation":[{"name":"School of History, Philosophy and Religion, Oregon State University, Corvallis, OR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby C","family":"Campbell","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, Madison, WI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8306-1030","authenticated-orcid":false,"given":"Rachel","family":"Feeney","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Law Research, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindy","family":"Willmott","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Law Research, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-939X","authenticated-orcid":false,"given":"Ben P","family":"White","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Law Research, Queensland University of Technology, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6277-072X","authenticated-orcid":false,"given":"Kenneth","family":"Chambaere","sequence":"additional","affiliation":[{"name":"End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium"},{"name":"Department of Public Health and Primary Care, Ghent University, Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8158-2422","authenticated-orcid":false,"given":"Luc","family":"Deliens","sequence":"additional","affiliation":[{"name":"End-of-life Care Research Group, 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