Table 2 Issues most frequently described as the most difficult.

Italy	Norway	Switzerland	UK
Euthanasia or doctor‐assisted suicide	Euthanasia or doctor‐assisted suicide	Euthanasia or doctor‐assisted suicide	Disagreement among care givers
35.2%	14.9%	35.5%	27.7%
Uncertainty whether to disclose diagnosis	Impaired decision‐making capacity	Disagreement among care givers	Euthanasia or doctor‐assisted suicide
21.5%	13.1%	14.8%	21.4%
Limiting life‐sustaining treatment	Limiting life‐sustaining treatment	Impaired decision‐making capacity	Impaired decision‐making capacity
12.2%	13.1%	10.3%	12.5%
Disagreement among care givers	Disagreement among care givers	Conflict with cultural or religious views	Limiting life‐sustaining treatment
7.9%	10.4%	7.1%	9.8%
Conflict with cultural or religious views	Conflict with cultural or religious views	Uncertainty whether to disclose diagnosis	Scarcity of resources
5%	7.7%	5.5%	8.9%
Scarcity of resources	Scarcity of resources	Limiting life‐sustaining treatment	Patient disagreement for reasons other than religious
4.3%	7.2%	5.4%	7.1%