Table 3.

Facilitators according to general practitioners (GPs) (FG1_gp, FG2_gp, and FG3_gp) and community nurses (CNs) (FG4_cn, FG5_cn, FG6_cn, and FG7_cn) for early integrating palliative home care in standard care for patients with end-stage COPD

1	Trigger moments	1.a: Hospital admission  1. After hospital admission, a moment to start talking about the future (FG1gp, FG2gp, FG3gp, FG4cn, FG6cn)  2. After hospital admission, a moment to reorganize care (FG2gp) 1.b After a couple of exacerbations (FG2gp) 1.c: When an end-stage COPD patient becomes oxygen-dependent (FG2gp, FG3gp) 1.d: When an end-stage COPD patient is confronted with loss of functioning and becomes housebound (FG1 gp, FG2gp, FG5cn)
2	Involvement of informal caregivers	Increase knowledge about advantages of palliative home care for informal caregivers from patients with end-stage COPD (FG1gp, FG2gp, FG3gp, FG5cn)
3	Education for professional caregivers	More focus on early integrated palliative home care for end-stage COPD and concrete implementation in clinical practice in education for professional caregivers (FG5cn)
4	Healthcare and palliative home care system characteristics	Start advance care planning as a standard procedure for end-stage COPD patients living at home (FG1gp, FG2gp, FG3gp, FG4cn, FG7cn)
5	Communication	5.a: Communication between professional caregivers and end-stage COPD patients  1. Talking about practical matters can help professional caregivers to start talking about palliative home care (FG2gp, FG3gp)  2. Inform end-stage COPD patients clearly and firmly about their disease and future (FG4cn)  3. Better explanation of the term early integrated palliative home care can help acceptance for end-stage COPD patients: talk about it as comfort care, psychosocial support (FG2gp) 5.b: Communication between professional caregivers: appoint a care coordinator who facilitates the care transition to early integrated palliative home care (FG3gp, FG5cn, FG6cn)