Palliative care encompasses more than terminal care alone, and can be started at an earlier stage. However, in patients with a disease other than cancer – for example those with COPD or the vulnerable elderly – the general practitioner (GP) often only becomes aware of the need for palliative care gradually and at a relatively short time before death. This has been shown by research carried out by physician Susanne Claessen at the Netherlands Institute for Health Services Research (NIVEL) and the EMGO Institute for Health and Care Research. Claessen will be awarded a doctorate for her thesis on this subject at the VU University Medical Center (VUmc), Amsterdam on February 28, 2013.