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Favoring patient self-determination is a central goal of palliative care and has motivated recent changesin federal adult protection law. Therefore, quality of palliative care must be measured also in terms of theextent to which patient self-determination is respected and improved.The benefits of early intervention in palliative care being proven, mobile specialized palliative careteams in acute care hospitals are an important but yet under-researched asset in Switzerland.With the objective to measure quality of palliative care provision, the present study will evaluate andcompare patient self-determination related outcomes and procedures in 3 different settings: the recentlystarted palliative care consultant service at the University Hospital of Basel which provides decentralizedconsultations for inpatients (i) as well as the corresponding mobile consultation at the UniversityHospitals of Geneva (main acute care site Cluse-Roseraie) (ii), and palliative care provision at thespecialized palliative ward (iii) of the Inselspital, Bern.