 Perspectives The project is an integrated part of a large research program within the palliative field. The project is, with its focus on creating better trajectories and better treatment for patients throughout the end of their terminal illness, highly relevant. The ongoing development of palliative care and the lack of evidence that characterises the area challenge the health care even more while also dealing with the utilisation of limited financial resources. If ACP is effective in a Danish context, it will improve the end-of-life care for patients and their families and reduce the psychological distress in the bereaved relatives. ACP may therefore contribute to a more rational use of health care resources as well as being a tool to help patients have their preferences met. 