The project was approved by the Medical Ethics Committee of the Faculty of Medicine and Life Sciences of Hasselt University (protocol number CME2016/679), and all participants provided written consent for participation, for use and publication of anonymized direct quotes, and for dissemination of the findings from this project. A copy of the consent forms is available in the registration of this project [35]. We protected the confidentiality of participants by removing identifiers from quotes included in the text. Nonetheless, Flanders is a small research system and given our actor-specific sample, personal identification within quotes remains a risk despite our efforts. To further protect participants’ confidentiality and avoid that identification of individual quotes lead to identification of all quotes from the same participant, we decided not to specify respondents in individual quotes, but to refer only to actor groups.

Following this reasoning, we are unable to share full transcripts, but attempted to be as transparent as possible by providing numerous quotes in the text, in tables, and in the supplementary file.

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