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Related Experiment Videos

How do local doctors react to a hospice?

E T Macdonald1, J B Macdonald

  • 1Biggart Hospital, Prestwick, Ayrshire.

Health Bulletin
|September 1, 1992
PubMed
Summary
This summary is machine-generated.

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The opening of the Ayrshire Hospice significantly increased physician enthusiasm for palliative care services. Doctors

Area of Science:

  • Palliative Care
  • Healthcare Services Research
  • Oncology Support

Background:

  • A hospice was established in Ayrshire to address the need for specialized palliative care.
  • Physician attitudes towards palliative care and hospice services were assessed pre- and post-hospice opening.

Purpose of the Study:

  • To evaluate the impact of the Ayrshire Hospice on physician perceptions and utilization of palliative care.
  • To assess the perceived usefulness of different hospice services and identify areas for improvement.

Main Methods:

  • Two postal surveys were conducted among general practitioner principals and hospital consultants in Ayrshire.
  • Surveys were administered one year before and 13 months after the hospice opening, with response rates of 73% and 62%, respectively.

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Main Results:

  • Physician enthusiasm for hospice care increased significantly post-opening (median VAS 16 to 5, p < 0.0001).
  • Referral rates to the hospice increased from 82% to 92%, with 71% of GPs and 60% of consultants referring patients.
  • Specialist advice with home care was deemed most useful, followed by in-patient beds; day hospice was least useful.

Conclusions:

  • The Ayrshire Hospice positively influenced physician attitudes and referral patterns for palliative care.
  • Physicians found hospice services valuable, particularly home-based support, and expressed willingness to learn from hospice specialists.
  • The study highlights the importance of integrated palliative care services and suggests a mixed funding model (voluntary and NHS) is preferred.