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Related Experiment Videos

Physicians' attitudes to the autopsy

A Harris1, I Ismail, S Dilly

  • 1Department of Medicine, St. George's Hospital, London.

Journal of the Royal College of Physicians of London
|April 1, 1993
PubMed
Summary
This summary is machine-generated.

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Autopsy rates varied widely among physicians, with many underestimating their value for diagnosis and clinical audit. Establishing clear policies significantly increased autopsy rates, improving medical education and quality assurance.

Area of Science:

  • Medical Education
  • Clinical Audit
  • Pathology

Background:

  • Autopsy rates in hospitals vary significantly between departments and individual physicians.
  • Physicians often underestimate the diagnostic and clinical audit value of autopsies, overestimating their request rates.

Purpose of the Study:

  • To analyze autopsy rates across different medical departments and physicians.
  • To identify factors influencing autopsy request rates.
  • To highlight the importance of autopsies for medical education and quality assurance.

Main Methods:

  • Retrospective analysis of autopsy data over a four-year period at a teaching district general hospital.
  • Comparison of autopsy rates across general medicine, cardiology, geriatrics, paediatrics, and general surgery.

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  • Physician surveys and interviews to assess perceptions and practices regarding autopsies.

    • Main Results:

    • Overall autopsy rate was 16.5%, with significant variation (5-35%) among physicians.
    • General medicine had lower rates (14%) compared to cardiology (21%), geriatrics (23%), and paediatrics (36%).
    • High autopsy rates correlated with clear consultant policies; low rates were linked to a lack of policy and physician underestimation of value.

    Conclusions:

    • Physicians need greater awareness of autopsy benefits for diagnosis, clinical audit, and quality assurance.
    • Implementing clear consultant policies and monitoring autopsy requests can improve rates and enhance medical education.
    • Increased autopsy utilization is crucial for improving patient care standards and medical knowledge.