I have been asked this question several times over the past couple of weeks.
I think the most critical point to make is that an End of Life Doula is a non medical
Role. The doula has professional skill and knowledge with regard to caring for the
sick and dying as well as helping with making an end of life plan. Holistic non medical skills are part of the Doulas tool kit.
Hospice and Palliative care are essential services for those with terminal diagnosis and there is no dispute among Certified End of life Doulas that their role is complementary to Hospice and in no way in place of or in competition with the services Hospice provides.
I see the second primary difference the level of focus and individualized care a Doula can provide.A Doula does not carry a case load as such and has the time to give personally talylored care and attention on a frequent basis.