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1.
Veterinarians have obligations towards both the animals they treat and their clients, the owners of the animals. Veterinarians have complicated, and often conflicting, relationships with both groups. In this article, Q-methodology was used as a method for discourse analysis to determine how Dutch large animal practitioners conceptualize animals and their owners and their professional responsibilities towards both. The article focuses on four different perspectives that Dutch veterinarians have of their animal patients and their owners, and of their professional duties and responsibilities.  相似文献   

2.
OBJECTIVE: To describe the degree of and variability in the level of client compliance and identify determinants of client compliance with short-term administration of antimicrobial medications to dogs. DESIGN: Prospective study. SAMPLE POPULATION: 90 owners of dogs prescribed antimicrobials. PROCEDURE: Eligible clients were invited to participate when antimicrobial medications were dispensed. Data were collected during a follow-up appointment by use of a client questionnaire, residual pill count, and return of an electronic medication monitoring device. Attending veterinarians also completed a questionnaire that asked them to predict client compliance. Methods of assessing compliance were compared with nonparametric tests. Generalized estimating equations were used to investigate potential determinants of compliance. RESULTS: Median compliance rates of 97% of prescribed container openings, 91% of days when the correct number of doses were given, and 64% of doses given on time as assessed by the electronic medication monitoring devices were significantly lower than the median compliance rates of 100% for client self-report of missing doses and pill count. Veterinarians were unable to predict client compliance. The dosage regimen significantly determined compliance. Clients giving antimicrobials once or twice daily were 9 times more likely to be 100% compliant, compared with 3 times daily dosing. CONCLUSIONS AND CLINICAL RELEVANCE: The combination of reported missed doses and pill counts was a significant predictor of compliance as measured by electronic monitoring. Electronic monitoring caps provided useful information only when they were used appropriately. Asking clients about missed doses and performing pill counts are the most practical assessments of compliance in practice.  相似文献   

3.
OBJECTIVE: To compare veterinarians' and pet owners' perceptions of client expectations with respect to the monetary aspects of veterinary care and identify challenges encountered by veterinarians in dealing with pet owners' expectations. DESIGN: Qualitative study based on focus group interviews. PARTICIPANTS: 6 pet owner focus groups (32 owners) and 4 veterinarian focus groups (24 companion animal veterinarians). PROCEDURES: Independent focus group sessions were conducted with standardized open-ended questions and follow-up probes. Content analysis was performed on the focus group discussions. RESULTS: Pet owners expected the care of their animal to take precedence over monetary aspects. They also expected veterinarians to initiate discussions of costs upfront but indicated that such discussions were uncommon. Veterinarians and pet owners differed in the way they related to discussions of veterinary costs. Veterinarians focused on tangibles, such as time and services. Pet owners focused on outcome as it related to their pet's health and well-being. Veterinarians reported that they sometimes felt undervalued for their efforts. A suspicion regarding the motivation behind veterinarians' recommendations surfaced among some participating pet owners. CONCLUSIONS: Results suggested that the monetary aspects of veterinary care pose barriers and challenges for veterinarians and pet owners. By exploring clients' expectations, improving communication, educating clients, and making discussions of cost more common, veterinarians may be able to alleviate some of the monetary challenges involved in veterinarian-client-patient interactions.  相似文献   

4.
Practicing veterinarians in small-animal or mixed-animal practice in New York state were surveyed about their beliefs and practices regarding the age at which dogs and cats should be neutered and their attitudes toward early neutering (at 4 months of age or younger). The majority of veterinarians routinely recommended neutering for all client animals (70.6%) and supported the routine neutering of shelter animals before adoption (90.3%). More veterinarians in this study reported at least one perceived benefit (91.3%) for early neutering than reported at least one perceived risk (84.4%). Veterinarians with experience neutering early were less likely to believe that the procedure was associated with one or more risks.  相似文献   

5.
Veterinary clients may have trepidation about treating their pet with radiotherapy because of concerns about radiation side effects or repeated anaesthetics. The purpose of this study is to assess whether owners' attitudes towards veterinary radiotherapy, including concerns over side effects, change during the course of treatment, and whether radiotherapy was perceived to affect pets' quality of life (QOL). A prospective cohort study of clients from 2012 to 2015 was performed. Pets received palliative or definitive radiotherapy for various tumours. Clients completed questionnaires before, during and after radiotherapy. Questions assessed owner preconceptions before treatment, including side effect expectations, actual side effects experienced and overall satisfaction with the process. In addition, at each time point, the owners assessed their pet's QOL using a simple numerical scale. Forty‐nine patients were included. After completing treatment, owners were significantly less concerned about potential side effects of radiotherapy (P < 0.001), side effects associated with repeat anaesthetics (P < 0.001), and about radiotherapy in general (P < 0.001). QOL did not show a significant change at any point during or after treatment. Following treatment, 94% reported that the experience was better than expected and 100% supported the use of radiotherapy in pets. This is the first prospective study evaluating client attitudes and satisfaction before and after radiotherapy treatment in pets. The results indicate that radiotherapy is well tolerated, and the anxiety associated with radiotherapy is significantly alleviated after experiencing the process. These results will help veterinarians allay client concerns, and will hopefully lead to an increase in clients pursuing radiotherapy in pets.  相似文献   

6.
OBJECTIVE: To obtain information regarding diagnostic and treatment approaches of veterinarians and attitudes and beliefs of clients about a common clinical problem, urine marking in cats. DESIGN: Cohort study. STUDY POPULATION: 70 veterinarians providing care for urine-marking cats and 500 owners of urine-marking cats. PROCEDURE: Veterinarians were interviewed via telephone regarding criteria for diagnosis of urine marking and recommended treatments. Cat owners who responded to recruitment efforts for a clinical trial for urine-marking cats were interviewed via telephone regarding whether and from what sources they sought help to resolve the marking problem. RESULTS: Almost a third of veterinarians did not seem to correctly distinguish between urine marking (spraying) and inappropriate urination. Those that did make this diagnostic distinction reported recommending environmental management and prescribing medication significantly more often that those that did not make this distinction. Seventy-four percent of cat owners sought help from their veterinarians for urine marking; other common sources of information were the Internet and friends. Among those who did not consult a veterinarian, the most frequently cited reason was that they did not think their veterinarian could help. Among cat owners who consulted their veterinarians, 8% reported receiving advice on environmental hygiene and 4% on environmental management (limiting intercat interactions), although veterinarians who correctly diagnosed urine marking reported giving such advice 100 and 83% of the time, respectively. CONCLUSIONS AND CLINICAL RELEVANCE: Results may serve as a model for obtaining information critical to developing veterinary continuing education and public outreach programs for animal owners for various diseases.  相似文献   

7.
Veterinarians working in emergency situations are frequently faced with challenging communication situations. Obtaining informed consent is often difficult because of the emotional content of the situation and the limited amount of time available. Emergency veterinarians are also frequently required to deliver bad, sad, or unwelcome news to clients. Using effective communication skills in these situations may decrease the anxiety and stress for the health care team and contribute to several positive outcomes for the client.  相似文献   

8.
Objective: To document the clinical practice of cardiopulmonary–cerebral resuscitation (CPCR) among academic veterinarians. Design: Survey. Setting: Eight colleges of veterinary medicine in the United States. Subjects: Two hundred and one academic veterinarians. Interventions: The survey was distributed by hand by the authors into the mailboxes of small animal faculty, residents, and interns. Demographic variables, questions regarding number of cardiopulmonary arrests (CPA) supervised and number successful, do not attempt resuscitation discussions, and Likert‐style questions about client presence during CPCR, appropriateness of CPCR, and CPCR decision‐making were included. Multiple linear regression models were constructed to determine the effect of multiple questions on different target variables of interest. Measurements and main results: Numerous differences were noted based on institution, gender, specialty, and position. Most institutions did not have a standard resuscitation consent form. Most respondents believed the client, house officer, and senior clinician should determine whether to perform resuscitation or not. Quality of life was the most significant determinant of whether to resuscitate or not, followed by long‐term prognosis, then short‐term prognosis. Conclusions: Veterinarians differ in many aspects of their approach to CPA and resuscitation. Creating consensus within the veterinary profession would benefit client service and patient care.  相似文献   

9.
A telephone survey was conducted of 50 randomly selected Ohio-licensed veterinarians engaged in dairy practice. The survey's purpose was to determine the extent of mastitis control services offered by practitioners and to assess their utilization of milk somatic cell count (SCC) data on individual cows available from the Dairy Herd Improvement Association (DHIA). During the preceding year, 96% (48/50) of practitioners surveyed had performed bacteriologic culture of milk samples. Practitioners were twice as likely to have performed culture on milk from mastitic cows that failed to respond to treatment as they were to have performed culture for purposes of identifying pathogen trends within a herd. Veterinarians in predominantly dairy practices were more likely to have completed bacteriologic examination of milk in their own laboratories than were veterinarians who were engaged in less than 50% dairy practice (P = 0.016). Most veterinarians (83%) reported that coagulase test results were available or that Staphylococcus aureus was differentiated from other staphylococcal species. Streptococcus agalactiae was not differentiated from other streptococcal species by 35% of practitioners surveyed. For veterinarians with clients enrolled in the DHIA, 91% (43/47) reported looking at, discussing, or otherwise using the DHIA records. Eighty-one percent (35/43) of veterinarians who had clients using services from the DHIA reported that clients also received individual cow milk SCC results. Veterinarians engaged in predominantly, dairy practice expressed a greater familiarity with the linear score method of SCC reporting than did veterinarians whose practices were less than 50% dairy (P = 0.085); however, both groups reported a preference for raw SCC data.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   

10.
The objective of this survey was to describe the current state of dehorning practices by dairy producers and veterinarians in Ontario and to identify opportunities to improve on existing practices. Two hundred and seven producers and 65 veterinarians completed a survey on dehorning practices during the summer of 2004. Seventy-eight percent of dairy producers dehorn their own calves; 22% use local anesthetics. Veterinarians dehorn calves for 31% of dairy clients; 92% use local anesthetics. Pain management was the most common reason for use of local anesthetics for both groups, while time (veterinarians) and time and cost (producers) were the most common reasons for lack of use. Producers who used local anesthetics were 6.5 times more likely to have veterinary involvement in their dehorning decisions. Thirteen percent of producers were unaware of the options for pain management. These results suggest that veterinarians should take the initiative to educate their clients about the options for pain management.  相似文献   

11.
OBJECTIVE: To describe the attitudes of veterinarians to their work, career and profession during the 10 years after graduation. DESIGN: Longitudinal study of students who started their course at The University of Queensland in 1985 and 1986, and who completed questionnaires in their first and fifth year as students, and after one, five and 10 years as veterinarians. METHODS: Data from 129 (96%) questionnaires completed after 10 years as a veterinarian were coded numerically then analysed, together with data from previous questionnaires, with SAS System 7 for Windows 95. RESULTS: After 10 years, almost all respondents were either very glad they had done the veterinary course (57%) or generally glad, though with some misgivings (37%). Despite this, only 55% would definitely become a veterinarian if they 'had to do it over again'. The responses for about one-third were different from those given five years earlier. The views of many were related to the level of support and encouragement received in their first job after graduation. There were 42% who were working less than half-time as veterinarians, and their main reasons were, in order, raising children, long hours of work, attitudes of bosses and clients, and poor pay. A majority was concerned about the ethics and competence of some colleagues, and almost all believed that consideration of costs must influence the type of treatment animals receive. CONCLUSIONS: Most veterinarians were glad to have done the veterinary course, but for about one-quarter their career had not lived up to expectations and almost half would not do it again in another incarnation. Stress, hours of work, difficulties in balancing personal life with career and low income were important concerns for many. Low income may contribute to the low number of males entering the veterinary profession.  相似文献   

12.
OBJECTIVE: To determine perceptions of the human-animal bond (HAB) among veterinarians in private practice and evaluate how these veterinarians incorporate the HAB in their practices. DESIGN: Survey. SAMPLE POPULATION: 1,602 veterinarians in private practice in Washington state. PROCEDURE: Participants were contacted and asked to complete a survey. RESULTS: Response rate was 26% (415/1,602). Most respondents agreed that veterinarians will be more successful if they recognize and facilitate the HAB, that facilitating the HAB was important to their practices, that they actively evaluated the degree of bonding between clients and their animals, and that the bonding between a client and his or her animal affected the way they practiced medicine. However, > 50% of respondents did not train veterinary technicians and front office staff members in the HAB or encourage veterinary technicians or front office staff members to learn about the HAB. Fifty-one percent of respondents offered few or no HAB resources to clients. When asked to quantify the importance of 10 nontechnical skills associated with private veterinary practice, respondents ranked communication skills, ethical reasoning, and business management first, second, and third; the HAB was ranked fifth. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that for veterinarians in private practice in Washington state, there is a dichotomy between how important they consider the HAB to be in their practice and the degree to which they facilitate the HAB with regard to communication, training, and client resources. More research on the HAB is necessary to better understand what the HAB encompasses and its implications for private practitioners.  相似文献   

13.
OBJECTIVE: To describe the attitudes to their work and career of those Australian veterinarians who work with horses. METHOD: Questionnaires were mailed to 866 veterinarians who had been identified as working with horses, and 87% were completed and returned. Data were entered onto Excel spreadsheets, and analysed using the SAS System for Windows. RESULTS: The main attractions of veterinary work with horses were the horses themselves and the equine industries, but working outdoors and with rewarding clients, and the satisfaction of successful outcomes were attractions for many. The list of disadvantages was longer, and included unreasonable and disagreeable clients as well as those who provided inadequate facilities, could not control their horses or did not care for them. The physical demands and risks of injury, the amount of time required, low rates of return and difficulties in collecting payment, were other major disadvantages. Some mentioned concerns about litigation, unethical behaviour, and recruiting and retaining veterinarians competent with horses. For many in mixed practice, the difficulties in affording modern equipment, and of developing and maintaining their own competence with horses, was a real concern. More than three-quarters of the respondents reported that their careers had lived up to expectations and that they would become veterinarians again; 70% of equine veterinarians would become an equine veterinarian again. Almost all (93%) of the respondents were either very glad, or 'generally glad though with some misgivings' that they had done the veterinary course. Older veterinarians reported suffering less stress, and being more content with their career, than younger colleagues. CONCLUSIONS: The advantages of doing veterinary work with horses outweigh the disadvantages for most veterinarians, especially those well advanced in their careers.  相似文献   

14.
Equine nutrition plays a critical role in equine health. The veterinarian is an expected major source of equine nutrition information, yet little evidence exists to evaluate this assumed role, particularly from the veterinarian’s perspective. The aim of this study was to investigate the knowledge and confidence levels and practices and perceptions regarding equine nutrition by surveying equine clinicians in Georgia, USA. A sample representative of a cross-section of equine veterinarians participated in the survey: response rate was 20%. Veterinarians reported that although their level of equine nutrition knowledge had improved since graduation, their confidence levels varied when giving nutritional advice on a number of prevalent nutritional-related conditions. Their confidence level in giving nutritional advice on colic was the highest and on hyperkalemic periodic paralysis the lowest. The majority of veterinarians had not taken any recent equine nutrition continuing education, mainly owing to lack of courses available; however, the majority expressed an interest in taking future courses, particularly if offered online. Although the veterinary profession was considered to be an important source of equine nutrition information, almost one-quarter of veterinarians offered no equine nutrition counseling to their clients. More than two-thirds of veterinarians reported having no access to a referral equine nutrition service, but would be likely to use one if it were available. The results of this survey reveal equine nutrition perceptions and practices from an equine clinician perspective. Several areas of concern are highlighted, questioning the quality, responsibility, and provision of equine nutrition in Georgia, USA, and are suggestive of a far more wide-reaching problem, requiring further research.  相似文献   

15.
OBJECTIVE: To identify the perceived market or client demand for dairy on-farm food safety services by veterinarians, the need for a food safety continuing education program, and the educational issues that might be addressed in an on-farm food safety curriculum. DESIGN: Survey. STUDY POPULATION: Consulting dairy veterinarians, government veterinarians located in California, and meat packers slaughtering cull dairy cows in California. PROCEDURE: Results of a questionnaire supplied to veterinarians and telephone interviews with meat packer representatives were analyzed by use of univariate and multivariate logistic regression procedures. RESULTS: Some meat packers considered the quality of incoming cull dairy cattle as a control point for food safety hazards. More than 50% of dairy and government-employed veterinarians believed that a current market for on-farm food safety services exists; > 85% believed that a potential market exists. Duration since graduation was negatively correlated with belief in a current market. Government-employed veterinarians were more likely to believe in a current market. Veterinarians were more likely to express a strong interest in offering on-farm food safety services if they believed a current market exists, indicated that they already offer such services, or listed residues and pathogens as the most important issues facing the dairy industry. CONCLUSIONS AND CLINICAL RELEVANCE: Although a potential market for on-farm food safety services is perceived, veterinarians are unsure of their role in this area. new demands of meat packers slaughtering cull dairy cows may be the motivation practitioners need to broach the subject of food safety with clients.  相似文献   

16.
OBJECTIVE: To survey veterinarians in small animal practice concerning their attitudes about delivery of behavior services, frequency of common behavior problems, manner in which services were provided, confidence in their clinical ability to treat these behavior problems, frequency of use of pharmacologic intervention, and number of dogs and cats euthanatized specifically because of behavior problems. DESIGN: Cross-sectional mail survey. SAMPLE POPULATION: Random sample of veterinarians in small animal practice in the United States. PROCEDURE: A self-administered mail survey was sent to a random sample of 2,000 veterinarians. Results were tabulated and statistically analyzed. RESULTS: It was estimated that approximately 224,000 dogs and cats were euthanatized annually in small animal veterinary practices in the United States because of behavior problems. Although veterinarians seemed unwilling to euthanatize animals for behavior problems solely on the basis of a client's request, many veterinarians did not routinely inquire about animal behavior and often were not confident in their clinical skills to treat behavior problems. Female veterinarians tended to be more proactive in addressing behavior problems and to have more positive attitudes than male veterinarians about the importance of animal behavior. CONCLUSIONS AND CLINICAL RELEVANCE: Efforts are needed to increase the number of veterinarians who systematically incorporate inquiries about animal behavior into routine clinical practice and to build the confidence of veterinarians for diagnosing and treating animal behavior problems.  相似文献   

17.
Veterinary teaching hospitals (VTHs) have traditionally obtained most of their patient and client base through the referral process. This worked well until the recent explosive growth of specialty practices, which compete not only for patients but also for faculty and graduating residents. Veterinary schools have had to meet this challenge by increasing both efficiency and the quality of services provided to referring veterinarians. Practitioners refer mainly because of discomfort with a case and the belief that clients will get better treatment at a referral hospital than they themselves can provide. Practitioners choose not to refer because of geography, perceived cost, or lack of confidence in the services offered. Referring veterinarians expect regular communication about services offered, access to receiving clinicians for consultation, convenient scheduling, and efficient communication and follow-up from the receiving veterinarian. They also expect the relationship between them and their clients to be maintained and enhanced. Receiving veterinarians expect a summary letter and copies of all relevant records, including radiographs. They also expect the client to have been informed about the approximate costs of referral. VTHs can develop better relationships with referring veterinarians through education, newsletters, referral guides, practice visits, and Web sites. Inadequate communication and lack of involvement on the part of the referring veterinarian are the major impediments to efficient referrals and practice growth.  相似文献   

18.
This thematic review examines the literature regarding the relationship between domestic violence (DV) and pet abuse (PA) particularly in the veterinary clinical and educational contexts. It examines the significance of this relationship for the veterinary profession including the veterinarian’s role and associated legal and ethical obligations, and relevant current veterinary education standards, to identify future clinical and educational directions. Articles were sourced from online databases by searching the keywords without date restrictions. Overall, 70 articles were retrieved and reviewed.

Pet abuse has been identified as a potential risk factor for DV, and DV perpetrators may harm or kill a pet to exert physical, psychological or emotional control over an intimate partner. Given that victims of DV often seek veterinary aid for their pets, veterinarians may act as frontline professionals in the recognition of the link between PA and DV. Veterinarians must assess individual cases for diagnostic indicators of non-accidental injury and consider demographic factors to identify suspected PA and DV. Despite existing legal and ethical obligations of the veterinarian relating to suspected PA and victims of DV, veterinarians have uncertainty and unpreparedness in addressing PA and DV in a clinical context. Many factors may contribute to the lack of veterinary intervention in suspected cases of PA and DV including concern for animal welfare, confusion about the reporting process and uncertainty in differentiating accidental versus non-accidental injuries in pets. Specific published guidelines regarding the recognition and reporting of PA and DV in the veterinary clinical context are required. Limited published evidence exists examining the implementation and success of veterinary training regarding the relationship between DV and PA. Ultimately, veterinary student education is needed to prepare veterinarians for their response to PA and DV in practice. Further research is required to examine the effects of the delivery of content regarding the link between PA and DV in the veterinary curriculum on veterinary student knowledge and attitudes.  相似文献   


19.
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20.
Cats have certain strongly motivated behaviors, which could be defined as “needs,” that should be understood to provide the cat the best quality of life and assure proper welfare. It is well recognized that cats have several behavioral needs, which if not met, can result in anxiety and secondary behavior problems. These problems can lead to relinquishment or euthanasia. Veterinarians and veterinary nurses have a special role when educating owners. To increase owners' compliance, veterinary professionals should have evidence-based knowledge for the right information to be communicated to feline owners. The goal of the present study was to identify and compare the level of knowledge that veterinarians, veterinary nurses, and pet owners have about cat behavior and to compare their perceptions on this subject. We were also interested in determining whether living with a cat affected the professionals' knowledge base and what they are able to properly communicate to pet owners. It was expected that the veterinarians would have the highest level of knowledge regarding the interpretation of feline behavioral needs. We also hypothesized that those professionals who had or have previously owned a cat would have a better understanding of what cats actually need. A questionnaire, called “questionnaire to assess cat's needs” (QACN), was completed by cat owners, veterinarians, and veterinary nurses. The QACN had 13 different statements about the behavioral needs of cats, and each participant had to select their level of agreement with the statement. The QACN was then scored and a principal component analysis was used to identify meaningful associations. The following 3 components were extracted: elimination, stress releasers, and human stimulation. Contrary to what was expected, the results showed that in some specific areas (stress releasers and human stimulation) veterinarians' and veterinary nurses' knowledge was not significantly different from that of cat owners. This could mean that the role of these professionals in preventing behavioral problems can be very compromised. Those professionals who had owned a cat personally were better at identifying the behavioral needs of cats, with some significant differences (related with stress releasers), compared with those professionals who had never owned a cat. More education about feline behavior should be included when training veterinarians and veterinary nurses for clients to continue to trust these professionals to provide them with evidence-based knowledge about cat behavior.  相似文献   

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