Co-Produced Care in Veterinary Services: A Qualitative Study of UK Stakeholders’ Perspectives

Pyatt, Alison Z.; Walley, Keith; Wright, Gillian H.; Bleach, E.C.L.

doi:10.3390/vetsci7040149

Cited by 7 publications

(6 citation statements)

References 54 publications

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“…There are, however, circumstances within animal healthcare wherein the team structure is more fluid and dynamic. In livestock systems, for example, the farmer assumes the role of MDT lead or acts as the centremost hub [36], and the team approach is strongly advocated [37,38]. The standard relationship between veterinarian and client may not always apply in an elite equestrian sport context, when the veterinarian needs to relate not only to the horse owner but also to a trainer, a rider, or even a team manager or selectors [39].…”

Section: Discussionmentioning

confidence: 99%

Experiences of Interdisciplinary Working from the Perspective of the Society of Master Saddlers Qualified Saddle Fitters

Nankervis,

MacKechnie-Guire,

Maddock

et al. 2024

Animals

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Horse owners seek the advice and support of a number of equestrian professionals in carrying out their duty of care for their animal. In some instances, these professionals form a multi-disciplinary team (MDT). The aim of this study was to explore the experiences of the Society of Master Saddlers’ qualified saddle fitters (SMSQSFs) working with other professionals and to understand the nature of inter-disciplinary working from an SMSQSF perspective. Semi-structured, one-to-one online interviews with fourteen SMSQSFs were completed. Areas explored included the nature of the participant’s client base; the frequency and nature of their interactions with other professionals; their perceptions of horse owner expectations of an MDT approach; and any benefits, challenges, and barriers to an MDT approach within an equestrian setting. Interviews were video and audio recorded (MS Teams), transcribed verbatim (Otter ai), and imported into qualitative data analysis software (NVivo, version 12). Data were analysed using thematic analysis. Six themes were identified: (1) effective communication; (2) multidisciplinary expectations; (3) horse welfare; (4) professionalism; (5) relationships; (6) working together. Communication was recognised as a crucial component of an effective MDT. Most participants valued and desired an MDT approach. They felt they had a key role to play within the equestrian MDT, not only in the prevention of deterioration in horse welfare but also in improving the functionality and performance of the horse–rider partnership. Effective MDT working was also seen as having benefits to SMSQSFs and other professional stakeholders alike, although time and financial constraints were identified as barriers to MTD working. The role of the horse owner within the MDT was unclear and potentially complex, and this and other factors such as the professional identity of the SMSQSF, personal relationships, and input from others outside of the MDT team were identified as challenges to effective MDT working. This present study found that SMSQSFs experience similar benefits and challenges to an MDT approach as seen in human healthcare settings. The role of the horse owner, communication, and professional recognition are indicated as pivotal to MDT effectiveness in achieving optimal saddle fit.

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Section: Discussionmentioning

confidence: 99%

Experiences of Interdisciplinary Working from the Perspective of the Society of Master Saddlers Qualified Saddle Fitters

Nankervis,

MacKechnie-Guire,

Maddock

et al. 2024

Animals

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“…Other studies have utilized a combination of different themes to inform the definition of access to veterinary care. One study included aspects of both geographical proximity and communication to develop a definition of access which was “geographical proximity of up-to-date resources and facilities, accessibility of professionals (physical and communicative), and ease of contact” ( 44 ). In other studies, the definition of access to veterinary care was based on service utilization (n = 2) or “whether or not a farmer has used any veterinary services in the last year…” ( 45 ).…”

Section: Discussionmentioning

confidence: 99%

“…Yet, none established a clear, comprehensive, and consistent definition of the term. Some definitions have been proposed such as “geographical proximity of resources and service; accessibility of professionals and ease of contact” ( 27 ), “the availability of a service in a location and its affordability for various livestock keepers” ( 62 ), and “geographical proximity of up-to-date resources and facilities, accessibility of professionals (physical and communicative), and ease of contact” ( 44 ). While these offer a strong basis on which to build, each overlooks at least one important consideration that influences access to care.…”

Section: Discussionmentioning

confidence: 99%

Access to veterinary care: evaluating working definitions, barriers, and implications for animal welfare

Pasteur,

Diana,

Yatcilla

et al. 2024

Front. Vet. Sci.

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Humans have a moral obligation to meet the physical and mental needs of the animals in their care. This requires access to resources such as veterinary care, which is integral to achieving animal welfare. However, “access” to veterinary care is not always homogenous across communities and currently lacks a consistent definition. The objectives of this scoping review were to (1) understand how “access” to veterinary care has been defined in the literature, (2) map a broad list of potential barriers that may influence access to veterinary care, and (3) identify how access to care impacts the welfare of companion and livestock animals. The literature search yielded a total of 1,044 publications, 77 of which were relevant to our inclusion criteria, and were published between 2002 and 2022. Studies were most frequently conducted in the United States (n = 17) and Canada (n = 11). Publications defining access to veterinary care (n = 10) or discussing its impacts on animal welfare (n = 13) were minimal. However, barriers to accessing veterinary care were thoroughly discussed in the literature (n = 69) and were categorized into ten themes according to common challenges and keywords, with financial limitations (n = 57), geographic location (n = 35), and limited personnel/equipment (n = 32) being the most frequently reported. The results of this scoping review informed our proposed definition of access to veterinary care. Additionally, our findings identified a need to further investigate several understudied barriers relating to access to care (i.e., veterinarian-client relationship, client identity) and to better understand how they potentially affect animal welfare outcomes.

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“…Some farmers, particularly those who were engaged and proactive calf rearers, were frustrated by repeated messaging and struggled to gain new insights. This emphasises the importance of trusted veterinarians and other advisors who can provide tailored advice, but it is essential that their approaches involve teamwork, co-produced care and a trusting relationship (Pyatt et al, 2020). However, there has been a lack of focus on this "relationship-centred care" in the veterinary profession, with little structured training in effective communication (Bard et al, 2017;Croyle et al, 2019).…”

Section: The Need For Knowledge Exchange and Support Structuresmentioning

confidence: 99%

Youngstock Management as “The Key for Everything”? Perceived Value of Calves and the Role of Calf Performance Monitoring and Advice on Dairy Farms

2022

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Replacement heifers are key to the future milking herd and farm economic efficiency but are not always prioritised on dairy farms. Dairy enterprises are comprised of components which compete for limited resources; scarce information about calf performance and the associated losses and (potential) gains on farms can mean calves are prioritised less in management and investment decisions. The research reported in this paper explored the personal and contextual factors that influence calf management decisions on dairy farms. Forty in-depth, semi-structured interviews were conducted with dairy farmers (26 interviews) and farm advisors (14 interviews) who were recruited using purposive and “snowball” sampling. Interviews were recorded, transcribed, and thematically analysed. Six major themes were constructed from the interview data relating to: the perceived importance of youngstock management, the role and influence of calf rearers, calf performance monitoring, farmer engagement with information and advice, the quality of communication and advice, and veterinary involvement in calf rearing. Results indicated that although the wider dairy industry has promoted the importance of youngstock, calves often have not been fully integrated into the whole dairy farm system, nor culturally accepted as an integral part of the productive herd. Calves tended to be marginalised on farms, largely due to limited resources, lack of data monitoring, and their unrecognised potential, as well as social norms and scarcity of support structures impacting upon farm investment and management decisions. Many calf rearers were disappointed by the repetition and impractical nature of information in print media. Most farmers did not routinely consult their veterinarian about their calves, rather following a reactive treatment model even when a preventive herd health strategy was applied to the adult herd. Advisory structures often require a driven individual with calf-centric interest to prevent calves from being overlooked. Furthermore, advisory efforts often failed to motivate farmers to act on advice. These findings indicate the need for greater focus on how to achieve rearing targets by provision of technical and support structures to foster action toward improved calf wellbeing, and for the status of calves to be raised in line with their vital importance for the future dairy herd.

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Co-Produced Care in Veterinary Services: A Qualitative Study of UK Stakeholders’ Perspectives

Cited by 7 publications

References 54 publications

Experiences of Interdisciplinary Working from the Perspective of the Society of Master Saddlers Qualified Saddle Fitters

Experiences of Interdisciplinary Working from the Perspective of the Society of Master Saddlers Qualified Saddle Fitters

Access to veterinary care: evaluating working definitions, barriers, and implications for animal welfare

Youngstock Management as “The Key for Everything”? Perceived Value of Calves and the Role of Calf Performance Monitoring and Advice on Dairy Farms

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