Implementing shared decision making in veterinary medicine

Cary, Julie A.

doi:10.1002/vetr.1104

Cited by 9 publications

(4 citation statements)

References 20 publications

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“…In sommige gevallen is het antwoord duidelijk, maar in andere gevallen moet een complexe beslissing genomen worden over welke behandeling gekozen wordt, of er al dan niet behandeld wordt, en eventueel zelfs of euthanasie de beste optie is (Christiansen et al, 2016). Naast de medische toestand van het dier spelen hier vaak nog tal van andere afwegingen mee, zoals socio-economische factoren, verwachting en doel van de eigenaar, culturele factoren en ethische overtuigingen, de relatie tussen eigenaar en dier en de levensomstandigheden en het karakter van eigenaar en dier (Cary, 2021). Op ba-sis van deze afwegingen is recent gesuggereerd om de term "gold standard care" of zorg volgens de gouden standaard te vervangen door "contextualized care" of gecontextualiseerde zorg (Skipper et al, 2021).…”

Section: Inleidingunclassified

“Shared decision making” of gezamenlijke besluitvorming: wanneer dierenarts en eigenaar samen beslissingen nemen

Decloedt

2023

Vlaams Diergeneeskundig Tijdschrift

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De communicatie tussen dierenarts en klant evolueert naar een meer klant- of relatiegericht patroon, waarbij eigenaars inspraak wensen en het belangrijk vinden dat hun perspectief gehoord wordt. “Shared decision making” of gezamenlijke besluitvorming is een proces waarbij dierenarts en eigenaar van het dier samen tot een beslissing komen over verdere medische stappen. Dit wordt toegepast indien er meerdere evenwaardige opties qua diagnostiek of behandeling zijn. Het proces bestaat uit drie stappen. In de eerste stap (“choice of team talk”) wordt aangegeven dat een keuze moet gemaakt worden uit meerdere opties, en wordt gepeild naar de initiële voorkeur van de eigenaar. In de tweede stap (“option talk”) worden de voor- en nadelen van alle opties overlopen. In de laatste stap (“decision talk”) worden de voorkeur, waarden en overtuigingen van de eigenaar geïntegreerd bij het nemen van een finale gezamenlijke beslissing. Dit vereist excellente communicatieve vaardigheden, met nadruk op open vragen, actief luisteren en empathie.

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Section: Inleidingunclassified

“Shared decision making” of gezamenlijke besluitvorming: wanneer dierenarts en eigenaar samen beslissingen nemen

Decloedt

2023

Vlaams Diergeneeskundig Tijdschrift

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“…21 Research suggests that the spontaneous use of MI in veterinarian-client interactions is currently low, with dependence on a didactic or paternalistic style. 13,22 However, training in MI has been shown to increase communication skills relevant to shared decision making in veterinary practice. 23 Some examples of MI-style communication in the context of a small animal preventive medicine consultation are described in Table 1.…”

Section: What You Need To Knowmentioning

confidence: 99%

“…acting as an 'advisor' to guide the process of shared decision making. [10][11][12][13][14] It is intuitive to believe that more collaborative client-veterinarian interactions will likely result in increased compliance with treatment plans and adherence to veterinarians' recommendations. Indeed, a recent study evaluating pet owners' perceptions of information exchange and clinical decision making 15 demonstrated that clients expect to be actively involved in the decision making for their animals.…”

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confidence: 99%

Improving veterinarian‐client communication in companion animal preventive healthcare consultations

Blaxter

2022

Veterinary Record

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“…Although many studies exist on decision-making in veterinary treatment, the majority explore it from the perspective of the veterinarian [8,29], or in relation to specific diseases or end of life care [30,31] or shared decision-making between the veterinarian and owner [32][33][34]. However, to the best of the authors' knowledge, no studies have specifically explored pet owner expectations of and attitudes towards modern AVC in general, and little is known about the factors that might predict whether certain owners are more likely to hold certain opinions, or indeed be willing to enrol their own pet(s) into clinical research projects to help advance that care.…”

Section: Introductionmentioning

confidence: 99%

Cat and dog owners’ expectations and attitudes towards advanced veterinary care (AVC) in the UK, Austria and Denmark

Corr,

Lund,

Sandøe

et al. 2024

PLoS ONE

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Modern veterinary medicine offers a level of care to cats and dogs similar to that available to their owners, including blood transfusions, chemotherapy and MRI scans. The potential benefits to the animals of owners who can afford such care are obvious, but there can also be negative consequences if owners with strong emotional attachments to their pets pursue treatments that significantly reduce the quality of the animal’s life while attempting to prolong it. Moreover, caring for a chronically or seriously ill animal can lead to emotional distress and financial and practical challenges for the pet owner. A questionnaire was used to survey cat and dog owners from representative samples of citizens in the UK, Austria and Denmark, to investigate owners’ expectations and attitudes towards advanced veterinary care, and the factors that might influence those views. Overall, 58.4% of the pet owners surveyed believed that their pets should have access to the same treatment options as humans, while 51.5% believed that they should have access to the same diagnostic tests as humans. Owners were most likely to be neutral on the question of whether advanced veterinary care has ‘gone too far’ (45.3%), and to disagree with the statement that advanced care is ‘unnecessary’ (40.1%). In all three countries, the level of attachment owners had to their pets was most strongly associated with attitudes towards advanced care, with owners scoring higher on Lexington Attachment to Pets Scale (LAPS) being more likely to expect advanced care to be available. Other factors such as owner age, living situation (alone or not), income or possession of pet insurance were less consistently with owner attitudes. Our findings will help inform veterinarians and other health care providers about pet owner expectations and attitudes towards advanced veterinary care, and contribute to the debate on increasing specialisation within the profession.

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Implementing shared decision making in veterinary medicine

Cited by 9 publications

References 20 publications

“Shared decision making” of gezamenlijke besluitvorming: wanneer dierenarts en eigenaar samen beslissingen nemen

“Shared decision making” of gezamenlijke besluitvorming: wanneer dierenarts en eigenaar samen beslissingen nemen

Improving veterinarian‐client communication in companion animal preventive healthcare consultations

Cat and dog owners’ expectations and attitudes towards advanced veterinary care (AVC) in the UK, Austria and Denmark

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