Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services

Abstract Background The provision of veterinary clinical services is known to elicit a range of challenges which require an ethical appraisal. In a recent Policy Delphi study, referrals/second opinions and 24 h emergency care were identified as matters of key concern by veterinary professionals in I...

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Main Authors: Manuel Magalhães-Sant’Ana, Simon J. More, David B. Morton, Alison J. Hanlon
Format: Article
Language:English
Published: BMC 2017-06-01
Series:Irish Veterinary Journal
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13620-017-0096-7
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author Manuel Magalhães-Sant’Ana
Simon J. More
David B. Morton
Alison J. Hanlon
author_facet Manuel Magalhães-Sant’Ana
Simon J. More
David B. Morton
Alison J. Hanlon
author_sort Manuel Magalhães-Sant’Ana
collection DOAJ
description Abstract Background The provision of veterinary clinical services is known to elicit a range of challenges which require an ethical appraisal. In a recent Policy Delphi study, referrals/second opinions and 24 h emergency care were identified as matters of key concern by veterinary professionals in Ireland. In this case study (the first in a series of three resulting from a research workshop exploring challenges facing the veterinary profession in Ireland; the other two case studies investigate the on-farm use of veterinary antimicrobials and emergency/casualty slaughter certification) we aim to provide a value-based reflection on the constraints and possible opportunities for two prominent veterinary clinical services in Ireland: referrals/second opinions and 24 h emergency care. Results Using a qualitative focus group approach, this study gathered evidence from relevant stakeholders, namely referral and referring veterinarians, clients, animal charities, and the regulatory body. Six overarching, interrelated constraints emerged from the thematic analysis: the need to improve current guidance, managing clients’ expectations, concerns with veterinarian well-being, financial issues, timeliness of referral, and conflicts between veterinary practices. Conclusions Possible solutions to improve veterinary referral and out-of-hours clinical services included clarifying the terms used in current norms and regulations (namely ‘referral’, ‘second opinion’, ‘24 h emergency care’ and ‘24 h cover’), improved communication (making the client aware of the different levels of veterinary care that are being offered, and transparent and full disclosure of clinical records), and the promotion of Continuing Veterinary Education in communication, business management and ethical decision-making. These findings may help inform the Veterinary Council of Ireland about future recommendations and regulatory measures.
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spelling doaj.art-3770e770d7764c2b9cf129d57e0910ee2022-12-22T01:32:47ZengBMCIrish Veterinary Journal2046-04812017-06-017011810.1186/s13620-017-0096-7Challenges facing the veterinary profession in Ireland: 1. clinical veterinary servicesManuel Magalhães-Sant’Ana0Simon J. More1David B. Morton2Alison J. Hanlon3Escola Universitária Vasco da Gama, Av. José R. Sousa Fernandes, Campus Universitário - Bloco BCentre for Veterinary Epidemiology and Risk Analysis, University College DublinSchool of BioSciences, University of BirminghamSchool of Veterinary Medicine, University College DublinAbstract Background The provision of veterinary clinical services is known to elicit a range of challenges which require an ethical appraisal. In a recent Policy Delphi study, referrals/second opinions and 24 h emergency care were identified as matters of key concern by veterinary professionals in Ireland. In this case study (the first in a series of three resulting from a research workshop exploring challenges facing the veterinary profession in Ireland; the other two case studies investigate the on-farm use of veterinary antimicrobials and emergency/casualty slaughter certification) we aim to provide a value-based reflection on the constraints and possible opportunities for two prominent veterinary clinical services in Ireland: referrals/second opinions and 24 h emergency care. Results Using a qualitative focus group approach, this study gathered evidence from relevant stakeholders, namely referral and referring veterinarians, clients, animal charities, and the regulatory body. Six overarching, interrelated constraints emerged from the thematic analysis: the need to improve current guidance, managing clients’ expectations, concerns with veterinarian well-being, financial issues, timeliness of referral, and conflicts between veterinary practices. Conclusions Possible solutions to improve veterinary referral and out-of-hours clinical services included clarifying the terms used in current norms and regulations (namely ‘referral’, ‘second opinion’, ‘24 h emergency care’ and ‘24 h cover’), improved communication (making the client aware of the different levels of veterinary care that are being offered, and transparent and full disclosure of clinical records), and the promotion of Continuing Veterinary Education in communication, business management and ethical decision-making. These findings may help inform the Veterinary Council of Ireland about future recommendations and regulatory measures.http://link.springer.com/article/10.1186/s13620-017-0096-724 h careEmergency coverFocus groupProfessional ethicsReferralsSecond opinions
spellingShingle Manuel Magalhães-Sant’Ana
Simon J. More
David B. Morton
Alison J. Hanlon
Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services
Irish Veterinary Journal
24 h care
Emergency cover
Focus group
Professional ethics
Referrals
Second opinions
title Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services
title_full Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services
title_fullStr Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services
title_full_unstemmed Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services
title_short Challenges facing the veterinary profession in Ireland: 1. clinical veterinary services
title_sort challenges facing the veterinary profession in ireland 1 clinical veterinary services
topic 24 h care
Emergency cover
Focus group
Professional ethics
Referrals
Second opinions
url http://link.springer.com/article/10.1186/s13620-017-0096-7
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AT simonjmore challengesfacingtheveterinaryprofessioninireland1clinicalveterinaryservices
AT davidbmorton challengesfacingtheveterinaryprofessioninireland1clinicalveterinaryservices
AT alisonjhanlon challengesfacingtheveterinaryprofessioninireland1clinicalveterinaryservices