Best C, Coe J B, Hewson J, Meehan M, Kelton D
Departments of Population Medicine (Best, Coe, Meehan, Kelton), and Clinical Studies (Hewson), Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.
J Vet Intern Med. 2018 Mar;32(2):822-831. doi: 10.1111/jvim.15053. Epub 2018 Feb 22.
Little is known about the veterinary referral process and factors that contribute to positive outcomes.
To investigate equine referring veterinarians' (rDVMs') satisfaction with their most recent referral experience and compare rDVM and specialist perspectives.
187 rDVMs and 92 specialists (referral care providers).
Cross-sectional observational study. An online survey was administered to both rDVMs and specialists. Referring veterinarian satisfaction with their most recent referral experience was evaluated. Both rDVMs and specialists were asked to identify factors influencing a rDVM's decision where to refer, and the top 3 factors they perceive are barriers to referral care.
Median rDVM satisfaction with their most recent referral care experience was 80 of 100 (mean, 75; range, 8-100). Referring veterinarians provided the lowest satisfaction score for the item asking about "The competition the referral hospital poses to your practice" (mean, 56.96; median, 62; range, 0-100). The top factor rDVMs identified as influencing their decision where to refer was "quality of care," whereas specialists identified "quality of communication and updates from the clinician." Referring veterinarians' top barrier to referral care was "high cost of referral care," and for specialists was "poor service provided to the client by the referral hospital."
Referring veterinarians generally were satisfied with referral care, but areas exist where rDVMs and specialists differ in what they view as important to the referral process. Exploring opportunities to overcome these differences is likely to support high quality care.
关于兽医转诊流程以及促成积极结果的因素,人们了解甚少。
调查马科动物转诊兽医(rDVMs)对其最近一次转诊经历的满意度,并比较转诊兽医和专科医生的观点。
187名转诊兽医和92名专科医生(转诊护理提供者)。
横断面观察性研究。对转诊兽医和专科医生都进行了一项在线调查。评估转诊兽医对其最近一次转诊经历的满意度。要求转诊兽医和专科医生都确定影响转诊兽医决定转诊地点的因素,以及他们认为转诊护理的三大障碍因素。
转诊兽医对其最近一次转诊护理经历的满意度中位数为100分中的80分(平均分为75分;范围为8 - 100分)。在询问“转诊医院对你的业务构成的竞争”这一项目上,转诊兽医给出的满意度得分最低(平均分为56.96分;中位数为62分;范围为0 - 100分)。转诊兽医确定的影响其决定转诊地点的首要因素是“护理质量”,而专科医生确定的是“临床医生的沟通和最新情况质量”。转诊兽医认为转诊护理的首要障碍是“转诊护理费用高昂”,而专科医生认为是“转诊医院向客户提供的服务不佳”。
转诊兽医总体上对转诊护理感到满意,但在转诊过程中,转诊兽医和专科医生对重要事项的看法存在差异。探索克服这些差异的机会可能有助于提供高质量护理。