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扩大兽医护理可及性的机遇:来自新冠疫情的经验教训

Opportunities for Expanding Access to Veterinary Care: Lessons From COVID-19.

作者信息

Smith Sage M, George Zachary, Duncan Colleen G, Frey Danielle M

机构信息

College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States.

College of Veterinary Medicine and Biomedical Sciences, Department of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, United States.

出版信息

Front Vet Sci. 2022 Apr 11;9:804794. doi: 10.3389/fvets.2022.804794. eCollection 2022.

Abstract

The COVID-19 pandemic impacted people and professions around the world, including veterinary medicine. The epidemiology of SARS-CoV-2 broadened the definition of vulnerability in human populations, and the virus' economic impacts exacerbated well-established financial barriers to providing equal access to medical care. The objective of this study was to explore how the pandemic was impacting access to companion animal care in the months March-September of 2020, with a focus on traditionally vulnerable as well as newly vulnerable populations. Additionally, this study sought to identify areas on which the veterinary profession can focus in order to help increase access to veterinary care, including the veterinary school curriculum, continuing education, and telemedicine. We conducted surveys and interviews with animal owners ( = 1009), veterinarians and clinic staff ( = 516), and access to veterinary care organizations ( = 17). Collectively, these responses highlighted how the COVID-19 pandemic created new, and amplified existing, issues with accessing and providing veterinary care. Three critical themes arose; (1) opportunities for further learning for the veterinary profession; including curricula around telemedicine, financially resilient business models and understanding health disparities and vulnerable populations; (2) a need for a network of collaboration and communication across veterinary clinics and access to care organizations and (3) future preparedness for health, economic or other crises response. Overall, the pandemic emphasized the complexity of access to care, as well as the role of veterinarians in public health. This information can be used to develop strategies to aid in increased access to veterinary care now and in the face of future disasters.

摘要

新冠疫情影响了世界各地的人们和行业,包括兽医行业。严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的流行病学扩大了人群中脆弱性的定义,而且该病毒对经济的影响加剧了在提供平等医疗服务方面早已存在的经济障碍。本研究的目的是探讨2020年3月至9月期间疫情如何影响伴侣动物的医疗服务获取情况,重点关注传统上脆弱以及新出现的脆弱人群。此外,本研究旨在确定兽医行业可以重点关注的领域,以帮助增加兽医服务的可及性,包括兽医学校课程、继续教育和远程医疗。我们对动物主人(n = 1009)、兽医及诊所工作人员(n = 516)以及兽医服务获取组织(n = 17)进行了调查和访谈。总体而言,这些反馈突出了新冠疫情如何在获取和提供兽医服务方面产生了新的问题并加剧了现有问题。出现了三个关键主题:(1)兽医行业进一步学习的机会;包括围绕远程医疗、具有财务弹性的商业模式以及理解健康差异和脆弱人群的课程;(2)需要在兽医诊所和医疗服务获取组织之间建立协作与沟通网络;(3)对健康、经济或其他危机应对的未来准备。总体而言,疫情强调了医疗服务获取的复杂性以及兽医在公共卫生中的作用。这些信息可用于制定策略,以帮助现在及面对未来灾难时增加兽医服务的可及性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b69/9036088/811b8431db7c/fvets-09-804794-g0001.jpg

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