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当管理患有癌症的犬只时,协作式护理会提高客户满意度:协作式护理联盟研究。

Client perceptions improve with collaborative care when managing dogs with cancer: a Collaborative Care Coalition study.

机构信息

1Center for Veterinary Business and Entrepreneurship, College of Veterinary Medicine, Cornell University, Ithaca, NY.

2University of Florida, College of Veterinary Medicine, Gainesville, FL.

出版信息

J Am Vet Med Assoc. 2023 Apr 11;261(7):1037-1044. doi: 10.2460/javma.23.01.0046. Print 2023 Jul 1.

Abstract

OBJECTIVE

Collaboration between primary care veterinarians (pcVets) and veterinary oncologists is common for dogs diagnosed with cancer, but no data exist that explore dog owner utilization and perceptions of collaborative care. The objectives were to describe dog owner perceptions of the value of collaborative veterinary cancer care and identify drivers of a positive collaborative care experience between the pcVet and oncologic specialists.

SAMPLE

890 US dog owners who had pets diagnosed with cancer in the past 3 years.

PROCEDURES

Online contextual survey. Data were analyzed using group comparisons and multiple regression analysis. Significance was set at P < .05.

RESULTS

76% of clients sought specialty care following cancer diagnosis in their dog. Seventy percent of owners across all income brackets indicated that referral to a specialist was a very good value based on money spent and outcomes. Delayed referral resulted in lower client satisfaction scores for pcVets. Top predictors of client satisfaction with pcVets were as follows: responsiveness to questions, staying involved with their dog's care, and willingness to work with other veterinarians and specialists. For specialists, top predictors were as follows: providing accurate cost estimates, cancer knowledge, and effectiveness of care. Client perceptions of pcVets were 6 times more likely to improve following referral to a specialist. All were significant predictors of owner advocacy (P < .0001).

CLINICAL RELEVANCE

Dog owners perceived early collaboration between pcVets and specialists favorably, fostering client satisfaction and positive perceptions of the value for service provided for dogs diagnosed with cancer.

摘要

目的

初级保健兽医(pcVets)与兽医肿瘤学家之间的合作对于被诊断患有癌症的犬很常见,但尚无数据探讨犬主人对协作式护理的利用和看法。本研究旨在描述犬主人对协作式兽医癌症护理价值的看法,并确定与 pcVet 和肿瘤学专家之间积极协作护理体验的驱动因素。

样本

过去 3 年中有宠物被诊断患有癌症的 890 名美国犬主人。

程序

在线情境调查。使用组间比较和多元回归分析对数据进行分析。显著性水平设置为 P <.05。

结果

76%的客户在犬被诊断患有癌症后寻求专业护理。所有收入阶层的所有者中有 70%表示,根据所花费的金钱和结果,向专家转诊具有很高的价值。延迟转诊会降低犬主人对 pcVets 的满意度评分。客户对 pcVets 满意度的主要预测因素如下:对问题的回应能力、参与犬的护理、以及愿意与其他兽医和专家合作。对于专家而言,主要的预测因素包括:提供准确的成本估算、癌症知识和护理效果。转诊后,犬主人对 pcVets 的看法改善了 6 倍。所有这些都显著预测了主人的拥护(P <.0001)。

临床意义

犬主人对 pcVets 和专家之间的早期合作持积极看法,这促进了客户的满意度,并对为诊断患有癌症的犬提供服务的价值产生了积极的看法。

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