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动物生产中实施兽医远程医疗的障碍与促进因素。

Barriers and facilitators to implementing veterinary telemedicine in animal production.

作者信息

Guintard Ana, Assié Sébastien, Lefèvre Lucile, Delsart Maxime, Dile Benoit, Millar Nikky

机构信息

Oniris, Centre Hospitalier Universitaire Vétérinaire (CHUV), Nantes, France.

Chambre d'agriculture des Pays de la Loire, Segré-en-Anjou-Bleu, France.

出版信息

Front Vet Sci. 2024 Nov 20;11:1452653. doi: 10.3389/fvets.2024.1452653. eCollection 2024.

Abstract

In France, in recent years, the field of veterinary medicine has witnessed a growing interest in veterinary telemedicine, driven by rapid technological advancements and a decline in the availability of veterinarians, particularly in remote and rural areas. However, there is a scarcity of literature addressing the barriers and facilitators of implementing telemedicine in veterinary practice. Therefore, this study aims to investigate the factors that influence the adoption of veterinary telemedicine for bovine, poultry and swine in France. Insights from both farmers and veterinarians were collected and subjected to qualitative analysis utilizing the COM-B model of behavior change. Significant barriers and facilitators were identified. Major hurdles encompass technological limitations, regulatory complexities, and concerns regarding the evolution of the veterinary profession. Conversely, the expertise of veterinarians, coupled with their understanding of their clients' farms, and the potential for remote interventions, emerged as primary facilitators. The study emphasizes the critical role of regulation in ensuring ethical standards and maximizing the benefits of telemedicine. With clear regulatory frameworks in place, telemedicine holds promise for enhancing animal health and optimizing veterinary practice.

摘要

近年来,在法国,受技术快速进步以及兽医可及性下降(尤其是在偏远和农村地区)的推动,兽医学领域对兽医远程医疗的兴趣日益浓厚。然而,针对在兽医实践中实施远程医疗的障碍和促进因素的文献却很匮乏。因此,本研究旨在调查影响法国牛、家禽和猪采用兽医远程医疗的因素。收集了农民和兽医的见解,并利用行为改变的COM - B模型进行定性分析。确定了重大障碍和促进因素。主要障碍包括技术限制、监管复杂性以及对兽医职业发展的担忧。相反,兽医的专业知识,以及他们对客户农场的了解,加上远程干预的潜力,成为主要促进因素。该研究强调了监管在确保道德标准和最大化远程医疗效益方面的关键作用。有了明确的监管框架,远程医疗有望改善动物健康并优化兽医实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d78/11614830/ece3d2c21ea8/fvets-11-1452653-g001.jpg

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