Referring equine veterinarians’ expectations of equine veterinary specialists and referral centers.

The research article investigates the expectations that equine veterinarians, who refer patients to specialists or referral centers, have from these specialists and centers. It delves into facets of the referral process, including communication, relationships, and boundaries of care.

Design and Sample

• The research was conducted using a qualitative focus group interview approach. The participation of the study consisted of six groups of equine practitioners who have experience in referring their clients and patients to equine specialists or referral centers. These groups composed of a total of 48 referring veterinarians (rDVMs).

Procedure

• The focus group sessions were independent of each other and each session was built around a standard discussion guide. This guide consisted of open-ended questions and follow-up probes to facilitate deeper exploration of the topic.
• The discussions were recorded for the purpose of analysis. A thematic analysis – which helps in identifying recurring patterns or themes across data – was used to decode these recorded discussions.

Results

• The overarching theme observed in the discussions was the expectation that the referring veterinary specialists and referral clinics should extend the same care rDVMs provide to their own clients and patients.
• The five key areas identified as essential to meet this expectation include the relationship between rDVM and client, rDVM’s involvement in referral care, the professional relationship between rDVM and specialist, the mode and quality of communication between rDVMs and specialists, and the boundaries set for referral care.
• The practitioners expressed a desire to be involved during the referral process and noted that having a collegial relationship with the specialist and effective communication throughout the referral care would facilitate this involvement.

Conclusions and Clinical Relevance

• The study emphasizes the importance of relationships and communications between rDVMs and specialists in the practice of equine veterinary medicine.
• The findings suggest that both rDVMs and specialists could benefit from establishing clear role expectations and processes for sharing information through clear, upfront communication.
• This would not only enhance their professional relationships but could also potentially improve the referral process and the quality of care delivered to patients.