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Compete or Cooperate with ‘Dr. Google’? Small Animal Veterinarians’ Attitudes towards Clients’ Use of Internet Resources—A Comparative Study across Austria, Denmark and the UK

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Veterinary medicine is increasingly affected by animal owners having the opportunity to become better informed on pet health issues by using various internet resources. Using an online questionnaire including a section on clients’ use of internet resources to obtain medical information, this study aimed to investigate veterinarians’ estimates of the percentage of clients using internet resources, how often clients question veterinarians’ professional medical advice based on online information, and veterinarians’ attitudes towards clients’ use of internet resources, across Austrian, Danish, and UK veterinarians (n = 641). The results show that 48.8% of respondents estimated that 40–79% of their clients use internet resources to find medical information. Further, 70–80% of respondents stated that they are occasionally challenged by clients questioning their advice based on online information. Although veterinarians recognized the potential advantages related to clients’ use of internet resources, such as an increased acceptance of advanced diagnostics and treatments, they also highlighted clients’ increased expectations or false impressions of small animal practices as potentially negative aspects in this context. As internet use increases, it seems likely that these issues will become increasingly important in the future.
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Citation: Springer, S.; Grimm, H.;
Sandøe, P.; Lund, T.B.;
Kristensen, A.T.; Corr, S.A. Compete
or Cooperate with ‘Dr. Google’?
Small Animal Veterinarians’
Attitudes towards Clients’ Use of
Internet Resources—A Comparative
Study across Austria, Denmark and
the UK. Animals 2022,12, 2117.
https://doi.org/10.3390/
ani12162117
Academic Editor: David Morton
Received: 16 June 2022
Accepted: 16 August 2022
Published: 18 August 2022
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Attribution (CC BY) license (https://
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4.0/).
animals
Article
Compete or Cooperate with ‘Dr. Google’? Small Animal
Veterinarians’ Attitudes towards Clients’ Use of Internet
Resources—A Comparative Study across Austria, Denmark
and the UK
Svenja Springer 1, 2, * , Herwig Grimm 1, Peter Sandøe 2,3 , Thomas Bøker Lund 2, Annemarie T. Kristensen 4
and Sandra A. Corr 5
1Unit of Ethics and Human-Animal Studies, Messerli Research Institute, University of Veterinary Medicine,
Vienna, Medical University of Vienna, University of Vienna, 1210 Vienna, Austria
2Department of Food and Resource Economics, University of Copenhagen, 1958 Frederiksberg C, Denmark
3Department of Veterinary and Animal Science, University of Copenhagen, 1870 Frederiksberg C, Denmark
4
Department of Veterinary Clinical Science, Faculty of Health and Medical Sciences, University of Copenhagen,
1870 Frederiksberg C, Denmark
5
School of Biodiversity, One Health and Veterinary Medicine, College of Medical, Veterinary and Life Sciences,
University of Glasgow, Glasgow G61 1QH, UK
*Correspondence: svenja.springer@vetmeduni.ac.at; Tel.: +43-125-077-2687
Simple Summary:
Owners of dogs, cats, and other companion animals increasingly make use of
the internet to find out how to best care for their animals. This may affect owners’ relations with
veterinarians in both positive and negative ways. A positive consequence could be that owners
are better informed when they approach a veterinarian. However, there can also be challenging
situations in which the owners may question veterinarians’ professional advice based on online infor-
mation. Using a questionnaire, we found that a majority of Austrian, Danish, and UK veterinarians
(n= 641) surveyed were occasionally confronted with clients who question their medical advice
based on information obtained from the internet. In addition, the veterinarians were concerned
about the potential for clients to misunderstand information found on the internet, or to develop
unrealistic expectations of what is possible in small animal practices. As internet use becomes ever
more widespread, we suggest that the types of resources that are available and used by animal
owners should be further explored.
Abstract:
Veterinary medicine is increasingly affected by animal owners having the opportunity to
become better informed on pet health issues by using various internet resources. Using an online
questionnaire including a section on clients’ use of internet resources to obtain medical information,
this study aimed to investigate veterinarians’ estimates of the percentage of clients using internet
resources, how often clients question veterinarians’ professional medical advice based on online
information, and veterinarians’ attitudes towards clients’ use of internet resources, across Austrian,
Danish, and UK veterinarians (n= 641). The results show that 48.8% of respondents estimated
that 40–79% of their clients use internet resources to find medical information. Further, 70–80% of
respondents stated that they are occasionally challenged by clients questioning their advice based on
online information. Although veterinarians recognized the potential advantages related to clients’
use of internet resources, such as an increased acceptance of advanced diagnostics and treatments,
they also highlighted clients’ increased expectations or false impressions of small animal practices as
potentially negative aspects in this context. As internet use increases, it seems likely that these issues
will become increasingly important in the future.
Keywords:
internet; pet health information; medical advice; small animal practice; veterinarians;
questionnaire-based survey
Animals 2022,12, 2117. https://doi.org/10.3390/ani12162117 https://www.mdpi.com/journal/animals
Animals 2022,12, 2117 2 of 14
1. Introduction
Internet access has become much more widely available in the last decade. In 2007,
55% of European Union households had internet access; by 2020, this had increased to
91% [
1
]. Against this background, the internet has become an indispensable part of people’s
lives by providing, amongst other things, greater access to information and knowledge
transfer. Veterinary medicine is also affected by these developments, as animal owners
have the opportunity to learn more about pet health issues through unlimited access to
veterinary medical information based on various internet resources including blogs, social
media channels, veterinary associations, or practice websites. As owners become better
informed, this will likely impact how they engage in dialogue with their veterinarian and
can influence the decision making around diagnostic and therapeutic interventions.
In relation to this, Kogan and colleagues surveyed UK pet owners and found that there
had been an increase in owners’ use of internet resources to obtain medical information [
2
].
Similarly, a survey among US pet owners conducted by the coalition Partners for Healthy
Pets indicated that the percentage of pet owners searching for medical information on the
internet due to their animal being sick or injured increased from 39% to 48% between 2010
and 2014 [3].
While clients’ interests in seeking medical information can be viewed as a positive
development potentially improving their knowledge and understanding of patient care,
other studies have shown that veterinarians are also concerned about the potential negative
effects [
2
,
4
7
]. For example, online resources can distribute incorrect information; con-
versely, correct information can be misinterpreted by owners. The use of online resources
may also inspire clients to try to treat their pets themselves, or to delay taking them to the
veterinarian, thereby causing them harm. This has been highlighted in an Austrian focus
group study among small animal veterinarians, who were increasingly confronted with
clients who had misdiagnosed their pets based on information found online [8].
In addition, veterinarians increasingly experience situations where clients challenge
their medical advice based on information they have obtained from the internet [
3
,
5
,
8
,
9
].
Niedziela published a statement with the title “British Vets Forced to Compete With
‘Dr. Google’” in which he reported that “nearly all British veterinarians say their clients’
behaviour was swayed by what the pet owners found online.” [
3
] As a consequence,
veterinarians may increasingly have to compete with ‘Dr. Google’ [
3
,
4
] and hence may feel
challenged in their professional authority.
Clients’ use of the internet to obtain medical information as well as information about
specific veterinary services will undoubtedly increase [
2
,
6
]. Previous empirical studies
have mainly focused on potential problems in relation to clients’ use of internet resources,
and little is currently known about the potential benefits. The possible positive effects of
clients becoming better informed include improved dialogue and understanding of their
pets’ condition, as well as a greater acceptance of appropriate advanced diagnostic and
treatment options.
Although a general increase in the use of internet resources can be seen in all European
Union households, national differences exist that might influence the use of the internet in
the veterinary context. For instance, in 2020, in the UK and Denmark, 94% of the population
used the internet on a daily basis [
10
,
11
], in contrast to only 75% of the population in
Austria [
12
]. It is likely that these differences will be reflected in the percentage of clients
who use the internet to search for medical information, and the frequency with which clients
question veterinarians’ advice. They may also impact veterinarians’ attitudes towards ‘Dr.
Google’, both positively and negatively.
Further, it can be assumed that veterinarians’ attitudes will not only be influenced
by socio-demographic and practice-specific factors such as age, employment status (self-
employed versus employed), or the type of practice (independently owned versus corporate-
owned), but potentially also by any previous negative experiences with clients who come
to the practice with information they have obtained from the internet.
Animals 2022,12, 2117 3 of 14
Therefore, the main aim of this study was to answer the following research questions:
(i) What percentage of their clients do veterinarians estimate use internet resources to find
medical information prior to consultation? (ii) How often do clients question veterinarians’
professional medical advice based on information obtained from the internet? (iii) What are
veterinarians’ attitudes towards their clients’ use of internet resources, and what influences
these attitudes? Throughout, we highlight the main similarities and differences between
veterinarians in the three countries.
2. Materials and Methods
2.1. Study Population and Recruitment of Participants
The present study forms a part of a larger body of work on different aspects in modern
small animal practices including investigations of how veterinarians manage conflicting
ethical concerns during decision-making processes [
13
], the option of pet health insurance
for dogs and cats [14], and the use of Facebook for veterinary practices [15].
In cooperation with small animal associations in Austria (VÖK), Denmark (DVA),
and the UK (BSAVA), the link to the online-questionnaire was sent to 1195 Austrian,
1287 Danish, and 5138 UK veterinarians who worked (mainly) with small animals. For
Denmark and Austria, data were collected from 2 March until 9 April 2020. Due to the
COVID-19 pandemic outbreak and related organizational challenges, the BSAVA sent out
the survey to its members at a later date and it was open between 30 March and 7 May
2020. Reminder e-mails were sent two weeks after opening the survey. The study received
ethical approval from the Research Ethics Committee of SCIENCE and HEALTH at the
University of Copenhagen (ReF: 504-0114/19-5000).
Since not all small animal veterinarians are members of the relevant veterinary as-
sociations in each country, this recruitment method introduces coverage error. Based on
comparison with statistics on the study population, the assumed coverage error is 30%
(n= 495) in Austria and 35.5% (n= 2812) in the UK. No specific data were available on the
actual number of small animal veterinarians in Denmark, but as 90% are members of the
DVA, the coverage error is likely around 10%.
2.2. Study Participants and Representativity of the Samples
A total of 829 veterinarians clicked on the survey weblink, and 773 (93.2%) continued
on to answer at least one question [
13
]. Of the 773 responses, 132 questionnaires were
excluded due to missing data specific to the analyses of clients’ use of internet resources
(missing responses in Section B.4.1 ‘Client’s use of internet resources’—see Supplementary
File S1). With a 15.9% (132/829) dropout-rate, the final sample included in the present
study comprised 641 veterinarians, further consisting of 101 Austrian veterinarians (15.8%),
172 Danish veterinarians (26.8%), and 368 veterinarians from the UK (57.4%). The response
rate was 8.5% for Austria, 13.3% for Denmark, and 7.2% for the UK. The varying sample size
is mainly explained by the fact that the pool of veterinarians available to participate in the
study varied between the three countries (as laid out in Section 2.1). Detailed information
about socio-demographic and practice-specific factors for the whole study population, and
for each sub-population, is listed in Supplementary File S2.
Since relevant census data were not available for Denmark, non-response analyses
were conducted for Austria and UK only to identify whether the samples deviated from the
population of small animal veterinarians [
13
]. For Austria, a relatively modest deviation
was found based on a comparison of the geographical location. In this case, slightly more
veterinarians from West Austria and slightly fewer veterinarians from East Austria partici-
pated in the study [
13
]. For the UK, we identified an overrepresentation of veterinarians in
the
25–30-year group, and an underrepresentation in the 31–40-year group, compared to
the study population [13].
Animals 2022,12, 2117 4 of 14
2.3. Survey Design and Development
Items related to clients’ use of internet resources to obtain medical information were
developed based on results of an Austrian focus group study [
8
] and a literature review
of mainly empirical studies related to this issue [
2
7
]. The questionnaire was developed
in English, and a two-step back-translation procedure was then used to produce the Aus-
trian and Danish version of the questionnaire [
13
]. Further, the questionnaire underwent
two stages of pre-testing. In the first step, cognitive interviews [
16
,
17
] were conducted with
five Austrian veterinarians. In the second step, an online pre-test phase was conducted
with ten Austrian, nine Danish, and six small animal veterinarians from the UK. Relevant
feedback that helped to improve the quality of the data were considered and incorporated
in the final versions of the questionnaire [13].
2.4. Survey Measures
In total, the questionnaire consisted of three sections (Supplementary File S1) and was
designed so that questions could be skipped, enabling respondents to progress even if not
all questions were completed in a previous section. Here, a detailed description is only
provided for items in the two sections that give insights into the issue of clients’ use of
internet resources to obtain medical information.
The first section, A, included 14 closed-ended questions on socio-demographic and
practice-specific aspects. In the second section, B, there were three questions including
one matrix with six statements related to clients’ use of internet resources. The first question
asked veterinarians to estimate how many of their clients use internet resources to find
medical information prior to a consultation. Answer options ranged from “None”, over
“1–19%”, “20–39%”, and so on up to “80–100%”. The answer option “I don’t know” was also
available. Further, six statements were presented to explore veterinarians’ attitudes towards
their clients’ use of internet resources by focusing on possible positive (e.g., improved
discussions due to clients’ greater knowledge) and negative effects (e.g., creating the wrong
impression of modern small animal practices). Respondents could indicate their level of
agreement with each statement through a 7-point Likert scale [
18
]: 1 “Strongly disagree”,
2 “Disagree”, 3 “Somewhat disagree”, 4 “Neutral (neither agree nor disagree), 5 “Somewhat
agree”, 6 “Agree”, and 7 “Strongly agree”. Further, an “I don’t know” option was provided.
The third question asked veterinarians how often clients questioned their professional
advice based on information they obtained from internet resources. Response options were
“Never”, “Occasionally”, “Frequently”, “Always”, and “I don’t know”.
In addition, section B included a question about several factors that could influence
clients’ desire to further pursue therapy beyond veterinarians’ professional recommenda-
tions, including the factor that “Medical information obtained using internet resources”
influences clients’ desire to pursue further therapy beyond veterinarians’ recommendation.
Possible answer options were “Not at all”, “Slightly”, “Moderately”, “Relatively Strong”,
and “Strong”. The answer option “I don’t know” was also provided.
2.5. Data Analysis
All three online surveys were set up using the survey software Alchemer
®
(Alchemer
®
,
Louisville, KY, USA). IBM
®
SPSS
®
Statistics version 27.0 (IBM
®
SPSS
®
Statistics, Chicago,
IL, USA) was used for all analyses. Univariate descriptive statistics were presented in
tables, figures, or text. For bivariate analysis, Chi-square tests or Kruskal–Wallis H tests
were conducted to test whether the frequency distribution differed between the Austrian,
Danish, and UK sub-populations. The significance level was 0.05.
Ordinal regression analyses were conducted to identify the extent to which socio-
demographic and practice-specific factors, clients’ use of internet resources, percentage
of clients who question veterinarians’ professional advice, and the impact of internet re-
sources on clients’ desire to pursue treatment had an effect on veterinarians’ attitudes
towards clients’ use of internet resources (Supplementary File S3). For each country, six or-
dinal regression analyses were performed in which statements were inserted as dependent
Animals 2022,12, 2117 5 of 14
variables. The answer option “I don’t know” was excluded from these analyses. Categor-
ical variables inserted in the regression analyses were gender (1 = male; 2 = female),
type of practice (1 = independently owned; 2 = corporate-owned), employment sta-
tus (1 = self-employed; 2 = employed), percentage of clients using internet resources
(1 = None–19%; 2 = 20–59%; 3 = over 60%), and frequency of situations in which clients
question veterinarians advice based on information obtained from internet resources
(1 = ”Never”; 2 = ”Occasionally”; 3 = ”Frequently/Always”). Since no veterinarian from
Austria or Denmark and only two veterinarians from the UK indicated that this happened
“always”, the answer options “frequently” and “always” were combined for these analyses.
Age (range: 23–83 years) and the impact of internet resources on clients’ desire to pursue
further therapy beyond that recommended were included as continuous variables. By
employing a variance inflation factor (VIF) above 5.0 as an indicator of multicollinearity,
VIF statistics suggested that age and working experience should not be included as con-
tinuous variables in the same models (VIF age: for Austria between 7.781 and 8.346, for
Denmark between 18.006 and 17.813, and for UK between 17.813 and 18.026; VIF working
experience: for Austria between 6.885 and 7.096, for Denmark between 17.620 and 17.732,
and for UK between 17.506 and 17.732). In order to avoid multicollinearity, we chose to
use only veterinarians’ age in the regression analyses, since age in particular seems to
be the important factor with respect to familiarity with and use of the internet, which
might therefore influence their attitudes towards clients’ use of internet resources in the
veterinary context. The answer option “Other” for type of practice and employment status,
and the answer option “I don’t know” for the impact of internet resources on clients’ desire
to pursue further therapy, percentage of clients using internet resources, and frequency
of situations in which clients question veterinarians’ advice, were excluded from these
analyses. Further, since only two Austrian veterinarians indicated that they worked in
a corporate-owned practice, the variable business type was excluded for all six ordinal
regression models run for Austria.
3. Results
3.1. Veterinarians’ Estimates of Clients Use of Internet Resources Prior to Consultation
Table 1presents the veterinarians’ estimates of how many of their clients used internet
resources to find medical information prior to a consultation. Almost half of the respondents
(48.8%) estimated that between 40–79% of their clients used internet resources to find
medical information prior to their veterinary consultation. No significant difference was
identified between Austrian, Danish, and UK veterinarians (H (2) = 2.300, p= 0.301).
Table 1.
Veterinarians’ estimates of clients’ use of internet resources to obtain medical information
prior to consultation for the whole study population and by country.
All Countries
(n= 600)
Austria
(n= 87)
Denmark
(n= 160)
UK
(n= 353) Test *
None 1 (0.2) 0.0 (0.0) 1 (0.6) 0.0 (0.0)
H (2) = 2.300
p= 0.301
1–19% 74 (12.3) 10 (11.5) 28 (17.5) 36 (10.2)
20–39% 144 (24.0) 25 (28.7) 34 (21.3) 85 (24.1)
40–59% 150 (25.0) 16 (18.4) 40 (25.0) 94 (26.6)
60–79% 143 (23.8) 24 (27.6) 34 (21.3) 85 (24.1)
80–100% 57 (9.5) 9 (10.3) 14 (8.1) 34 (9.6)
I don’t know 31 (5.2) 3 (3.4) 9 (5.4) 19 (5.4)
Count (%). * Kruskal–Wallis H test (answer option ‘I don’t know’ was excluded from this analysis).
Animals 2022,12, 2117 6 of 14
3.2. Percentage of Clients Questioning Veterinarian’s Professional Medical Advice Based on
Information from the Internet
In all three countries, between 70–78% of the respondents indicated that their clients
occasionally questioned their professional advice based on information they had obtained
from the internet (Figure 1). Significant differences were identified between the three
countries (H (2) = 37.111; p< 0.001). Significantly more Austrian veterinarians indicated
that they were ‘never’ confronted with clients who questioned their advice compared to
Danish (
χ2
(1) = 12.487; p< 0.001) and UK (
χ2
(1) = 23.925; p< 0.001) veterinarians. In
comparison, significantly more veterinarians from Denmark and the UK indicated that
they were ‘frequently’ confronted with such clients, in contrast to their Austrian colleagues
(DK: χ2(1) = 28.533, p< 0.001; UK: χ2(1) = 27.091, p< 0.001).
Animals2022,12,x6of14
6079%143(23.8)24(27.6)34(21.3)85(24.1)
80100%57(9.5)9(10.3)14(8.1)34(9.6)
Idon’tknow31(5.2)3(3.4)9(5.4)19(5.4)
Count(%).*KruskalWallisHtest(answeroption‘Idontknowwasexcludedfromthisanaly
sis).
3.2.PercentageofClientsQuestioningVeterinarian’sProfessionalMedicalAdviceBasedonIn
formationfromtheInternet
Inallthreecountries,between70–78%oftherespondentsindicatedthattheirclients
occasionallyquestionedtheirprofessionaladvicebasedoninformationtheyhadobtained
fromtheinternet(Figure1).Significantdifferenceswereidentifiedbetweenthethree
countries(H(2)=37.111;p<0.001).SignificantlymoreAustrianveterinariansindicated
thattheywere‘never’confrontedwithclientswhoquestionedtheiradvicecomparedto
Danish(χ2(1)=12.487;p<0.001)andUK(χ2(1)=23.925;p<0.001)veterinarians.Incom
parison,significantlymoreveterinariansfromDenmarkandtheUKindicatedthatthey
were‘frequentlyconfrontedwithsuchclients,incontrasttotheirAustriancolleagues
(DK:χ2(1)=28.533,p<0.001;UK:χ2(1)=27.091,p<0.001).
Figure1.Percentageofclientsquestioningveterinariansprofessionaladvicebasedoninformation
obtainedfromtheinternetforAustria(n=101),Denmark(n=172),andtheUK(n=368).
3.3.VeterinariansAttitudestowardsClients’UseofInternetResources
Sixstatementswerepresentedexploringveterinarians’attitudestowardsclientsuse
ofinternetresourcestoobtainmedicalinformation(Table2).Ingeneral,veterinarians
fromallthreecountriesagreedthattheuseofinternetresourcesincreasedbothclients’
expectationsandacceptanceofadvanceddiagnosticsandtreatments.
However,significantdifferenceswereidentifiedbetweenthecountries.Danishre
spondentssignificantlymorefrequentlyagreedthatclients’useofinternetresourcesled
toa“greateracceptanceofadvanceddiagnosticandtreatmentsandlessfrequently
agreedthatit“createsthewrongimpressionofmodernsmallanimalpractice”compared
totheirAustrian(p=0.007;p=0.047)andUK(p<0.001;p<0.001)colleagues.Theopinion
thatclients’useofinternetresources“improvesdiscussionaboutdiagnosticandtreat
mentoptionsasclientshaveagreaterknowledgeobtainedlessagreementfromAustrian
veterinarianscomparedtotheircolleaguesfromDenmark(p=0.001)andtheUK(p=
0.017).Further,UKveterinariansmorefrequentlyagreedwiththestatementthattheuse
ofinternetresources“causesclientstoformstrongopinionssothatveterinarianshaveto
25%
71%
3% 0% 1%
7%
70%
20%
0% 3%
6%
78%
14%
1% 1%
0%
20%
40%
60%
80%
100%
Never Occasionally Frequently Always Idonʹtknow
Austria Denmark UK
Figure 1.
Percentage of clients questioning veterinarians’ professional advice based on information
obtained from the internet for Austria (n= 101), Denmark (n= 172), and the UK (n= 368).
3.3. Veterinarians’ Attitudes towards Clients’ Use of Internet Resources
Six statements were presented exploring veterinarians’ attitudes towards clients’ use
of internet resources to obtain medical information (Table 2). In general, veterinarians
from all three countries agreed that the use of internet resources increased both clients’
expectations and acceptance of advanced diagnostics and treatments.
However, significant differences were identified between the countries. Danish re-
spondents significantly more frequently agreed that clients’ use of internet resources led to
a “greater acceptance of advanced diagnostic and treatments” and less frequently agreed
that it “creates the wrong impression of modern small animal practice” compared to their
Austrian (p= 0.007; p= 0.047) and UK (p< 0.001; p< 0.001) colleagues. The opinion that
clients’ use of internet resources “improves discussion about diagnostic and treatment
options as clients have a greater knowledge” obtained less agreement from Austrian vet-
erinarians compared to their colleagues from Denmark (p= 0.001) and the UK (p= 0.017).
Further, UK veterinarians more frequently agreed with the statement that the use of in-
ternet resources “causes clients to form strong opinions so that veterinarians have to
justify their diagnostics and therapeutic steps” than Austrian (p= 0.002) and Danish
(p< 0.001) veterinarians.
Animals 2022,12, 2117 7 of 14
Table 2. Veterinarians’ attitudes towards clients’ use of internet resources.
Nr. Clients’ Use of
Internet Resources . . .
Austria
(n= 96–100)
Denmark
(n= 169–172)
UK
(n= 357–367) Test *
1
results in greater
acceptance of
advanced diagnostics
and treatments.
Disagreement (1–3) 19 (19.6) 7 (4.1) 53 (14.8) H (2) = 16.688,
p< 0.001
Neutral (4) 25 (25.4) 47 (27.8) 100 (27.9) AT vs. DK: p= 0.007 a
Agreement (5–7) 53 (54.7) 115 (68.0) 205 (57.2) AT vs. UK: p= 1.00 a
Mean ±Std. 4.57 ±1.18 4.98 ±1.07 4.52 ±1.51
DK vs. UK: p< 0.001
a
2
results in greater
expectations of
advanced diagnostics
and treatments
Disagreement (1–3) 13 (13.0) 22 (12.9) 25 (7.0)
H (2) = 9.917, p= 0.007
Neutral (4) 15 (15.0) 41 (24.0) 45 (12.5) AT vs. DK: p= 1.00 a
Agreement (5–7) 72 (72.0) 198 (63.2) 289 (80.5) AT vs. UK: p= 0.131 a
Mean ±Std. 5.00 ±1.20 4.95 ±1.2 5.25 ±1.12
DK vs. UK: p= 0.012
a
3
improves the discussion
about diagnostic and
treatment options as the
clients have
greater knowledge.
Disagreement (1–3) 44 (44.0) 40 (22.5) 105 (28.6) H (2) = 13.976,
p= 0.001
Neutral (4) 22 (22.0) 39 (2 3.1) 75 (20.4) AT vs. DK: p= 0.001 a
Agreement (5–7) 34 (34.0) 92 (54.4) 187 (51.0) AT vs. UK: p= 0.017 a
Mean ±Std. 3.87 ±1.44 4.53 ±1.32 4.29 ±1.38
DK vs. UK: p= 0.255
a
4
can lead to situations
where clients are better
informed than I am.
Disagreement (1–3) 68 (68.0) 81 (57.6) 197 (53.7)
H (2) = 5.474, p= 0.065
Neutral (4) 19 (19.0) 25 (14.5) 62 (16.9)
Agreement (5–7) 13 (13.0) 48 (27.9) 108 (29.4)
Mean ±Std. 3.02 ±1.30 3.31 ±1.53 3.41 ±1.45
5
causes clients to form
strong opinions so that
veterinarians have to
justify their diagnostic
and therapeutic steps.
Disagreement (1–3) 18 (18.0) 34 (20.0) 37 (10.1) H (2) = 26.953,
p< 0.001
Neutral (4) 11 (11.0) 15 (8.8) 31 (8.5) AT vs. DK: p= 1.00 a
Agreement (5–7) 71 (71.0) 121 (71.1) 297 (81.4) AT vs. UK: p= 0.001 a
Mean ±Std. 4.81 ±1.36 4.76 ±1.40 5.32 ±1.31
DK vs. UK: p< 0.001
a
6
creates a false
impression of modern
small animal practices.
Disagreement (1–3) 24 (25.0) 58 (36.5) 62 (17.4) H (2) = 56.893,
p< 0.001
Neutral (4) 35 (36.5) 56 (35.2) 66 (18.5) AT vs. DK: p= 0.047 a
Agreement (5–7) 37 (38.6) 45 (28.4) 229 (64.2) AT vs. UK: p= 0.002 a
Mean ±Std. 4.24 ±1.51 3.75 ±1.40 4.77 ±1.37
DK vs. UK: p< 0.001
a
Count (%). * Kruskal–Wallis H test.
a
Bonferroni correction was applied for multiple comparison between
three countries and significant variables.
3.4. What Explains Veterinarians’ Attitudes towards Clients’ Use of Internet Resources?
Six ordinal regression models were run for each country to try to understand the
attitudes underpinning the answers to the statements listed in Table 2(Supplementary
File S3). The attitudes were particularly impacted by the number of clients that the vet-
erinarians thought used internet resources to obtain information, and the frequency with
which they were questioned or challenged by clients using information from such sources.
A detailed overview of the significant findings is provided below.
3.4.1. Statement: Clients’ Use of Internet Resources Results in Greater Acceptance of
Advanced Diagnostics and Treatments
In Austria and the UK, veterinarians who indicated that their professional advice
was ‘frequently/always’ questioned by clients were less likely to agree with the statement,
compared to veterinarians who indicated that they were ‘never’ (Austria:
χ2
(1) = 11.009,
p< 0.001) or only ‘occasionally’ (Austria:
χ2
(1) = 8.578, p= 0.003; UK:
χ2
(1) = 6.940,
p= 0.008) questioned by clients.
In the UK, the likelihood of agreeing with this statement increased with age (UK:
χ2
(1) = 12.210, p< 0.001). In addition, the veterinarians who estimated that ‘none–19%’
of their clients make use of internet resources were less likely to agree with the statement
compared to those veterinarians who estimated that over 60% of their clients use internet
resources (UK: χ2(1) = 4.679, p= 0.031).
For Denmark, male veterinarians were more likely to agree with the statement than
their female colleagues (DK: χ2(1) = 5.411, p= 0.020).
Animals 2022,12, 2117 8 of 14
3.4.2. Statement: Clients’ Use of Internet Resources Results in Greater Expectations of
Advanced Diagnostics and Treatments
For the UK and Denmark, the likelihood of agreeing with this statement increased
with age (DK: χ2(1) = 4.684, p= 0.030; UK: χ2(1) = 5.870, p= 0.015).
Further, UK veterinarians who agreed more strongly that internet resources impact
clients’ desire to pursue treatment were more likely to agree that clients have greater
expectations of advanced diagnostics and treatments (UK:
χ2
(1) = 21.159, p< 0.001).
In addition, UK veterinarians who stated that their professional advice is ‘never’ (UK:
χ2
(1) = 12.945, p< 0.001) or only ‘occasionally’ (UK:
χ2
(1) = 12.525, p< 0.001) questioned
by clients were less likely to agree with the statement, compared to their colleagues who
are ‘frequently/always’ questioned by clients.
3.4.3. Statement: Clients’ Use of Internet Resources Improves the Discussion about
Diagnostic and Treatment Options as the Clients Have Greater Knowledge
For the UK, female professionals were more likely to agree with this statement than
their male colleagues (
χ2
(1) = 4.9730, p= 0.026). In addition, the likelihood of agreeing
with the statement increased with age (χ2(1) = 16.835, p< 0.001).
3.4.4. Statement: Clients’ Use of Internet Resources Causes Clients to Form Strong
Opinions So That Veterinarians Have to Justify Their Diagnostic and Therapeutic Steps
In all three countries, the likelihood of agreeing with the statement decreased with
an increasing age (Austria:
χ2
(1) = 4.003, p= 0.045; DK:
χ2
(1) = 5.7111, p= 0.017; UK:
χ2
(1) = 7.828, p= 0.005). Further, Austrian, Danish, and UK veterinarians who indicated
that their professional advice is ‘frequently/always’ questioned by clients were more likely
to agree with the statement compared to colleagues who indicated that clients ‘never’
questioned their advice (Austria:
χ2
(1) = 5.251, p= 0.022; Denmark:
χ2
(1) = 13.798,
p< 0.001; UK: χ2(1) = 13.886, p< 0.001).
Danish and UK veterinarians who stated that their professional advice was ‘occa-
sionally’ questioned by clients were less likely to agree with the statement compared to
veterinarians who indicated that this happened ‘frequently/always’ (Denmark:
χ2(1) = 4.996, p= 0.025; UK: χ2(1) = 8.228, p= 0.004).
In addition, Austrian veterinarians who indicated that over 60% of their clients used
internet resources were more likely to agree with this statement compared to those who
estimated the level to be ‘none–19%’ (
χ2
(1) = 4.561, p= 0.033) or ‘20–59%’ (
χ2
(1) = 7.376,
p= 0.007). Further, in Denmark and the UK, the veterinarians who indicated that the use of
internet resources had a strong impact on clients’ desire to pursue treatment were more
likely to agree with this statement (Denmark:
χ2
(1) = 11.551, p< 0.001; UK:
χ2
(1) = 4.216,
p= 0.040).
3.4.5. Statement: Clients’ Use of Internet Resources Creates a False Impression of Modern
Small Animal Practices
In Austria, female veterinarians were more likely to agree with this statement than
their male colleagues (
χ2
(1) = 6.068, p= 0.014). Additionally, veterinarians who indicated
that over 60% of their clients use internet resources were more likely to agree with this
statement than those veterinarians who indicated that ‘none–19%’ of their clients use them
(χ2(1) = 6.803, p= 0.009).
In the UK, veterinarians who indicated that their professional advice was ‘never’
(
χ2
(1) = 17.682, p< 0.001) or only ‘occasionally’ questioned (
χ2
(1) = 4.001, p= 0.045)
were less likely to agree with this statement compared to their colleagues who were
‘frequently/always’ questioned by clients. Further, UK veterinarians who indicated that
internet resources had a strong impact on clients’ desire to pursue treatment were more
likely to agree with this statement (χ2(1) = 6.080, p= 0.014).
Animals 2022,12, 2117 9 of 14
4. Discussion
The results of this comparative study show that veterinarians in all three countries
gave a similar estimate of the number of clients that consult the internet prior to a con-
sultation with their veterinarian. Approximately half of the Austrian, Danish, and UK
respondents estimated that between 40–79% of their clients used the internet. As there is a
less frequent use of the internet in Austria in general [
10
12
], we expected that Austrian
veterinarians might indicate that a lower percentage of their clients make use of internet
resources compared to their Danish and UK colleagues, but this was not the case. A pos-
sible explanation for this might be that animal owners are specifically motivated to look
for information about their animal’s treatment, irrespective of their general daily use of
the internet.
This would seem to be supported by the results of Kogan and colleagues [
2
], who
found that 94% of surveyed US animal owners used the internet to find medical information,
although at the time of data collection (2009), it was estimated that only 76% of American
adults in general used the internet [
19
]. Interestingly, even though a study among UK
veterinarians indicated that, compared with our study results, more veterinarians (68%)
believed that 41–80% of their clients used the internet to look for health information
about their animal [
5
], veterinarians’ estimates in both studies are clearly lower than the
proportion of owners that have been found to use internet resources. For example, in
a US study, 94% of the surveyed animal owners indicated that they used the internet to find
medical information [
2
]. This difference may be explained by the fact that not all clients
necessarily tell their veterinarian that they have consulted the internet for information.
This would seem to be the case based on Kogan and colleagues [
5
], who reported that
only 15% of the surveyed UK veterinarians think that the majority (61–100%) of clients
discuss the animal health information obtained online with their veterinarian. Therefore,
we recommend that future studies attempt to identify the actual number of animal owners
who make use of the internet in the veterinary context.
If we now consider why clients might use the internet to seek information on their
animals’ care, Kogan and colleagues proposed two main reasons: firstly, animal owners
may wish to be more informed or seek clarification following a discussion with the veteri-
narian [
2
]. Second, they may not believe or may disagree with the information provided
by the veterinarian [
2
]. In the latter case, this can lead to veterinarians being confronted
by clients who question their professional advice. Thus, a further aim of our study was to
identify how often veterinarians are confronted with clients who question their medical
advice based on information they have obtained online. We found that 70–78% of Austrian,
Danish, and UK respondents ‘occasionally’ found themselves in such a situation. However,
significantly more UK and Danish veterinarians stated that they are ‘frequently’ con-
fronted by clients who question their medical advice compared to their Austrian colleagues.
A possible explanation for the observed differences could be that Austrian veterinarians
may be underestimating the number of clients who challenge them with information that
has been obtained online. However, a more likely explanation is that many more relevant
or informative websites were available to clients in the UK and Denmark, which may have
led to a higher frequency of UK and Danish clients questioning the veterinarians’ advice.
Finally, it may be the case that Austrian animal owners wish to be better informed and
prepared for veterinary consultations, but simply choose not to subsequently question
their veterinarians’ advice. Although consultations in which clients question veterinarians’
medical advice may be experienced as being rather challenging, it is important that veteri-
narians do not discourage clients from asking questions, irrespective of the source of the
information. Only through such open discussion can clients’ concerns be acknowledged,
and a situation of shared-decision making be encouraged, rather than one in which the
client feels pressured to accept the veterinarians’ advice.
However, there is no doubt that when clients question their veterinarians’ medical
advice, it can affect their relationship. In a survey of 100 veterinarians in the UK, Kogan and
colleagues reported that 54% of respondents felt that clients’ use of the internet negatively
Animals 2022,12, 2117 10 of 14
impacted the relationship, and only 35% said that it had a positive effect [
5
]. In addition,
40% of veterinarians thought that clients obtaining medical information from the internet
had a negative impact on the health of the patient, 37% thought it had a positive effect, and
23% stated it had no effect [
5
]. In this context, a further aim of our study was to gain more
detailed insights into veterinarians’ attitudes towards the potential positive and negative
effects of clients’ use of internet resources.
If we first consider the possible positive effects, we assumed that the use of internet
resources would improve discussions between veterinarians and clients about diagnostic
and treatment options, as the clients would be better informed. We found that Austrian vet-
erinarians significantly more often disagreed with this than their Danish or UK colleagues.
This might be explained by the findings of Springer and colleagues, who reported that
Austrian small animal veterinarians indicated that clients’ ability to understand medical
issues during the consultation dialogue varied widely, and that there is a need to deal
flexibly with clients [
8
]. Yet, we would expect this to apply equally across countries, as the
ability of clients to understand medical information varies greatly, irrespective of whether
that information is provided by the veterinarian or independently sourced online. In the
latter case, client understanding can be complicated if the information obtained online
is erroneous, or if valid information is misinterpreted. This is supported by Kogan and
colleagues, who identified that 73% of their surveyed veterinarians believed that few (i.e., 0
to 40%) of their clients understood what they read online [
5
]. If this concern is shared more
widely, it could explain why respondents from all three countries mainly disagreed that
clients’ use of the internet leads to the clients being better informed than the veterinarian.
Therefore, further work is required to examine the quality of existing online resources, how
clients access them, and whether this varies between countries.
In addition to improving dialogue, we had also expected that clients’ use of internet
resources might increase their acceptance of advanced diagnostic and treatments options.
In general, veterinarians from all three countries tended to agree with this positive effect.
Interestingly, Austrian and UK veterinarians who indicated that their medical advice is
never questioned by clients were more likely to agree with this statement compared to col-
leagues who are frequently or always questioned by their clients. This is not surprising, as
it can be assumed that veterinarians who are often challenged based on online information
might feel this outweighs any benefits from clients’ greater acceptance of advanced treat-
ments. Despite the overall agreement, we identified that one quarter of the respondents had
a rather neutral stance, indicating neither a clear agreement nor disagreement towards this
statement. A possible explanation, based on the work by Kogan and colleagues, is that
while some owners might feel eager, confident, or reassured by the information they obtain
online, the amount of available information can also be frustrating, confusing, or even
overwhelming for others [
2
]. This can lead to the uncertainty of the clients, rather than
an increased willingness to accept the advanced diagnostics and treatments suggested by
their veterinarians. Further, clients need to be able to understand and critically review the
information that is available online in order to use it to appropriately inform their decisions,
and the ability to do so will vary with their background and educational level. For example,
Kogan and colleagues found that clients with at least some college education were more
likely to visit recommended websites compared to clients with a high school diploma or
general educational development, which might result in a greater acceptance of advanced
treatments [6].
Further, our study revealed some differences between male and female respondents.
For example, female veterinarians from the UK were more likely to agree that clients’ use
of internet resources improves discussions about diagnostic and treatment options, as the
clients are more knowledgeable. Recent research on the differences between women and
men related to the use of internet resources in a veterinary context mainly focusses on the
clients’ perspectives [
2
]. To the best of the authors’ knowledge, no comparable data exist
investigating potential gender differences based on studies of veterinarians. However, in
the human medical field, a survey of Dutch rheumatologists and oncologists by Uden-
Animals 2022,12, 2117 11 of 14
Kraan and colleagues reported that female physicians more often experience patients
raising information they have obtained from the internet during a consultation compared
to their male colleagues [
20
]. Based on that, Uden-Kraan and colleagues concluded that
female physicians might be considered more approachable by patients and more open to
the use of internet resources [
20
], which can improve discussion during a consultation. This
might also be the case in the veterinary context, as in general, female veterinarians were
more likely to agree that internet knowledge improved discussions with their clients.
However, as previously described, Kogan and colleagues identified that veterinar-
ians thought that the use of the internet also had a negative impact on the relationship
between the client and the veterinarian, as well as on the health status of the patient [
5
].
In addition, the results of an Austrian focus group study among small animal veterinari-
ans highlighted professionals’ concerns about increasing client expectations in regard to
advanced technology in diagnosis and treatment, as well as about the increasing use of
social media platforms to exchange with other clients via the internet [
8
]. The results of
our study support this, with veterinarians from all three countries agreeing that the use
of internet resources increased client expectations regarding advanced diagnostics and
treatments. While a certain level of expectation on the clients’ side can be beneficial when it
comes to dialogue about the use of advanced diagnostic tests or treatments during patient
care, it can be challenging when clients’ expectations differ significantly from those of the
veterinarian, or from the patients’ best interests [
8
]. This was highlighted in our study,
where UK veterinarians who thought that internet resources had a strong impact on clients’
desire to pursue treatment against the veterinarians’ advice, or ‘frequently’ or ‘always’
experienced clients questioning their medical advice, were more likely to agree that the
internet leads to increased client expectations.
Better-informed clients may also form strong opinions and expect veterinarians
to justify their diagnostic and therapeutic steps. Interestingly, we found that in all
three countries, younger veterinarians were more likely to view this as a negative ef-
fect. This might be explained in two ways: Firstly, clients may behave differently towards
younger and less experienced veterinarians compared to older and more experienced
professionals, more often challenging the younger veterinarians to justify their treatments.
Alternatively, younger and less experienced veterinarians may feel more insecure when
facing owners with strong opinions, feeling that they have to justify themselves, whereas
older and more experienced colleagues might feel less stressed and more secure in dealing
with such clients.
Finally, the volume and nature of information on the internet can sometimes give
clients an unrealistic impression of modern small animal practices. UK veterinarians
were more likely to agree with this compared to Austrian and Danish veterinarians, per-
haps because of the high media presence of cutting-edge veterinary medicine within the
UK [
21
]. For example, Noel Fitzpatrick is a well-known veterinary surgeon who has
a very popular television series (‘Supervet’) featuring challenging cases receiving advanced
treatments [
21
,
22
]. He also has a very visible presence on various internet channels such
as YouTube and other social media platforms, and this may indirectly influence the in-
formation about possible therapeutic options on other websites. Clients can be highly
influenced by exposure to such information and gain a false impression of the types of
services available in most veterinary practices. UK veterinarians in particular believe that
internet resources have a strong impact on clients’ desire to pursue treatment and are
more likely to agree that it creates a false impression of modern small animal practice
than vets in Austria and Denmark. Therefore, we recommend that veterinarians should
proactively direct clients towards appropriate and factually accurate online resources where
they can seek further information if desired. In this context, Kogan and colleagues found
that of the 94 veterinarians they surveyed who suggested websites to clients, 32% verbally
recommended particular websites, 21% gave written recommendations, and 17% gave both
written and verbal recommendations [
5
]. By providing both verbal and written information,
Animals 2022,12, 2117 12 of 14
as well as recommending reliable websites, veterinarians should be able to manage clients’
unrealistic impressions of modern small animal practices.
Although this study involves three countries to enable a comprehensive investigation
of our research questions, the study is subject to limitations:
First, since not all small animal veterinarians are members of a small animal association,
the study is subject to a selection bias, especially in Austria and the UK, with a coverage
error of around 30%. In addition, even though there was a very good socio-demographic
coverage by the three samples, the rather low response rates may lead to potential non-
response bias, where participants deviate systematically from those invited respondents
who did not reply. Further, the number of participants from the three countries varied,
with a higher number of UK veterinarians and much smaller numbers from Denmark
and Austria. This may have influenced the identification of significant differences in our
regression analyses. In Austria, the higher proportion of older (50–59 years) and self-
employed veterinarians and the lower proportion of veterinarians with 0.5–5 years of
work experience compared to Denmark and UK could have influenced the differences we
identified. Further, of the 21 veterinarians who were categorized as “Other” in relation to
business type, only three indicated that they were retired (one from each country). Due
to the small number and mostly short duration of retirement (<0.5, 1 and 7 years), we did
not consider this aspect in our analyses in the context of their ability to recall information
relating to their clients and clients’ use of internet resources.
Second, to generate an overview of the different aspects that are of relevance in relation
to clients’ use of internet resources, we formulated six statements to identify veterinarians’
attitudes toward this issue based on the results of an Austrian focus group study [
8
] as
well as the existing literature including empirical studies and anecdotal knowledge [
2
7
].
However, it was not specified whether veterinarians should answer the statements by
referring to their own personal experiences, or in relation to the profession in general.
These aspects should be explored independently in future research.
Third, the use of answer options such as “occasionally” or “frequently” is more
subjective compared to, for example, a specific percentage. Thus, the respondents may
have interpreted these terms differently, introducing variability into the reported
occurrence rates.
Fourth, veterinarians were asked how many of their clients they thought used internet
resources prior to a consultation, which may not reflect the actual number who do so, as
not all clients will explicitly share that information with their veterinarians. Future work
should collect that information directly from clients for a comparison.
Fifth, when we asked veterinarians about their perceptions of clients’ acceptance or
otherwise of ‘advanced’ diagnostics and treatments, we did not provide a detailed descrip-
tion of the term “advanced”. Although a generally understood and commonly used term
within the profession, it may have been interpreted in different ways by the respondents,
perhaps depending on their working background and/or level of specialization.
Although our results indicate how often veterinarians are challenged by clients ques-
tioning their professional advice based on information obtained from the internet, we did
not specify the context, e.g., clients questioning veterinarians on diagnostic or treatment
recommendations, costs, vaccination policies, behavioral issues, etc. Further, we did not
ask how often veterinarians showed interest in what kinds of information clients have
found on the internet. Hence, we recommend that these aspects should be explored in
future studies.
5. Conclusions
We conclude that veterinarians generally recognize the advantages of clients’ use
of internet resources to become better informed, for example, with respect to making
them potentially more accepting of advanced diagnostics and treatments in patient care.
However, it can also have a negative impact if clients misunderstand the information or
develop unrealistic expectations of what is possible in most small animal practices. As
Animals 2022,12, 2117 13 of 14
internet use increases, and the available information continues to rapidly expand, such
concerns will play an increasing role in modern veterinary practices. Thus, further research
is recommended to understand both the attitudes of clients towards internet resources and
the types of resources most frequently used to search for veterinary medical information.
Supplementary Materials:
The following supporting information can be downloaded at:
https://www.mdpi.com/article/10.3390/ani12162117/s1, File S1: Questionnaire; File S2: Socio-
demographic and practice-specific data; File S3: Ordinal regression analyses.
Author Contributions:
Conceptualization, S.S., H.G., P.S., T.B.L., A.T.K. and S.A.C.; methodology,
S.S.; software, S.S.; validation, T.B.L.; formal analysis, S.S.; investigation, S.S.; data curation, S.S.;
writing—original draft preparation, S.S.; writing—review and editing, H.G., P.S., T.B.L., A.T.K. and
S.A.C.; visualization, S.S.; supervision, H.G., P.S. and T.B.L.; project administration, S.S.; funding
acquisition, H.G. and P.S. All authors have read and agreed to the published version of the manuscript.
Funding:
This research was funded by the Austrian Science Fund (FWF), grant number P 29974-G24.
Institutional Review Board Statement:
The study was conducted in accordance with the Declaration
of Helsinki, and approved by Research Ethics Committee of SCIENCE and HEALTH at the University
of Copenhagen (ReF: 504-0114/19-5000).
Informed Consent Statement:
Informed consent was obtained from all subjects involved in the
study. We ensured informed consent in the following way: before participants were directed to the
survey, they were informed that the completion of the questionnaire was voluntary, that they could
exit the survey at any point, that the responses were anonymous, and that no personal information
(e-mail address etc.) could be traced back to them.
Data Availability Statement:
All relevant data are within the paper and its Supplementary Materials.
Acknowledgments:
The authors thank the veterinarians who participated in this study. They
also thank the VÖK (Vereinigung Österreichischer Kleintiermediziner), DVA (Danish Veterinary
Association) and BSAVA (British Small Animal Veterinary Association) for their support to distribute
the survey among members.
Conflicts of Interest: The authors declare no conflict of interest.
References
1.
Statista. Number of Internet Users in EU Countries as of December 2020. Available online: https://www.statista.com/statistics/
252753/number-of-internet-users-eu-countries/#:~{}:text=Number%20of%20internet%20users%20in%20EU%20countries%20
2020&text=This%20stood%20at%20nearly%2079.1,percent%20of%20the%20entire%20population (accessed on 12 May 2022).
2.
Kogan, L.R.; Schoenfeld-Tacher, R.; Viera, A.R. The Internet and health information: Differences in pet owners based on age,
gender, and education. JMLA 2012,100, 197–204. [CrossRef] [PubMed]
3.
Niedziela, K. British Vets Forced to Compete with ‘Dr. Google’. Available online: https://www.veterinarypracticenews.com/
british-vets-forced-to-compete-with-dr-google/ (accessed on 12 May 2022).
4.
Clarke, C.A.; Knights, D. Practice makes perfect? Skillful performances in veterinary work. Hum. Relat.
2018
,71, 1395–1421.
[CrossRef]
5.
Kogan, L.R.; Oxley, J.A.; Hellyer, P.; Schoenfeld-Tacher, R. United Kingdom Veterinarians’ Perceptions of Clients’ Internet Use and
the Perceived Impact on the Client–Vet Relationship. Front. Vet. Sci. 2017,4, 180. [CrossRef] [PubMed]
6.
Kogan, L.; Oxley, J.A.; Hellyer, P.; Schoenfeld, R.; Rishniw, M. UK pet owners’ use of the internet for online pet health information.
Vet. Rec. 2018,182, 601. [CrossRef] [PubMed]
7.
Volk, J.O.; Felsted, K.E.; Thomas, J.G.; Siren, C.W. Executive summary of the Bayer veterinary care usage study. J. Am. Vet.
Med. Assoc. 2011,238, 1275–1282. [CrossRef] [PubMed]
8.
Springer, S.; Sandøe, P.; Lund, T.B.; Grimm, H. “Patients’ interests first, but
. . .
”—Austrian Veterinarians’ Attitudes to Moral
Challenges in Modern Small Animal Practice. Animals 2019,9, 241. [CrossRef] [PubMed]
9.
BVA. Beware of Replacing Vet Visit with “Dr. Google”. Available online: https://www.bva.co.uk/news-and-blog/news-article/
beware-of-replacing-vet-visit-with-dr-google/ (accessed on 12 May 2022).
10.
Statista. Anteil der Täglichen Internetnutzer in Dänemark in den Jahren 2005 bis 2020. Available online: https://de.statista.com/
statistik/daten/studie/503257/umfrage/anteil-der-taeglichen-internetnutzer-in-daenemark/ (accessed on 12 May 2022).
11.
Statista. Anteil der Täglichen Internetnutzer im Vereinigten Königreich bis 2020. Available online: https://de.statista.com/
statistik/daten/studie/504800/umfrage/anteil-der-taeglichen-internetnutzer-im-vereinigten-koenigreich/ (accessed on
12 May 2022).
Animals 2022,12, 2117 14 of 14
12.
Statista. Anteil der Internetnutzer in Österreich 1996 bis 2020. Available online: https://de.statista.com/statistik/daten/studie/
184944/umfrage/anteil-der-personen-mit-internetzugang-in-oesterreich-seit-1996/#:~{}:text=In%20absoluten%20Zahlen%20
ausgedr%C3%BCckt%20bedeutet,sogar%20t%C3%A4glich%20oder%20fast%20t%C3%A4glich (accessed on 22 May 2022).
13.
Springer, S.; Sandøe, P.; Grimm, H.; Corr, S.A.; Kristensen, A.T.; Lund, T.B. Managing conflicting ethical concerns in modern
small animal practice—A comparative study of veterinarian’s decision ethics in Austria, Denmark and the UK. PLoS ONE
2021
,
16, e0253420. [CrossRef] [PubMed]
14.
Springer, S.; Lund, T.B.; Grimm, H.; Kristensen, A.T.; Corr, S.A.; Sandøe, P. Comparing veterinarians’ attitudes to and the potential
influence of pet health insurance in Austria, Denmark and the UK. Vet. Rec. 2022,190, e1266. [CrossRef] [PubMed]
15. Springer, S.; Lund, T.B.; Sandøe, P.; Corr, S.A.; Kristensen, A.T.; Grimm, H. Digital opportunities to connect and complain—The
use of Facebook in small animal practice. Vet. Rec. Open 2022,9, e29. [CrossRef] [PubMed]
16.
Campanelli, P. Testing survey questions. In International Handbook of Survey Methodology; De Leeuw, E., Hox, J.J., Dillmann, D.A., Eds.;
Lawrence Erlbaum: Mahwah, NJ, USA; Psychology Press: Hove, UK; Taylor and Francis: New York, NY, USA, 2008; pp. 191–197.
17.
Presser, S.; Couper, M.P.; Lessler, J.T.; Martin, E.; Martin, J.; Rothgeb, J.M.; Singer, E. Methods for testing and evaluating survey
questions. Public. Opin. Q. 2004,68, 109. [CrossRef]
18. Likert, R. A technique for the measurement of attitudes. Arch. Psychol. 1932,140, 1–55.
19.
Perrin, A.; Duggan, M. Americans’ Internet Access: 2000–2015. Available online: https://www.pewresearch.org/internet/2015
/06/26/americans-internet-access-2000-2015/ (accessed on 22 May 2022).
20.
Van Uden-Kraan, C.F.; Drossaert, C.H.C.; Taal, E.; Smit, W.M.; Seydel, E.R.; van de Laar, W.A.F.J. Experiences and attitudes
of Dutch rheumatologists and oncologists with regard to their patients’ health-related Internet use. Clin. Rheumatol.
2010
,
29, 1229–1236. [CrossRef] [PubMed]
21.
Malone, C. TV Supervet Noel Fitzpatrick on Amazing Animal Treatments: ‘I’m an Addict—It’s My Cocaine’. Available online:
https://www.mirror.co.uk/tv/tv-news/tv-supervet-noel-fitzpatrick-amazing-3632292 (accessed on 22 May 2022).
22.
Kvale, E.; Chicon Rueda, R.; Fitzpatrick, N. Limb-Sparing Surgery in Two Cats Using a Femoral Endoprosthesis with an Integrated
Total Knee Replacement Implant. Comp. Orthop. Traumatol. 2022,35, 134–142. [CrossRef] [PubMed]
... Similarly, results of a study of pet owners in the United Kingdom showed that owners were more likely to make use of the internet (79%) than to contact their veterinarian (72%) when looking for pet health information (2). These findings are also reflected in a transnational study of small animal veterinarians in Austria, Denmark and the United Kingdom, where approximately half of the veterinarians estimated that many of their clients use internet resources to find veterinary medical information (3). ...
... The literature highlights both risks and benefits of clients using the internet to obtain information. While the improvement of clients' knowledge and understanding of patient care and their increased acceptance of advanced diagnostics and treatments are seen as positive developments, increased expectations, misleading impressions of standards of care or misinterpretation of online information are highlighted as potentially negative aspects (3)(4)(5)(6)(7). In addition, studies show that veterinarians are increasingly experiencing situations where clients question their medical advice based on information obtained from the internet (3,4,6). ...
... While the improvement of clients' knowledge and understanding of patient care and their increased acceptance of advanced diagnostics and treatments are seen as positive developments, increased expectations, misleading impressions of standards of care or misinterpretation of online information are highlighted as potentially negative aspects (3)(4)(5)(6)(7). In addition, studies show that veterinarians are increasingly experiencing situations where clients question their medical advice based on information obtained from the internet (3,4,6). This, in turn, can have an impact not only on veterinary decision-making processes, but also on the relationship between the client and the veterinarian. ...
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Modern dog and cat owners increasingly use internet resources to obtain information on pet health issues. While access to online information can improve owners’ knowledge of patient care and inform conversations with their veterinarian during consultations, there is also a risk that owners will misinterpret online information or gain a false impression of current standards in veterinary medicine. This in turn can cause problems or tensions, for example if the owner delays consulting their veterinarian about necessary treatment, or questions the veterinarian’s medical advice. Based on an online questionnaire aimed at dog and cat owners in Austria, Denmark and the United Kingdom (N = 2117) we investigated the use of internet resources to find veterinary medical information, the type of internet resources that were used, and whether owner beliefs explain how often they used the internet to find medical information about their pet. Approximately one in three owners reported that they never used internet resources prior to (31.7%) or after (37.0%) a consultation with their veterinarian. However, when owners do make use of the internet, our results show that they were more likely to use it before than after the consultation. The most common internet resources used by owners were practice websites (35.0%), veterinary association websites (24.0%), or ‘other’ websites providing veterinary information (55.2%). Owners who believe that the use of internet resources enables them to have a more informed discussion with their veterinarians more often use internet resources prior to a consultation, whereas owners who believed that internet resources help them to make the right decision for their animal more often use internet resources after a consultation. The results suggest that veterinarians should actively ask pet owners if they use internet resources, and what resources they use, in order to facilitate open discussion about information obtained from the internet. Given that more than a third of pet owners use practice websites, the findings also suggest that veterinarians should actively curate their own websites where they can post information that they consider accurate and trustworthy.
... The acknowledgement of the search for knowledge was mentioned as a key component for a successful communication strategy for veterinarians as well [58]. Veterinarians from a European sample (AT, DK and UK) seem to be well aware that a large group of animal handlers searches online for information [62]. Around three quarters of them report that their professional advice is occasionally questioned by animal handlers [62], which is especially interesting taking into consideration that most pet owners from another UK sample mention that they discuss online information with their veterinarian "sometimes" [57]. ...
... Veterinarians from a European sample (AT, DK and UK) seem to be well aware that a large group of animal handlers searches online for information [62]. Around three quarters of them report that their professional advice is occasionally questioned by animal handlers [62], which is especially interesting taking into consideration that most pet owners from another UK sample mention that they discuss online information with their veterinarian "sometimes" [57]. ...
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Veterinary medicine is a highly complex profession that includes a very specific set of stressors that range from individual to social aspects, with several of them being relevant risk factors for a variety of conditions. The aim of this systematic review was to identify and cluster the material on stressors and suicidality in the veterinarian practice published during the last 10 years. The systematic review was conducted employing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines using PubMed, PsycNet, Google Scholar, Medline, PsycINFO, PSYNDEX and Web of Science (2012–present) by two independent researchers resulting in the inclusion of 30 quantitative and mixed methods studies. Results of these studies on stressors were categorized using the bio-psycho-social model showing that social stressors play a prominent role. This category includes the largest number of stressors indicating that the human–human interactions in the veterinarian practice are the main stressor, underlining that training in communication techniques is a potential starting point for interventions. In addition to stressors, the results showed an additional category “psychological consequences” describing mental health disorders and suicide. Although there are still gaps in research there is enough evidence to establish more tailored health promotion measures for veterinarians.
... Hong Kong's relatively short history of veterinary medicine, with regulation starting only in 1997 (44), has led to the AHE community's far-from-reality assumptions about the profession. Clients' inadequate knowledge of animal welfare, medical risks, and limitations has resulted in unrealistically high expectations, posing a universal stress for veterinarians (7,45,46). To address this, it is crucial to promote the visibility of the veterinary profession and facilitate transparent discussions between the AHE community and the professionals (47). ...
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Aims Limited research has explored the stressors experienced by veterinarians in East Asia. Metropolitan cities like Hong Kong may have overlooked factors that significantly contribute to veterinarians’ stress. This paper examines how client-related stressors and contextual factors contribute to the stress levels of Hong Kong-based veterinarians. Methods Veterinarians from small domestic animal practices in Hong Kong were recruited using purposive and targeted snowball samplings until thematic saturation was achieved. Semi-structured in-depth interviews were conducted, audio-recorded, transcribed, coded, and analysed using reflexive thematic analysis with an interpretivist paradigm based on Heidegger’s phenomenological approach. Results A total of 18 participating veterinarians described the expectations of and communication with the animal-health enthusiast (AHE) community, including clients, pet owners, and animal lovers, as their primary source of stress. Discrepant expectations and miscommunication between the AHE and veterinary communities, along with contextual factors, such as convenience in clinic switching, negative online reviews, and the relatively short history of the veterinary profession in the multilingual city, were identified as contributing factors to their stress. Recent socio-political events and the pandemic further intensified societal emotions, leading some clients to project frustrations onto perceived authority figures, including health professionals. Conclusion The study highlights that client-related stress extends beyond the health of animal patients, encompassing the expectations of the AHE community, which requires professional-level communication skills to build a mutually respectful three-party relationship. Besides, Hong Kong’s unique contextual and historical factors subtly but chronically impact veterinary practices, which can be easily overlooked. Recognising these influences and how they interact is crucial for collaboration, within and beyond the profession, at the policy level to improve veterinary training and practices. Implications Our findings highlight the importance of expectation management and improving communication quality to foster healthy relationships among animals, the AHE community, and veterinary professionals. These efforts are believed to alleviate veterinarians’ stress and enhance the well-being of all parties involved. We recommend incorporating effective communication and self-care discussions into the veterinary curriculum and advocating ongoing training for practising veterinarians. At the community level, encouraging open dialogues between animal caregivers and veterinary professionals can help address expectation discrepancies.
... The questionnaire content was developed based on a transnational questionnaire study revealing veterinarians' attitudes towards a variety of aspects of modern small animal practice. [28][29][30][31] In relation to specific questions that address the use of telemedicine, a literature review was conducted 2,[7][8][9][10][11][12][13][14]19,20 and served as the main basis for the development of items. Detailed information about the development of the survey in the three different languages and stages of pre-testing can be found in Supporting Information S3. ...
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Background Telemedicine offers benefits to clients and their animals, but potential disadvantages are also being debated. Methods Using a questionnaire, we investigated dog and cat owners’ ( N = 2117) use of and beliefs about telemedicine and whether beliefs impact past and expected future use. Results Although the majority of owners are aware that telemedicine can lead to the risk of something being missed, they see great potential in remote consultation in terms of usefulness for follow‐up appointments or improving access to a specialist. However, only 12% of dog owners and 6% of cat owners have used telemedicine, and around 25% of owners who have never used it would be willing to use it in the future. Owners with a larger number of recent veterinary visits were more likely to have used telemedicine. Limitations Although a definition of ‘telemedicine’ was provided, respondents may have had different perceptions of what this meant. Conclusion Owners of dogs and cats recognise the potential benefits of telemedicine, but there is a mismatch with the actual uptake. This not only raises questions about the current availability of telemedicine but also should increase veterinary professionals’ understanding of its potential benefits in veterinary practice.
... The horse owner's use of Internet resources to find medical information, and of social media platforms to enter into exchanges with other owners, may further explain these findings. In recent studies in the field of small-animal medicine veterinarians agreed that, for example, the use of Internet resources results in a greater acceptance of diagnostics and treatments [24]. Furthermore, social media platforms, such as Facebook, offer insights into veterinary practice [25] and enable exchanges between pet owners where health advice is given in or received by Facebook groups [26]. ...
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Equine veterinarians face a range of challenges when attending competition horses. Athletic goals may significantly impact veterinary decision making, and the veterinarian’s work can be complicated by reputational considerations and rival opinions during an assessment of whether a horse is “fit to compete”. Using an online questionnaire, we found that the majority of German, Austrian and Swiss equine veterinarians (N = 172) surveyed agreed that the owners of competition horses are more likely than owners of leisure horses to approach them with clear treatment ideas, and that the former have higher expectations of the medical services provided. The data also show that the veterinarian’s reputation plays a more important role in the competition sphere. Using a case vignette, we established that, on the grounds of equine welfare, the majority of respondents indicated that they would decide against starting a dressage horse with low-grade lameness in a competition. Those respondents who indicated that they would approve a start of the dressage horse indicated that a horse with a low-grade lameness was fit enough “to compete”. We conclude that clearer definitions of phrases, such as “fit to compete”, may be helpful in guiding veterinarians as they discharge their professional responsibilities during competitions and reduce the reputational stress they experience in this working context.
Article
YouTube is the third most popular app in the world and continues to grow each year while it reaches over 2 billion users a month. A variety of veterinary topics are addressed on YouTube but to date there have been no studies analysing misinformation of various canine cancer topics on YouTube or social media. This study described the characteristics of 99 unique videos and used the validated DISCERN quality criteria for consumer health information and the Patient Education Materials Assessment Tool (PEMAT) to characterize their usefulness. The overall median DISCERN quality score was 3 (out of 5), the median PEMAT understandability score was 72%, and 61% of videos contained little to no misinformation. 53% of videos were created by veterinarians and this subset had significantly higher PEMAT understandability and DISCERN quality scores compared with client-created content (p = .0228 and p ≤ .0001, respectively). Videos with little to no misinformation had statistically significant higher DISCERN quality scores (3 vs. 2, p = .0001). There was no statistical significance between misinformation levels and video length, PEMAT understandability, thumbs up/view, or views/mo. These data reveal similar rates of misinformation in videos on canine cancer compared to that reported for various human cancer topics. This study highlights the need for veterinarians to guide clients to more reliable and understandable information regarding their pet's health.
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Background: Social media is increasingly used in small animal practice, enabling veterinarians to connect with clients and promote their business online. It can also be used by clients to quickly distribute complaints via online communities. Material/methods: Using a questionnaire study we investigated Austrian, Danish and UK veterinarians' attitudes towards Facebook, the contents of clients' online complaints and how they were handled by veterinarians (N = 648). Results: In Denmark and the UK, around 90% of practices had a Facebook page, in contrast to 40% of Austrian practices. Most Danish and UK veterinarians agreed that the use of Facebook was relevant and expected by clients. Agreement was lower among Austrian veterinarians, probably reflecting the lower uptake of social media there. In particular, younger veterinarians and those who actively used Facebook for the practice, could see benefits. In all three countries, we found that clients most frequently complained about treatment costs. Most veterinarians preferred to actively deal with clients' complaints, either replying online or discussing them directly. Conclusions: We recommend future research focusing on veterinarians' personal use of social media and on clients' use of and attitudes towards social media in the veterinary context.
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Background: Health insurance offers many benefits to clients and veterinarians, such as the ability to perform necessary and possibly cost-intensive medical interventions without financial constraints, or to potentially prevent euthanasia based on financial challenges. However, concerns about negative consequences, such as the overuse of diagnostic tests or overtreatment, have also been raised. Methods: Using an online questionnaire distributed via e-mail, which included a section on health insurance, we investigated the relative number of insured dogs and cats treated by Austrian, Danish and UK veterinarians (N = 636) and the attitudes of those veterinarians toward health insurance. Further, using a case vignette, we examined whether coverage by health insurance may influence treatment suggestions. Results: Even though veterinarians in all three countries believe that health insurance reduces stress since clients' financial resources will be less important, we found that Austrian veterinarians are more likely to agree that health insurance is unnecessary compared to Danish and UK veterinarians. Further, many raised the concern that insurance policies influence clinical decisions; and less than half supported the idea of making insurance mandatory. A majority of veterinarians in Austria and the UK thought that insurance can lead to the overuse of diagnostic tests, and in the UK a majority also thought that it can lead to overtreatment. Using case vignettes, we found that veterinarians were significantly more likely to suggest a CT scan to a client with an insured animal, in contrast to a client with stated financial limitations. Further, UK veterinarians were more likely to suggest a CT scan to a client with an insured animal, in contrast to a client without insurance. Conclusion: In conclusion, we found that veterinarians, in general, were in favour of health insurance, and that greater coverage may increase more cost-intensive veterinary care. Our findings also raise a potential ethical challenge of health insurance causing differential access to clinical care for patients.
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Small animal veterinarians frequently have to manage conflicting interests. Beside the key consideration of the patient’s interests, small animal veterinarians are often challenged to consider not only client’s emotional needs, but also their own personal aspirations to provide quality patient care and to make a good living as a professional. Further, veterinarians have an interest in continuous professional development and the use of the newest treatments, which may influence their decision-making process. Based on published work, we hypothesize the existence of four decision ethics orientations that veterinarians can use to manage potentially conflicting concerns. These are: the patient-focused, the client-empathetic, the client-devolved and the development-oriented decision ethics orientations. We surveyed small animal veterinarians in Austria, Denmark, and the UK using a questionnaire (N = 648), and successfully identified the four decision ethics orientations in all three countries. The patient-focused and client-empathetic decision ethics orientations are salient in all countries, whereas Danish and UK veterinarians are slightly more client-empathetic and client-devolved compared to their Austrian colleagues. Across countries our findings show that experienced and older veterinarians tend to be more client-empathetic. Younger and less experienced professionals are more development-oriented compared to their older and more experienced colleagues. In contrast to other studies investigating ethical issues in small animal practice, we found no evidence that gender plays a decisive role in the tendency towards any decision ethics orientation. We also show that veterinarians with a higher client-empathetic orientation and development-orientation more often discuss the possibility of health insurance with clients who do not have it. The present study provides a first empirical insight into how veterinarians manage challenging expectations and ethical concerns as part of decision making in modern small animal practice.
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Small veterinary practice is experiencing steady improvement in diagnostics and therapies which enable veterinarians to offer evermore advanced medical care for their patients. This focus group study of veterinarians (n = 32) examined the impact of these improvements and the potential challenges they introduce in small animal practice. It shows that while advanced diagnostics and therapies deliver benefits in patient care, they also add complexities to decision-making. Although the veterinarians participating in the study were aware of their duty to act in the best interests of the animal, their decisions were highly dependent on factors such as the client’s financial background and the emotional bond between client and animal, as well as the veterinarian’s place of work, and level and field of specialization, and certain economic aspects of the practice. The overall conclusion is that small animal veterinarians are increasingly torn between serving the best interests of the animal, medical feasibility and contextual factors related to the client, the veterinarian, and professional colleagues. Further, the findings suggest that services are not only oriented towards the provision of medical care in a strict medical sense. On top of this, veterinarians need to deal with various expectations and wishes of clients which influence their decision-making. As it will be shown, factors like the possibility of referring patients to specialist veterinarians or prompt diagnostic results influence their decision-making.
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Is vetting a craft that must be learned owing to the limitations of scientific discipline, or simply a question of practice makes perfect? This question arose from our empirical research on veterinary surgeons (vets), who we found were often struggling with the divergence between the precise and unambiguous knowledge underlying the training and the unpredictability and imprecision of their everyday practices. These are comparatively underexplored issues insofar as the literature on vets tends to be descriptive and statistical, focusing primarily on clinical matters and associated human-animal interactions. Our cliché title has a question mark because while many vets remain embedded in the disciplined ‘certainties’ and causal regularities within their training, in practice this ordered world is rarely realized, and they are faced with indeterminacy where the ‘perfect’ solution eludes them. Vets often turn these unrealistic ideals of expertise back in on themselves, thus generating doubt and insecurity for any failure in their practices. In analysing vets’ experiences, we pay attention to the anatomical models of science, where linear causal analysis is expected to provide orderly and predictable outcomes or ‘right’ answers to problems, as well as notions of expertise that turn out to be illusory.
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The Internet is a commonly used resource for accessing health information. Despite the Internet’s popularity in the human health field, little is known about the Internet’s impact on veterinarians, their clients, and the veterinarian–client relationship. The aim of this study was to investigate the perception of veterinarians from the United Kingdom of clients’ use of the Internet and the perceived impact on pet health and the veterinarian–client relationship. A survey was distributed between January 4 and March 3, 2017, via an online link. In total, 100 veterinarians completed the survey. This study found that most UK veterinarians feel their clients access the Internet to find pet health information, yet often do not understand what they read online. Importantly, 40% of veterinarians stated that the Internet has a negative impact on companion animal health. This small-scale study found mixed opinions regarding veterinarians’ perceptions of their clients’ use of the Internet and the potential impact it has on the client–veterinarian relationship. Research on clients’ actual use of the Internet and their associated perceptions is a next logical step.
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Tester les questions d'enquête - Nouvelles perspectives dans l'entretient cognitif. Les quatres articles suivants de ce numéro ont été présentés en premier lieu comme contribution invitées à une session sur les méthodes congnitives dans la construction de questionnaires que l'auteur a organisé lors du Quatrième Conférence Internationale sur la Méthodologie en Sciences Sociales, les 1-5 juillet 1996. à l'Université d'Essex en Angleterre. Cet article fournit une introduction au sujet et un cadre d'interprétation pour les articles qui suivent.
Article
Objective The aim of this study was to describe a novel limb-sparing technique for the management of feline bone neoplasia using a custom-made femoral endoprosthesis in combination with a total knee replacement (TKR) prosthesis. Methods Two cats with distal femoral bone tumours underwent pelvic limb salvage procedures with custom-made implants designed from patient-specific computed tomography images to replace the distal femur and the stifle. In case 1, the first-generation implant was a combination of a cemented femoral endoprosthesis with a uniaxial hinged cemented TKR prosthesis. Due to aseptic loosening of the endoprosthesis, revision was performed with a second-generation femoral endoprosthesis modified with a short intramedullary peg and a lateral bone plate for immediate stability. In case 2, a third-generation endoprosthesis with an intramedullary peg and two orthogonal bone plates for immediate stability, combined with a custom-designed rotationally hinged cemented TKR prosthesis, was used. Clinical and radiographic follow-up was recorded. Results After revision surgery in case 1 and with the third-generation implant in case 2, no complications were encountered. Both cats showed minor mechanical restriction of stifle range of motion and good clinical long-term outcome without local tumour recurrence. Clinical Significance The combination of a femoral endoprosthesis and a TKR prosthesis can be a viable alternative for distal femoral limb salvage in cats.
Article
The internet has been found to be a popular source for human health information. However, there is a lack of information on pet owners’ use of the internet to source pet health information and implications for the owner–veterinarian relationship. Therefore, the aim of this study was to address this gap in knowledge by focusing on UK pet owners’ general use of the internet to find online pet health information and the impact of this behaviour on the owner–veterinarian relationship. An online survey targeting UK pet owners resulted in 571 respondents. Respondents reported the most frequently used source for pet health information was the internet (78.6 per cent), followed by their veterinarian (72 per cent). Veterinarians and other pet owners, however, were rated as the most trustworthy sources. The topics searched for most often online were specific medical problems (61.3 per cent) and diet/nutrition (58.5 per cent). Regarding the owner–veterinarian relationship, 42.1 per cent of participants reported discussing information they found online ‘sometimes’ with their veterinarian. When asked if their veterinarian recommended specific websites, nearly half (49.6 per cent) stated that their veterinarian ‘never’ made such recommendations, yet over 90 per cent said they would visit veterinarian-recommended websites.
Article
The authors hope that this book will be valuable to students training to become the next generation of survey professionals, to survey researchers seeking guidance on current best practices in questionnaire evaluation and testing, and to survey methodologists designing research to advance the field and render the current chapters out of date. This chapter presents an overview of the field and of the chapters that follow.