Challenges for the veterinary profession: A grounded theory study of veterinarians' experiences of caring for older horses.

Abstract

BACKGROUND: In Great Britain, owners are keeping their horses into increasingly older age, reflecting societal changes in human-animal relationships. The uptake of routine veterinary services is reported to reduce as horses age. Horse owners seek information regarding their animal's health from alternative sources before and/or following veterinary involvement. Information regarding the experiences and behaviours of veterinarians toward older horse health care provision is limited. OBJECTIVE: This study sought to explore how veterinary care for the ageing horse is conceptualised and approached by veterinarians treating horses in Great Britain. STUDY DESIGN: Exploratory qualitative. METHODS: A subset of qualitative data, collected as part of a larger study investigating how owners and veterinarians make decisions regarding the care of the older horses, was analysed using a constructivist grounded theory approach. Data included semi-structured in-depth interviews with nine veterinarians and veterinary clinical records pertaining to the horses of 13 participating owners. RESULTS: Veterinarians valued regular interactions with owners to optimise a horse's management, however, the timing and nature of veterinary involvement varied. The context of older age shaped decision-making and 'age-appropriate' interventions were negotiated within the context of each horse and owner. Where participants had concerns about a horse, they sought to achieve an owner's adherence to their advice while navigating the veterinarian-owner relationship. Interpersonal dimensions of veterinarian-owner interactions appeared to shape, and could challenge, veterinarians' delivery of health care services and their own sense of being a professional who cares for animals, and about people. MAIN LIMITATIONS: A sample of veterinarians were recruited for this study based on horse owners' involvement. CONCLUSIONS: The provision of veterinary care for the older horse rests upon networks of relationships. Collaboration between the profession and owners in both the design and delivery of, veterinary health care services may better enable different types of knowledge and values to be brought together more effectively.