3 results on '"population health management"'
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2. [Survey among livestock veterinarians from the Canton of Fribourg investigating the topics of herd-health management, counselling and the use of antimicrobial drugs]
- Author
-
Michèle Bodmer, Salome Dürr, and Manuela Gerber
- Subjects
Counseling ,medicine.medical_specialty ,Livestock ,Time Factors ,040301 veterinary sciences ,Visit rate ,610 Medicine & health ,Demographic data ,Nationwide survey ,Herd health ,Veterinarians ,0403 veterinary science ,Anti-Infective Agents ,Surveys and Questionnaires ,Medicine ,Animals ,Fertility management ,Demography ,General Veterinary ,Individual animal ,630 Agriculture ,business.industry ,Drug Resistance, Microbial ,04 agricultural and veterinary sciences ,Fertility ,Fees and Charges ,Family medicine ,Herd ,590 Animals (Zoology) ,Population Health Management ,Female ,business ,Switzerland - Abstract
The work of veterinarians is continuously undergoing structural changes. A shift from purely curative individual animal care towards herd-health management is observed worldwide in the livestock sector. To illustrate the practical implementation with all its advantages and disadvantages, an online survey was conducted among all practicing livestock veterinarians in the Canton of Fribourg. A link to the survey was sent by email, it was voluntary and possible to complete the questionnaire anonymously. The survey focused on four topics: Demographic data, herd-health management, billing of counselling and use of antimicrobial drugs. Forty veterinarians from at least 79.2% (n = 19) of all veterinary practices located in the canton of Fribourg (n = 24) responded. Of these, 67.5% were practice owners or partner (n = 27) and 32.5% were employed veterinarians (n = 13). In Fribourg, only herd fertility management is included in the herd-health management on a regular basis. The quality and quantity of advanced trainings in herd-health management for veterinarians was assessed as moderate to poor. There are various options for charging herd-health management services. The amount charged was variable. The most frequently used options were hourly rates (100-300 CHF/h), "rate per cow per year excl. visit rate" (22-75 CHF/cow/year) or "rate per cow per year incl. visit rate" (85-98 CHF/ cow/year). Only one veterinarian (2.5%) charges for advisory activities not included in the the herd-health management service, which was asked for separately. However, the time required for counselling (excluding herd-health management) was estimated to be between 5.0-70.0% of the total working time (median 15.0%, interquartile range = 10.0-32.5%). Veterinarians in Fribourg are reHauptluctant to follow the international trend towards a regular, integrated herd-health management. The majority of them do not charge for consultancy outside the herdhealth management service. A nationwide survey should be considered to better assess the situation all over Switzerland.Die Tierärzteschaft ist in ihrer Arbeit einem ständigen Strukturwandel unterworfen und ein stetiger Wandel in Richtung Bestandesmedizin wird im Nutztiersektor beobachtet. Um die praktische Umsetzung mit ihren Vorund Nachteilen abzubilden, wurde eine Online-Umfrage bei allen im Kanton Freiburg und angrenzenden Gebieten praktizierenden Nutztierärzten durchgeführt. Ein Link zur Umfrage wurde per Email verschickt, die Teilnahme war freiwillig und die Daten konnten auf Wunsch anonymisiert erfasst werden. Der Fokus der Umfrage lag auf folgenden vier Themen: demographische Daten, Bestandesmedizin, Verrechnung von Beratungstätigkeiten und Antibiotikaeinsatz. Vierzig Tierärzte aus mindestens 79.2% (n = 19) aller Freiburger Nutztierarztpraxen (n = 24) haben geantwortet. Davon waren 67.5% Praxisinhaber oder Teilinhaber (n = 27) und 32.5% angestellte Tierärzte (n = 13). Im Kanton Freiburg wird lediglich Fruchtbarkeitsbetreuung flächendeckend und regelmässig in die Bestandesbetreuung miteinbezogen (100.0%). Das Fortbildungsangebot für Tierärzte zum Thema Bestandesmedizin wird als mittelmässig bis schlecht beurteilt. Die Verrechnung bestandesmedizinischer Dienstleistungen erfolgt bei den Studienteilnehmern auf unterschiedliche Weise mit teils sehr hohen Differenzen: Am häufigsten wird im Stundenansatz (100–300 CHF/h) verrechnet, am zweithäufigsten „pro Kuh pro Jahr exkl. Besuchstarif “ (22–75 CHF/Kuh/Jahr) und am dritthäufigsten „pro Kuh pro Jahr inkl. Besuchstarif “ (85–98 CHF/Kuh/Jahr). Nur ein Tierarzt (2.5%) gab an, seine Beratungstätigkeit ausserhalb der Bestandesmedizin zu verrechnen. Der zeitliche Aufwand für die Beratung (exkl. Bestandesbetreuung) wird auf zwischen 5.0–70.0% der Gesamtarbeitszeit geschätzt (Median 15.0%, Interquartilsabstand = 10.0–32.5%). Die Freiburger Tierärzteschaft folgt dem internationalen Trend zur Einführung der regelmässigen integrierten Bestandsbetreuung nur zögerlich. Eine schweizweite Umfrage sollte in Betracht gezogen werden, um die Situation landesweit beurteilen zu können.Les vétérinaires sont soumis à un changement structurel permanent dans leur travail et cette évolution va dans la direction de la médecine de troupeau pour le secteur des animaux de rente. Pour pouvoir décrire les avantages et les inconvénients, une enquête en ligne a été effectuée auprès de tous les vétérinaires praticiens ruraux du canton de Fribourg et des régions limitrophes. Un lien vers l’enquête a été envoyé par courriel. La participation était sur une base volontaire et les données pouvaient être anonymisées, si souhaité. L’enquête portait sur les quatre thématiques principales suivantes: données démographiques, médecine de troupeau, facturation des prestations de conseil et administration d’antibiotiques. Quarante vétérinaires, soit 79.2% (n = 19) de toutes les pratiques vétérinaires rurales fribourgeoises (n = 24), ont répondu. De ceux-ci, 67.5% étaient propriétaires ou associés ( n= 27) et 32.5 % employés (n = 13). Dans le canton de Fribourg, le suivi de fertilité est effectué seulement de manière généralisée et intégré régulièrement dans le suivi de troupeau (100%). L’offre en formation continue aux vétérinaires sur la thématique médecine de troupeau est évaluée de moyenne à médiocre. La facturation des prestations de médecine de troupeau se déroule auprès des participants à l’étude de manière différenciée, avec même de très grandes différences: le plus souvent un barème horaire (100-300 CHF/h), à la seconde place «par vache et année sans le tarif de la visite» (22-75 CHF/vache/an) et en troisième position «par vache et année avec le tarif de la visite inclus» (85-98 CHF/Vache/an). Seul un vétérinaire (2.5%) a indiqué facturer des prestations de conseil en dehors du suivi de troupeau. Cependant, l’investissement en temps pour le conseil (sans le suivi de troupeau) est estimé de 5.0 à 70% du temps total de travail (moyenne: 15.0%, écart interquartile = 10.0–32.5%). La corporation vétérinaire fribourgeoise suit la tendance internationale à l’introduction d’un suivi de troupeau intégré et régulier, avec un peu de retard. Une enquête au niveau suisse devrait permettre d’évaluer la situation au niveau national.I veterinari sono soggetti a cambiamenti strutturali continui nel loro lavoro e questa evoluzione punta verso una gestione della salute delle mandrie nel settore degli animali da reddito. Alfine di delineare i vantaggi e gli svantaggi è stato effettuato un sondaggio online tra tutti i veterinari stabiliti in zone rurali nel canton Friburgo e nelle regioni limitrofe. Un link per il sondaggio è stato inviato via e-mail. La partecipazione era su base volontaria e i dati potevano essere anonimizzati se desiderato. Il sondaggio portava su quattro temi principali: dati demografici, gestione della salute della mandria, fatturazione delle prestazioni di consulenza e somministrazione di antibiotici. Hanno risposto quaranta veterinari cioè il 79.2% (n = 19) fra tutte le pratiche veterinarie rurali friburghesi (n = 24). Tra questi il 67.5% erano proprietari o associati (n = 27) e il 32.5 % impiegati (n = 13). Nel canton Friburgo la gestione della fertilità viene effettuata solo su base generale ed è integrata nella gestione della mandria (100%). L’offerta di formazione continua proposta ai veterinari sui temi della gestione della salute della mandria viene valutata da media a scarsa. La fatturazione delle prestazioni per la gestione della salute della mandria si svolge secondo le risposte dei partecipanti in modo diverso con differenze che possono essere molto grandi: più spesso su base oraria (100-300 CHF/h), quindi “per vacca e anno senza la tariffa per la visita” (22-75 CHF/vacca/anno) e infine “per vacca e anno con la tariffa per la visita inclusa“ (85-98 CHF/ vacca/anno). Solo un veterinario (2.5%) ha dichiarato di fatturare delle prestazioni di consulenza al di fuori della gestione della salute della mandria. Tuttavia, il dispendio in tempo per la consulenza (senza la gestione della mandria) è stimato tra il 5.0 e il 70% del tempo di lavoro totale (media: 15.0%, intervallo interquartile = 10.0 – 32.5%). L’associazione dei veterinari friburghesi è riluttante a seguire la tendenza internazionale di una gestione regolare e integrata della mandria. Un sondaggio a livello svizzero permetterebbe una valutazione della situazione a livello nazionale.
- Published
- 2020
3. [Survey among livestock veterinarians from the Canton of Fribourg investigating the topics of herd-health management, counselling and the use of antimicrobial drugs].
- Author
-
Gerber M, Dürr S, and Bodmer M
- Subjects
- Animals, Demography, Drug Resistance, Microbial, Fees and Charges, Female, Fertility, Livestock, Surveys and Questionnaires, Switzerland, Time Factors, Anti-Infective Agents therapeutic use, Counseling economics, Population Health Management, Veterinarians economics
- Abstract
Introduction: The work of veterinarians is continuously undergoing structural changes. A shift from purely curative individual animal care towards herd-health management is observed worldwide in the livestock sector. To illustrate the practical implementation with all its advantages and disadvantages, an online survey was conducted among all practicing livestock veterinarians in the Canton of Fribourg. A link to the survey was sent by email, it was voluntary and possible to complete the questionnaire anonymously. The survey focused on four topics: Demographic data, herd-health management, billing of counselling and use of antimicrobial drugs. Forty veterinarians from at least 79.2% (n = 19) of all veterinary practices located in the canton of Fribourg (n = 24) responded. Of these, 67.5% were practice owners or partner (n = 27) and 32.5% were employed veterinarians (n = 13). In Fribourg, only herd fertility management is included in the herd-health management on a regular basis. The quality and quantity of advanced trainings in herd-health management for veterinarians was assessed as moderate to poor. There are various options for charging herd-health management services. The amount charged was variable. The most frequently used options were hourly rates (100-300 CHF/h), "rate per cow per year excl. visit rate" (22-75 CHF/cow/year) or "rate per cow per year incl. visit rate" (85-98 CHF/ cow/year). Only one veterinarian (2.5%) charges for advisory activities not included in the the herd-health management service, which was asked for separately. However, the time required for counselling (excluding herd-health management) was estimated to be between 5.0-70.0% of the total working time (median 15.0%, interquartile range = 10.0-32.5%). Veterinarians in Fribourg are reHauptluctant to follow the international trend towards a regular, integrated herd-health management. The majority of them do not charge for consultancy outside the herdhealth management service. A nationwide survey should be considered to better assess the situation all over Switzerland.
- Published
- 2020
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