PDF(Pubmed)
Abstract：
Horses in Great Britain are living into increasingly older age and are often regarded as friends or family members by their owner. The horse is reliant on their owner to meet their needs and this paper discusses how horse owners frame an issue that becomes a matter of veterinary concern within the context of the older horse. Qualitative methods were used to explore the experiences of owners and veterinarians. Data were collected and analysed using a grounded theory approach during the period 2019-2022. Analysis identified that owners undertook an ongoing and iterative process of assessment, monitoring and decision making in relation to the animal and any changes they observed. Matters that became a veterinary concern required the owner to formulate the issue as something that fell within the knowledge domain of the veterinarian. Veterinarians had a medicalised view of older horse health and their perspectives on socially acceptable care were shaped by their understanding of species-specific needs, and whether owners were providing appropriately for those needs. The formulation of a matter of veterinary concern was itself shaped by an owner\'s experiential knowledge of both veterinary matters and their horse. The extent to which owners felt like they and their individual horse mattered during interactions with veterinarians affected whether they adopted veterinary advice and the nature of future veterinary employment. Findings demonstrate how matters of health, disease, and the role of professionalised forms of medical knowledge, are not static but constantly changing and interacting over time. An issue that became a matter of veterinary concern was contextual, and rooted in individual relationships. The significance of veterinarian-owner interactions in shaping future consumption of veterinary health care may be underestimated.
摘要：
英国的马越来越老，通常被主人视为朋友或家人。这匹马依靠主人来满足他们的需求，本文讨论了马主人如何在老马的背景下提出一个成为兽医关注的问题。定性方法用于探索业主和兽医的经验。在2019-2022年期间，使用扎根理论方法收集和分析了数据。分析发现，业主进行了持续和迭代的评估过程，与动物有关的监测和决策以及他们观察到的任何变化。成为兽医关注的问题要求所有者将问题表述为属于兽医知识领域的问题。兽医对老年马的健康有医学上的看法，他们对社会可接受的护理的看法是由他们对物种特定需求的理解决定的。以及业主是否适当地满足了这些需求。兽医关注问题的制定本身是由所有者对兽医问题和他们的马的经验知识形成的。业主在与兽医互动期间觉得自己和自己的马很重要的程度影响了他们是否采用了兽医建议以及未来兽医就业的性质。研究结果表明，健康问题，疾病,以及专业形式的医学知识的作用，不是静态的，而是随着时间的推移不断变化和相互作用。一个成为兽医关注的问题是上下文，植根于个人关系。可能低估了兽医与所有者之间的互动在塑造未来兽医医疗保健消费中的重要性。
