Any suggestion for these panels on cost/quality

RE: Any suggestion for these panels on cost/quality

Neil Wheadon — Thu, 12 Jan 2023 11:14:27 GMT

OOH cover has changed the game

Look at last night. We had a dog in with a swollen throat, probable stick injury. So what are we to do?

The practice closes at 18:30. This case may need hospitalization post operation.

Therefore you have to refer, in effect you have little choice.

Once at a referral centre they will naturally do what they wish to do and here's a critical point, the buck stops at the referral centre. In effect first opinion vets have it a little easier in that if it's out their scope then a referral centre needs to sort it, that probably explains the CT scans etc

To any new graduate, seek out a practice that does their own OOH, the case load is more varied and more interesting, your career will benefit. It's not all about the hours in your formative years

Neil

RE: Any suggestion for these panels on cost/quality

Bob Russell — Thu, 12 Jan 2023 10:28:08 GMT

I believe the term gold standard is a very unhelpful one. Does it mean a slightly diluted version of what the referral centres practice? I it what the DC 'experts' believe is necessary or is it what the majority of vets try to achieve within the welfare, budget and owner choice?

My gold standard is the later! Referral is great and I appreciate the ability to send cases to people far cleverer than I am. I learn lots from every referral as well!

Must get on to the 1CPD app and reflect! Am I the only one that thinks this is bull++it?

RE: Any suggestion for these panels on cost/quality

Neil Wheadon — Sun, 08 Jan 2023 16:20:44 GMT

[quote userid="2145" url="~/001/nonclinical/f/life-in-practice-discussions/30536/any-suggestion-for-these-panels-on-cost-quality"]'The cost v quality paradox, the impact on staff of trying to save money'[/quote]

Is this to the client or the practice?

[quote userid="2145" url="~/001/nonclinical/f/life-in-practice-discussions/30536/any-suggestion-for-these-panels-on-cost-quality"]The financial crisis - new perspectives on the Gold standard[/quote]

There is no gold standard, it's a name invented by vets wanting to make everyone follow their own agenda.

It's all about evidence based medicine and listening to the client. I'm having a run of clients with 14 year old dogs who frankly don't want the CT scan and associated medical/surgical 'gold standard' interventions. Many have been burnt by previous pets getting this. What they want is for vets to listen and make their pet comfortable, it was ever thus

Neil

RE: Any suggestion for these panels on cost/quality

Richard Carter — Sat, 07 Jan 2023 08:54:48 GMT

Think we had a previous post on this but guess the take home one was- will a diagnosis or test change anything for either you or the client or the patient

It really is no point in confirming a diagnosis of hyperthyroidism for eg if the owner not going to treat

Suppose another example would be a stable dog on OA meds. A SG and dips would tell you more than a renal panel