Publications by authors named "Mike Greenberg"

Community care is a creative way of thinking about health care that mobilizes resources within a community and consists of four core principles: recognition of the urgency of access-to-care for the veterinary profession, collaboration within community networks, family-centered health care, and redefining the gold standard of care. The AAHA Community Care Guidelines for Small Animal Practice offer strategies to help busy veterinary practitioners increase access to care within their practice and community by optimizing collaborative networks. While these guidelines do not claim to provide exhaustive solutions to access-to-care issues, they propose a starting point from which private practices can explore and implement workable solutions for their community and their practice.

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Background: Access to veterinary care has been identified as the largest animal welfare issue in contemporary society. Access to veterinary care is complicated by several factors, including the cost of care, potential language differences between providers and clients, the number of care providers, and distance to a care provider. Each of these factors alone can impact an individual's ability to seek adequate veterinary medical care for their companion animal, with an additional burden when multiple factors are present.

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Objectives: This research seeks to identify an existing policy stream around the establishment of a veterinarian-client-patient relationship (VCPR) through telemedicine to provide evidence of, and advance policy alternatives for, states and countries looking to allow this practice responsibly. This is seen as an important step for access to veterinary care, particularly for cats.

Methods: The multiple streams policy framework requires identification of a centering event, problem stream, policy stream and politics stream in order to have the necessary conditions for policy change to occur.

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Access to veterinary care is a complex problem that sits at the intersection of a number of societal factors including income inequality, access to transportation, language and cultural differences as well as the spatial distribution of veterinary care providers. This research aims to create an index evaluating accessibility of veterinary care across the contiguous United States and thus fill an important gap in the literature. The location and number of employees of veterinary clinics were aggregated at the county level.

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