{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T16:21:54Z","timestamp":1794327714036,"version":"4.9.0"},"reference-count":68,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Record"],"published-print":{"date-parts":[[2024,3,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Demand for brachycephalic dogs has dramatically increased over the past decade, despite growing evidence of strong associations between brachycephaly and severe, chronic disease. Positive post\u2010purchase attitudes of owners towards brachycephalic dogs are highly intractable, facilitated by normalisation of breed\u2010related disease and strong dog\u2013owner bonds. Veterinarian\u2010led pre\u2010purchase consultations (PPCs) have been promoted as an opportunity to influence acquisition decisions regarding brachycephalic dogs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using reflexive thematic analysis, this qualitative study investigated veterinarians\u2019 attitudes towards, and experiences of, engaging in PPCs for brachycephalic dogs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Veterinarians described significant structural barriers, such as lack of time and staff, and perceptual barriers, such as perceived futility, negative outcomes of PPCs and public distrust in the profession, that combine to inhibit many veterinarians from offering or delivering brachycephalic PPCs. Some of these barriers are intractable at an individual\u2010veterinarian level and lead to moral distress due to conflicts between veterinarians\u2019 responsibilities to animal welfare versus clients' and business needs, with resultant censorship of authentic views on brachycephalic ownership compromising professional integrity and autonomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>Wider views and\/or experiences may exist outside of the sampled population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stronger veterinary leadership, including from the RCVS, BVA and veterinary corporates, is now urgently required to build profession\u2010wide solutions that overcome the barriers identified to create public\u2010facing consensus and innovative solutions to the \u2018brachycephalic crisis\u2019.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/vetr.3897","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T01:06:14Z","timestamp":1708477574000},"source":"Crossref","is-referenced-by-count":13,"title":["\u2018All I do is fight fires\u2019: Qualitative exploration of UK veterinarians\u2019 attitudes towards and experiences of pre\u2010purchase consultations regarding brachycephalic dogs"],"prefix":"10.1002","volume":"194","author":[{"given":"Lauren","family":"Pound","sequence":"first","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Farrow","sequence":"additional","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1115-2723","authenticated-orcid":false,"given":"Dan","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Pathobiology and Population Sciences, Royal Veterinary College  Hatfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Deane","sequence":"additional","affiliation":[{"name":"Valley Veterinary Hospital Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9988-9828","authenticated-orcid":false,"given":"Rowena M. 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