Many veterinary practices around the world do not meet basic post-operative cat care, thereby compromising cat welfare. Understanding why the appropriate care is not always given is important. The current study used a mixed methods approach of two phases, to investigate the barriers Malaysian veterinarians face in seeking to provide good cat care in practice. Phase 1 involved a survey consisting of 14 questions which were divided into three sections (demographic details, basic management and barriers experienced by practices) and emailed to 143 Malaysian veterinarians. While for phase 2, 20 interviews were undertaken (recruited from the survey sample) to further elaborate on the results. A Thematic Analysis was conducted to extract the main barriers experienced by participants. A total of 49 veterinarians completed the survey. Over half of the respondents were senior veterinarians (i.e. those with two or more years in practice) (53.1%; n = 26) who were aware of the basic environmental provisions that cats need post-surgery such as bedding and toileting facilities (57.1%; n = 28). Cost (47%; n = 23) was the biggest restriction to good care provision. Interview findings showed that participants were aware of comfortable post-surgery environments helping recovery, but barriers were highlighted: workload factors and a lack of understanding of cat pain behaviours and associated stress. This suggested that participants had the knowledge required to provide good cat care but experienced difficulties putting this into practice. Therefore, to improve cat welfare in veterinary practice, instead of focusing purely on education, interventions to increase good cat care could include targeted elements that support behaviour change to overcome the barriers.

Veterinary practice is subject to veterinary surgeons’ professional ethics, which ensure that patients’ welfare is considered paramount and clients’ interests are considered important. The provision of veterinary services is also subject to market forces that can affect transactions between clients and veterinarians. Veterinary markets could encourage or permit welfare harms due to potential market variations, imperfections and limitations, for example where financial constraints limit owners’ willingness to pay for treatment or veterinarians’ abilities to provide pro bono treatment. Consequently, economic factors could lead to potential welfare compromises through animals being undertreated, overtreated or mistreated. Fortunately there are possible solutions to these problems. Some are supplier-driven, for example improved the market functioning through transparency and honesty, strategically disrupting it through co-ordinating clinical standards and protocols or using veterinary authority to influence clients. Others are consumer-driven, for example improving consumer decision-making through the actions of insurance companies.

Veterinary care is important for maintaining companion animal health; however, it also has the potential to impact other aspects of patient welfare. To investigate factors related to veterinary care that are likely to influence canine and feline welfare, animal welfare researchers, veterinarians with an expertise in animal welfare, and Canadian and American companion and mixed animal veterinarians were invited to participate in a three-stage online survey. Participants were asked to do the following: i) identify factors related to the veterinary experience that impact patient welfare; ii) rate the relative impact of each factor; and iii) gauge the feasibility of measuring and improving each factor. Overall, 78 participants identified 85 factors that impact animal welfare in the clinic (eg restraint techniques) and home environment (eg advice regarding behaviour and training). Among factors, seven themes emerged: physical environment of the clinic; routine animal care provided by veterinary team members (‘staff); interactions between the patient, staff, and client; clinic management; medical and surgical procedures; staff attitudes and education; and communication between the veterinarian and client. Mean relative impact scores ranged from 1.0 to 3.8 on a five-point scale (0-4), with 70% of factors receiving a score greater than 3. Most participants (> 80%) agreed that 68% of the identified factors could be feasibly improved in an average veterinary clinic and that 43% of the factors could be feasibly measured during a welfare assessment. These results identify key areas where veterinary care may impact the welfare of canine and feline patients and highlight priority areas where assessment and improvement are possible.