Objective—To compare veterinarians' and pet owners' perceptions of client expectations with respect to the monetary aspects of veterinary care and identify challenges encountered by veterinarians in dealing with pet owners' expectations.
Design—Qualitative study based on focus group interviews.
Participants—6 pet owner focus groups (32 owners) and 4 veterinarian focus groups (24 companion animal veterinarians).
Procedures—Independent focus group sessions were conducted with standardized open-ended questions and follow-up probes. Content analysis was performed on the focus group discussions.
Results—Pet owners expected the care of their animal to take precedence over monetary aspects. They also expected veterinarians to initiate discussions of costs upfront but indicated that such discussions were uncommon. Veterinarians and pet owners differed in the way they related to discussions of veterinary costs. Veterinarians focused on tangibles, such as time and services. Pet owners focused on outcome as it related to their pet's health and well-being. Veterinarians reported that they sometimes felt undervalued for their efforts. A suspicion regarding the motivation behind veterinarians' recommendations surfaced among some participating pet owners.
Conclusions—Results suggested that the monetary aspects of veterinary care pose barriers and challenges for veterinarians and pet owners. By exploring clients' expectations, improving communication, educating clients, and making discussions of cost more common, veterinarians may be able to alleviate some of the monetary challenges involved in veterinarian-client-patient interactions.
Objective—To identify specific components of veterinarian-
client-patient communication during clinical
appointments in companion animal practice.
Design—Cross-sectional descriptive study.
Sample Population—A random sample of 50 companion
animal practitioners in southern Ontario and a
convenience sample of 300 clients and their pets.
Procedure—For each practitioner, 6 clinical appointments
(3 wellness appointments and 3 appointments
related to a health problem) were videotaped, and the
Roter interaction analysis system (RIAS) was used to
analyze the resulting 300 videotapes. Statements
made during each appointment were classified by
means of a communication framework reflecting the
4 essential tasks of the appointment (ie, data gathering,
education and counseling, relationship building,
and activation and partnership).
Results—57% of the veterinarians contacted (50/87) and
99% of the clients contacted agreed to participate in the
study. Mean duration of the appointments was 13 minutes.
Typically, veterinarians contributed 62% of the total
conversation and clients contributed 38%. Fifty-four percent
of the veterinarian interaction was with the client,
and 8% was with the pet. Data gathering constituted 9%
of the veterinarian-to-client communication and was primarily
accomplished through closed-ended questioning;
48% of veterinarian-to-client communication involved
client education and counseling, 30% involved relationship
building, and 7% involved activation and partnership
(the remaining 6% constituted orientation).
Conclusions and Clinical Relevance—Results suggest
that the RIAS was a reliable method of assessing
the structure, process, and content of veterinarianclient-patient communication and that some veterinarians
do not use all the tools needed for effective communication.
(J Am Vet Med Assoc 2004;225:222–229)
Procedures—274 team members participated in an online survey. Overall job satisfaction was evaluated with a 1-item measure, and the 3 dimensions of burnout (exhaustion, cynicism, and professional efficacy) were measured with the Maslach Burnout Inventory-General Survey. Team effectiveness was assessed with a survey developed for this study. Demographic and team effectiveness factors (coordinated team environment, toxic team environment, team engagement, and individual engagement) associated with job satisfaction and burnout were evaluated.
Results—Overall mean job satisfaction score was 5.46 of 7 (median, 6.00); veterinary technicians and kennel attendants had the lowest scores. According to the Maslach survey results, 22.4% of participants were in the high-risk category for exhaustion, 23.2% were in the high-risk category for cynicism, and 9.3% were in the high-risk category for professional efficacy. A coordinated team environment was associated with increased professional efficacy and decreased cynicism. A toxic team environment was negatively associated with job satisfaction and positively associated with exhaustion and cynicism. Individual engagement was positively associated with job satisfaction and professional efficacy and negatively associated with exhaustion and cynicism.
Conclusions and Clinical Relevance—Results suggested the effectiveness of a veterinary team can significantly influence individual team members’ job satisfaction and burnout. Practices should pay specific attention to the effectiveness with which their veterinary team operates.