Prevalence and nature of cost discussions during clinical appointments in companion animal practice

Journal of the American Veterinary Medical Association
Jason CoeBrenda N Bonnett

Abstract

To determine prevalence and nature of cost discussions between veterinarians and pet owners during clinical appointments in companion animal practice. Cross-sectional descriptive study. 20 veterinarians in companion animal practice in eastern Ontario and 350 clients and their pets. 200 veterinarian-client-patient interactions were randomly selected from all videotaped interactions and analyzed with the Roter interaction analysis system. Additional proficiency codes and blocking functions were developed to capture the prevalence, nature, and context of cost discussions. 58 of the 200 (29%) appointments that were analyzed included a discussion of cost. During 38 of these 58 (66%) appointments, the discussion involved costs associated with the veterinarian's time or with services provided by the veterinarian. Overall, reference to a written estimate was made during only 28 of the 200 (14%) appointments. Cost discussions were most common during appointments in which a decision related to diagnostic testing or dentistry was made. Appointments were significantly longer when a cost discussion was included than when it was not. Results of the present study suggested that discussions related to cost were relatively uncommon during clini...Continue Reading

Citations

Jun 16, 2011·Journal of the American Veterinary Medical Association·Laura M A DysartCindy L Adams
Mar 27, 2012·Journal of the American Veterinary Medical Association·Jane R ShawDebra L Roter
May 30, 2012·The Veterinary Clinics of North America. Equine Practice·Claudia Sandoval, Claudia True
Jul 31, 2013·The Journal of Small Animal Practice·S EverittM Cobb
May 15, 2015·Journal of the American Veterinary Medical Association·Clare MacMartinCindy L Adams
Apr 9, 2017·The Journal of Small Animal Practice·P V SteagallD Pang
Jun 29, 2017·Journal of Applied Animal Welfare Science : JAAWS·Elizabeth LaValleeEmily McCobb
Sep 7, 2018·The Veterinary Record·Heather FowlerPeter Rabinowitz
Apr 16, 2019·Journal of the American Veterinary Medical Association·Leandra J Nogueira BordenJane R Shaw
Jul 30, 2019·Journal of the American Veterinary Medical Association·Meagan R PainterJulia E Painter
Jun 14, 2019·Journal of Veterinary Medical Education·Alyssa M SullivantDavid Morse
Aug 22, 2017·Frontiers in Veterinary Science·Alexandra M PhillipsCindy L Adams

Related Concepts

Farm Animals
Veterinary Medicine (Discipline)
Videocassette
Treatment Costs
Veterinarian
Cross-Sectional Studies
Dentistry
Health Services
Pet Animal
Diagnostic Procedure

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Pediculosis pubis

Pediculosis pubis is a disease caused by a parasitic insect known as Pthirus pubis, which infests human pubic hair, as well as other areas with hair including eye lashes. Here is the latest research.

Rh Isoimmunization

Rh isoimmunization is a potentially preventable condition that occasionally is associated with significant perinatal morbidity or mortality. Discover the latest research on Rh Isoimmunization here.

Genetic Screens in iPSC-derived Brain Cells

Genetic screening is a critical tool that can be employed to define and understand gene function and interaction. This feed focuses on genetic screens conducted using induced pluripotent stem cell (iPSC)-derived brain cells. It also follows CRISPR-Cas9 approaches to generating genetic mutants as a means of understanding the effect of genetics on phenotype.

Enzyme Evolution

This feed focuses on molecular models of enzyme evolution and new approaches (such as adaptive laboratory evolution) to metabolic engineering of microorganisms. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Pharmacology of Proteinopathies

This feed focuses on the pharmacology of proteinopathies - diseases in which proteins abnormally aggregate (i.e. Alzheimer’s, Parkinson’s, etc.). Discover the latest research in this field with this feed.

Alignment-free Sequence Analysis Tools

Alignment-free sequence analyses have been applied to problems ranging from whole-genome phylogeny to the classification of protein families, identification of horizontally transferred genes, and detection of recombined sequences. Here is the latest research.