Open Access
Research
(Published
online: 18-11-2016)
18.
Comparison of veterinary health services
expectations and perceptions between oncologic pet owners, non-oncologic
pet owners and veterinary staff using the SERVQUAL methodology -
Hugo Gregório, Patricia Santos, Isabel Pires, Justina Prada and
Felisbina Luísa Queiroga
Veterinary World, 9(11): 1275-1281
doi:
10.14202/vetworld.2016.1275-1281
Hugo Gregório:
Veterinary Hospital Centre, Rua Manuel Pinto de Azevedo 118,
4100-320 Porto, Portugal; hugogregvet@hotmail.com
Patricia Santos:
Department of Veterinary Sciences, University of Trás-os-Montes
and Alto Douro, 5001-801 Vila Real, Portugal; patriciarebsantosvet@gmail.com
Isabel Pires:
Animal and Veterinary Research Centre (CECAV), University of
Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal;
ipires@utad.pt
Justina Prada:
Animal and Veterinary Research Centre (CECAV), University of
Trás-os-Montes and Alto Douro, 5001-801 Vila Real, Portugal;
jprada@utad.pt
Felisbina Luísa Queiroga:
Center for Research and Technology of Agro-Environment and
Biological Sciences (CITAB), University of Trás-os-Montes and Alto
Douro, 5001-801 Vila Real, Portugal; fqueirog@utad.pt
Received: 24-06-2016, Accepted: 04-10-2016, Published online:
18-11-2016
Corresponding author:
Felisbina Luísa Queiroga, e-mail: fqueirog@utad.pt
Citation:
Gregório H, Santos P, Pires I, Prada J, Queiroga FL (2016)
Comparison of veterinary health services expectations and
perceptions between oncologic pet owners, non-oncologic pet owners
and veterinary staff using the SERVQUAL methodology,
Veterinary World, 9(11):
1275-1281.
Abstract
Aim:
Client satisfaction gained great importance in health care as a
measurement of service quality. One of the most popular methods to
evaluate client satisfaction is the SERVQUAL inquiry which
measures service quality by evaluating client expectations and
services towards a service in five dimensions: Tangibles, Empathy,
Assurance, Reliability and Responsiveness.
Materials and Methods:
In order to evaluate if owners of pets with cancer constitute a
distinctive group from the general pet owner population and if
these differences were perceived by the hospital staff we applied
a SERVQUAL questionnaire to 51 owners of pet with cancer, 68
owners from the general pet population and 14 staff members.
Results:
Owners of oncologic pets had different expectations of an ideal
service granting importance to Assurance questions (6.75 vs 6.5,
p= 0.045) while showing unmet needs in Reliability and Empathy
dimensions. Veterinarians failed to understand these specificities
and over evaluated characteristics of Tangible dimension (6.75 vs
6.25, p=0.027).
Conclusion:
Owners of pet with cancer seem to constitute a specific
subpopulation with special needs and veterinary staff should
invest resources towards Assurance instead of privileging tangible
aspects of veterinary services. By aligning professionals
expectations with those of pet owners veterinarians can achieve
better client satisfaction, improved compliance and stronger
doctor-owner relationships.
Keywords:
expectations, oncology, perceptions, SERVQUAL, veterinary.
References
1. Volk, J.O., Felsted, K.E., Thomas, J.G. and Siren, C.W.
(2011) Executive summary of the Bayer veterinary care usage
study. J. Am. Vet. Med. Assoc., 238: 1275-1282.
https://doi.org/10.2460/javma.238.10.1275
PMid:21568772 |
|
2. Brown, J.P. and Silverman, J.D. (1999) The current and
future market for veterinarians and veterinary medical
services in the United States. J. Am. Vet. Med. Assoc., 215:
161-183.
PMid:10416465 |
|
3. Mellanby, R.J., Rhind, S.M., Bell, C., Shaw, D.J., Gifford,
J., Fennell, D., Manser, C., Spratt, D.P., Wright, M.J.H.,
Zago, S. and Hudson, N.P.H. (2011) Perceptions of clients and
veterinarians on what attributes constitute "a good vet". Vet.
Rec., 168: 616.
https://doi.org/10.1136/vr.d925
PMid:21642296 |
|
4. Martin, F. and Taunton, A. (2006) Perceived importance and
integration of the human-animal bond in private veterinary
practice. J. Am. Vet. Med. Assoc., 228: 522-527.
https://doi.org/10.2460/javma.228.4.522
PMid:16478423 |
|
5. Parasuraman, A., Zeithaml, V. and Berry, L. (1985) A
conceptual model of service quality and its implications for
future research. J. Mark., 49: 41-50.
https://doi.org/10.2307/1251430 |
|
6. Parasuraman, A., Zeithaml, V. and Berry, L. (1988) SERVQUAL:
A multiple item scale for measuring consumer perceptions of
service quality. J. Retailing, 64: 12-40. |
|
7. Parasuraman, A., Berry, L. and Zeithaml, V. (1991)
Refinement and reassessementt of the SERVQUAL scale. J.
Retailing, 67: 420-450. |
|
8. Babakus, E. and Mangold, W.G. (1992) Adapting the SERVQUAL
scale to hospital services: An empirical investigation. Health
Serv. Res., 26: 767-786.
PMid:1737708 PMCid:PMC1069855 |
|
9. Deshwal, P., Ranjan, V. and Mittal, G. (2014) College
clinic service quality and patient satisfaction. Int. J.
Health Care Qual. Assur., 27: 519-530.
https://doi.org/10.1108/IJHCQA-06-2013-0070
PMid:25115054 |
|
10. Talib, F., Azam, M. and Rahman, Z. (2015) Service quality
in healthcare establishments: A literature review. Int. J.
Behav. Healthc. Res., 5(1-2): 1-24.
https://doi.org/10.1504/IJBHR.2015.071465 |
|
11. Scardina, S.A. (1994) SERVQUAL: A tool for evaluating
patient satisfaction with nursing care. J. Nurs. Care Qual.,
8: 38-46.
https://doi.org/10.1097/00001786-199401000-00008 |
|
12. Palihawadana, D. and Barnes, B.R. (2004) The measurement
and management of service quality in dental healthcare. Health
Serv. Manage. Res., 17: 229-236.
https://doi.org/10.1258/0951484042317750
PMid:15527538 |
|
13. Ramessur, V., Hurreeram, D.K. and Maistry, K. (2015)
Service quality framework for clinical laboratories. Int. J.
Health Care Qual. Assur., 28: 367-381.
https://doi.org/10.1108/IJHCQA-07-2014-0077
PMid:25982637 |
|
14. Coe, J.B., Adams, C.L. and Bonnett, B.N. (2007) A focus
group study of veterinarians' and pet owners' perceptions of
the monetary aspects of veterinary care. J. Am. Vet. Med.
Assoc., 231: 1510-1518.
https://doi.org/10.2460/javma.231.10.1510
PMid:18020992 |
|
15. Stoewen, D.L., Coe, J.B., MacMartin, C., Stone, E.A. and
Dewey, C.E. (2014) Qualitative study of the information
expectations of clients accessing oncology care at a tertiary
referral center for dogs with life-limiting cancer. J. Am.
Vet. Med. Assoc., 245: 773-783.
https://doi.org/10.2460/javma.245.7.773
PMid:25229529 |
|
16. Stoewen, D.L., Coe, J.B., MacMartin, C., Stone, E.A. and
Dewey, C.E. (2014) Qualitative study of the communication
expectations of clients accessing oncology care at a tertiary
referral center for dogs with life-limiting cancer. J. Am.
Vet. Med. Assoc., 245: 785-795.
https://doi.org/10.2460/javma.245.7.785
PMid:25229530 |
|
17. Case, D.B. (1988) Survey of expectations among clients of
three small animal clinics. J. Am. Vet. Med. Assoc., 192:
498-502.
PMid:3372299 |
|
18. Teno, J.M., Lima, J.C. and Lyons, K.D. (2009) Cancer
patient assessment and reports of excellence: Reliability and
validity of advanced cancer patient perceptions of the quality
of care. J. Clin. Oncol., 27: 1621-1626.
https://doi.org/10.1200/jco.2008.16.6348 |
|
19. Ferrell, B., Hanson, J. and Grant, M. (2013) An overview
and evaluation of the oncology family caregiver project:
Improving quality of life and quality of care for oncology
family caregivers. Psycho Oncology, 22: 1645-1652.
https://doi.org/10.1002/pon.3198
PMid:23065694 PMCid:PMC3821732 |
|
20. Prouty, C.D., Mazor, K.M., Greene, S.M., Roblin, D.W.,
Firneno, C.L., Lemay, C.A., Robinson, B.E. and Gallager, T.H.
(2014) Providers' perceptions of communication breakdowns in
cancer care. J. Gen. Intern. Med., 29: 1122-1130.
https://doi.org/10.1007/s11606-014-2769-1
PMid:24599795 PMCid:PMC4099451 |
|
21. DuBenske, L.L., Wen, K., Gustafson, D.H., Guarnaccia,
C.A., Cleary, J.F., Dinauer, S.K. and McTavish, F.M. (2008)
Caregivers' differing needs across key experiences of the
advanced cancer disease trajectory. Palliat. Support. Care, 6:
265-272.
https://doi.org/10.1017/S1478951508000400
PMid:18662420 PMCid:PMC3590014 |
|
22. Jenkins, V., Catt, S., Banerjee, S., Gourley, C., Montes,
A., Solis-Trapala, I., Monson, K. and Fallowfield, L. (2013)
Patients' and oncologists' views on the treatment and care of
advanced ovarian cancer in the UK: Results from the ADVOCATE
study. Br. J. Cancer, 108: 2264-2271.
https://doi.org/10.1038/bjc.2013.223
PMid:23652312 PMCid:PMC3681025 |
|
23. Hamood, W.J., Chur-Hansen, A. and McArthur, M.L. (2014) A
qualitative study to explore communication skills in
veterinary medical education. Int. J. Med. Educ., 5: 193-198.
https://doi.org/10.5116/ijme.542a.975d
PMid:25341230 PMCid:PMC4216729 |
|
24. Brønden, L.B., Rutteman, G.R., Flagstad, A. and Teske, E.
(2003) Study of dog and cat owners' perceptions of medical
treatment for cancer. Vet. Rec., 152: 77-80.
https://doi.org/10.1136/vr.152.3.77
PMid:12570310 |
|
25. Coe, J.B., Adams, C.L. and Bonnett, B.N. (2008) A focus
group study of veterinarians' and pet owners' perceptions of
veterinarian-client communication in companion animal
practice. J. Am. Vet. Med. Assoc., 233: 1072-1080.
https://doi.org/10.2460/javma.233.7.1072
PMid:18828715 |
|
26. O'Connor, S.J., Trinh, H.Q. and Shewchuk, R.M. (2000)
Perceptual gaps in understanding patient expectations for
health care service quality. Health Care Manage. Rev., 25:
7-23.
https://doi.org/10.1097/00004010-200004000-00002
PMid:10808414 |
|
27. Huang, Y.Y. and Li, S.J. (2010) Understanding quality
perception gaps among executives, frontline employees, and
patients: The outpatient services in Taiwan hospitals. Qual.
Manage. Health Care, 19: 173-184.
https://doi.org/10.1097/qmh.0b013e3181db647f |
|
28. Grassi, L. (2007) Bereavement in families with relatives
dying of cancer. Curr. Opin. Support. Palliat. Care, 1: 43-49.
https://doi.org/10.1097/SPC.0b013e32813a3276
PMid:18660724 |
|
29. Payne, E., Bennett, P.C. and McGreevy, P.D. (2015) Current
perspectives on attachment and bonding in the dog-human dyad.
Psychol. Res. Behav. Manage., 8: 71-79.
https://doi.org/10.2147/PRBM.S74972
PMid:25750549 PMCid:PMC4348122 |
|
30. Adams, C.L., Bonnett, B.N. and Meek, A.H. (2000)
Predictors of owner response to companion animal death in 177
clients from 14 practices in Ontario. J. Am. Vet. Med. Assoc.,
217: 1303-1309.
https://doi.org/10.2460/javma.2000.217.1303
PMid:11061379 |
|
31. Tzivian, L., Friger, M. and Kushnir, T. (2015)
Associations between stress and quality of life: Differences
between owners keeping a living dog or losing a dog by
euthanasia. PLoS One, 10: e0121081.
https://doi.org/10.1371/journal.pone.0121081 |
|
32. Shaw, J.R., Adams, C.L. and Bonnett, B.N. (2004) What can
veterinarians learn from studies of physician-patient
communication about veterinarian-client-patient communication?
J. Am. Vet. Med. Assoc., 224: 676-684.
https://doi.org/10.2460/javma.2004.224.676
PMid:15002804 |
|
33. Abood, S.K. (2007) Increasing adherence in practice:
Making your clients partners in care. Vet. Clin. North Am.
Small, 37: 151-164.
https://doi.org/10.1016/j.cvsm.2006.09.011
PMid:17162118 |
|
34. Lue, T.W., Pantenburg, D.P. and Crawford, P.M. (2008)
Impact of the owner-pet and client-veterinarian bond on the
care that pets receive. J. Am. Vet. Med. Assoc., 232: 531-540.
https://doi.org/10.2460/javma.232.4.531
PMid:18279086 |
|
35. Otani, K., Waterman, B., Faulkner, K.M., Boslaugh, S. and
Dunagan, W.C. (2010) How patient reactions to hospital care
attributes affect the evaluation of overall quality of care,
willingness to recommend, and willingness to return. J.
Healthc. Manage., 55: 25-37.
PMid:20210071 |
|
36. Adams, C.L. and Frankel, R.M. (2007) It may be a dog's
life but the relationship with her owners is also key to her
health and well being: Communication in veterinary medicine.
Vet. Clin. North Am. Small, 37: 1-17.
https://doi.org/10.1016/j.cvsm.2006.10.003 |
|
37. Vinagre, H. and Neves, J. (2010) Emotional predictors of
consumer's satisfaction with healthcare public services. Int.
J. Health Care Qual. Assur., 23: 209-227.
https://doi.org/10.1108/09526861011017111
PMid:21388101 |
|
38. Meggiolaro, E., Berardi, M.A., Andritsch, E., Nanni, M.G.,
Sirgo, A., Samorì, E., Farkas, C., Ruffilli, F., Caruso, R.,
Bellé, M., Linares, E.J., De Padova, S. and Grassi, L. (2016)
Cancer patients' emotional distress, coping styles and
perception of doctor-patient interaction in European cancer
settings. Palliat. Support. Care, 14: 204-211.
https://doi.org/10.1017/S1478951515000760
PMid:26155817 |
|
39. Bowling, A., Rowe, G. and McKee, M. (2013) Patients'
experiences of their healthcare in relation to their
expectations and satisfaction: A population survey. J. R. Soc.
Med., 106: 143-149.
https://doi.org/10.1258/jrsm.2012.120147 |
|
40. Bowling, A., Rowe, G., Lambert, N., Waddington, M.,
Mahtani, K.R., Kenten, C., Howe, A. and Francis, S.A. (2012)
The measurement of patients' expectations for health care: A
review and psychometric testing of a measure of patients'
expectations. Health Technol. Assess., 16: 1-509.
https://doi.org/10.3310/hta16300
PMid:22747798 |
|
41. O'Connor, S.J., Shewchuk, R.M. and Carney, L.W. (1994) The
great gap. Physicians' perceptions of patient service quality
expectations fall short of reality. J. Health Care Mark., 14:
32-39.
PMid:10137125 |
|
42. Jung, H.P., Wensing, M., Olesen, F. and Grol, R. (2002)
Comparison of patients' and general practitioners' evaluations
of general practice care. Qual. Saf. Health Care, 11: 315-319.
https://doi.org/10.1136/qhc.11.4.315
PMid:12468690 PMCid:PMC1758010 |
|
43. Friele, R.D., Reitsma, P.M. and De Jong, J.D. (2015)
Complaint handling in healthcare: Expectation gaps between
physicians and the public; results of a survey study. BMC Res.
Notes, 8: 529.
https://doi.org/10.1186/s13104-015-1479-z
PMid:26429097 PMCid:PMC4591727 |
|