St. Denis Veterinary Professional Corporation, Powassan, ON, Canada.
Faithful Friends Veterinary Clinic, Dublin, OH, USA.
J Feline Med Surg. 2023 Nov;25(11):1098612X231204199. doi: 10.1177/1098612X231204199.
Cat Friendly Practices (CFPs) were compared with non-CFP control practices to determine whether CFPs had an increased proportion of clinical visits, number of visits per cat per year and inclusion of diagnostic testing. To measure diagnostic testing behavior, the numbers and types of tests analyzed and clinically relevant findings were compared.
In a retrospective analysis comparing CFPs and non-CFPs, clinic financial data and associated diagnostic tests from a commercial laboratory for 2018 and 2021 were analyzed. Data were stratified based on visit type and included revenue per visit type, revenue per patient, the number of visits per year and the proportion of visits that included diagnostic testing. Analyses of clinical findings for June 2021 to June 2022 examined clinical findings associated with biochemistry, complete blood count, urinalysis and thyroid testing categories at diagnostic patient visits, the proportion of clinical visits in which each finding was observed, the volume of testing categories as a proportion of clinical visits, and the proportion of diagnostic visits with one, two, three or four testing categories.
The average revenue per feline visit and visits that included diagnostic testing were higher at CFPs. There was no difference in the proportion of wellness visits; however, CFPs had higher mean visits per year per patient. CFPs performed diagnostic testing at 12% more clinical visits, and had higher annual revenue per feline patient for all visits and for visits including diagnostic testing. CFPs had higher odds of patients having >1 visit that included bloodwork or urinalysis. They were more likely to include all four testing categories and less likely to include only one category at a diagnostic visit. CFPs identified a higher number of cats with clinical findings.
CFPs exhibited unique diagnostic testing behavior by performing more diagnostic tests more frequently and identifying a higher number of cats with abnormal findings.
将猫友好实践（CFP）与非 CFP 对照实践进行比较，以确定 CFP 是否增加了临床就诊次数、每只猫每年就诊次数以及包括诊断性检查。为了衡量诊断性检测行为，分析了检测数量和类型以及临床相关发现。
在一项比较 CFP 和非 CFP 的回顾性分析中，对 2018 年和 2021 年一家商业实验室的临床财务数据和相关诊断性检测进行了分析。根据就诊类型对数据进行分层，包括每类就诊的收入、每位患者的收入、每年就诊次数以及包括诊断性检查的就诊比例。对 2021 年 6 月至 2022 年 6 月的临床发现进行了分析，检测了与生化、全血细胞计数、尿液分析和甲状腺检测相关的临床发现，观察到每个发现的就诊比例、检测类别在就诊中的占比，以及诊断性就诊中包含一个、两个、三个或四个检测类别的比例。
CFP 每只猫就诊的平均收入和包含诊断性检查的就诊比例更高。整体健康检查的就诊比例没有差异；然而，CFP 每年每位患者的就诊次数更多。CFP 在 12%的临床就诊中进行了诊断性检查，在所有就诊和包括诊断性检查的就诊中，每只猫的年平均就诊收入更高。CFP 就诊中，有更多的患者有>1 次包含血液检查或尿液分析的就诊。他们更有可能包含所有四个检测类别，而在诊断性就诊中更不可能只包含一个类别。CFP 发现了更多有临床发现的猫。
CFP 表现出独特的诊断性检测行为，包括更频繁地进行更多的诊断性检测，以及识别出更多有异常发现的猫。
