PRESENTATION
BROCHURE
ESTRATEGIAS PARA FOMENTAR EL CUMPLIMIENTO TERAPÉUTICO EN MEDICINA VETERINARIA
STRATEGIES TO ENHANCE TREATMENT COMPLIANCE IN VETERINARY PRACTICE Eva María Pérez Merino Miguel Rodríguez Chamorro
Strategies to Enhance Treatment Compliance
in Veterinary Practice Medication compliance refers to how strictly own ers follow a veterinary clinician’s instructions when administering treatments prescribed for their pets. Vets are responsible for promoting and ensuring treatment compliance, as noncompliance could lead to treatment failure, public health issues, unjustified costs for owners, and a loss of income.
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ESTRATEGIAS PARA FOMENTAR EL CUMPLIMIENTO TERAPÉUTICO EN MEDICINA VETERINARIA
STRATEGIES TO ENHANCE TREATMENT COMPLIANCE IN VETERINARY PRACTICE Eva María Pérez Merino Miguel Rodríguez Chamorro
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✱✱ Small animal vets. Client communication ✱✱ Veterinary nurses ✱✱ Veterinary students FORMAT: 17 × 24 cm NUMBER OF PAGES: 96 NUMBER OF IMAGES: Approx. 25 BINDING: softcover.
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Authors EVA MARÍA PÉREZ MERINO Lecturer in surgery at the Faculty of Veterinary Medicine of the University of Extremadura, Spain. MIGUEL RODRÍGUEZ CHAMORRO Community pharmacist in Talavera de la Reina, Toledo, Spain. University expert in medication counselling and PhD in pharmacy (University of Granada).
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Includes methods for detecting noncompliance and strategies to prevent or correct it. Clear indications based on scientific studies. List of specific measures for improving client treatment compliance and therefore their pet’s health.
Presentation When an owner decides not to follow treatment recommendations for their pet, they are exercising their right and free will, but they are also risking their pet’s health. However, the owner is not the only party responsible for the failure to adhere to a drug therapy, the veterinary clinician must prescribe and convey the treatment in such a way that it supports the therapeutic strategy. Treatment compliance is considered a process that encompasses all aspects of veterinary practice and which depends on effective commu nication of the recommendations, thus leading to the client’s informed acceptance and efficient monitoring of the patient’s care. Firstly, the book increases the clinician’s awareness of the repercussions of non compliance with treatment, which can affect their income, their professional self-esteem, their patients’ health, their clients, and even society as a whole. The factors influencing treatment compliance are then described, accompanied by examples that can be encoun tered in clinical practice, so the vet may act on the former and remain alert to the different situations associated with such examples. The book also provides various methods for detecting noncompliance during consultations, as well as problem-solving strategies for application after identifying the cause. Finally, we offer a list of specific, practical mea sures for developing a treatment compliance help service to be used daily by the whole team, as the continuous development and refinement of these skills will improve patient care, owner satisfaction, and the clinic’s professional and economical status. The authors
The authors Eva María Pérez Merino Dr Pérez obtained both her degree (1993) and PhD (2002) in veterinary medicine at the University of Extremadura (UEx). She also earned the title of university expert in neurosci ence from the University of Salamanca in 2006. She currently lectures in surgery within the Faculty of Veterinary Medicine at UEx, where she teaches part of the veterinary medicine degree, university specialist courses, and master’s degrees, as well as other courses on small animal soft tissue surgery, minimally invasive surgery, and microsurgery. She is a clinician at the Endoscopy and Minimally Invasive Surgery Service at the UEx’s Veterinary Teaching Hospital and is certified in soft tissue surgery by the Spanish Small Animal Veterinary Association (AVEPA). Dr Pérez is also a member of the Extremadura Academy of Veterinary Sciences. She has published several articles in journals with high impact factors and presented papers at both Spanish and international conferences, into different areas of surgery; some of which have received awards. Dr Pérez is currently the principal investigator over seeing a project related to stem cell-based regenerative therapy.
Miguel Rodríguez Chamorro Dr Rodríguez earned a degree in pharmacy (1989) at the University of Salamanca, a mas ter’s degree in meat science and technology (1992) from the University of Extremadura, as well as the title of university expert in medication counselling (2006) and a PhD in phar macy (2009) from the University of Granada. He has been a contributing member for the foundation Pharmaceutical Care España and sat on the editorial committee for the Spanish journal e-Farmacéutico Comunitario and the scientific committee of the Spanish Society of Community Pharmacy. He has also acted as the spokesperson in food, nutrition, and pharmaceutical care for the Cáceres College of Pharmacists and worked as an associate lecturer in health sciences at the Uni versity of Salamanca. Dr Rodríguez currently works as a community pharmacist in Tala vera de la Reina, Toledo, Spain.
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He has written several articles published in peer-reviewed journals and presented papers on medication counselling at international conferences, some of which have been recognised with awards at various European meetings. He has also spoken at several courses and authored manuals and other educational material for further training in the area. Dr Rodríguez is the patent owner of a specific drug combination.
Table of contents 1. What is medication compliance? 2. Repercussions of noncompliance Repercussions on clinical outcomes Repercussions for the vet Repercussions for the owner Repercussions for animal, human, and public health: zoonosis
3. Types of noncompliance
7. Creating a compliance help service Analysis of the need Internal analysis: strengths and weaknesses External analysis: opportunities and threats
Practical advice for implanting the service within the clinic’s routine practices. Recommended actions before starting the compliance service Recommended actions during consultations Recommended actions during checkups
4. Factors affecting compliance Characteristics of the animal Characteristics of the owner and their family environment Characteristics of the disease Characteristics of the veterinary team Characteristics of the therapeutic regimen
5. How to detect noncompliance Direct methods Indirect methods Methods based on counting tablets Methods based on conversations during appointments Assessing the therapeutic efficacy obtained Assessing the adverse effects of medicines Veterinarian’s assessment of compliance
6. Strategies to improve compliance Technical strategies Developing communication skills Confidence in the diagnosis and the treatment’s efficacy Simplifying the dosing regimen Administration techniques Providing pain relief and symptomatic treatment Control and monitoring
Educational strategies Informed prescription and dispensing Health education Technical education
Behavioural strategies Dosing systems and pill boxes Dosing and instructions reminder systems
Treatments with direct observation
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