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Table 2 Thematic Analysis of Qualitative Data (n = 14)

From: Veterinarians’ attitudes and practices regarding opioid-related vet shopping practices in tri-state Appalachian counties: an exploratory study

Questions

Themes

Subthemes

Supporting Quotes

n (%)

7. What is your opinion about Vet Shopping?

Optimistic/Not concerned

 

“I have not had many incidences of it”

2 (14.3%)

8. How can veterinarians help in prevention of Vet Shopping?

Interprofessional Communication

  

2 (14.3%)

 

Communicate with Pharmacies/Pharmacists

“I think being in closer contact sometimers with the pharmacist. They have been extremely helpful…”

1 (7.1%)

 

Communicate with law enforcement

“I mean you can report those people to animal control officers or even the sheriff’s department or law enforcement…”

1 (7.1%)

Knowing Clients and Patients

 

“I think what you have to do is to know your clientele…”

10 (71.4%)

Information sharing/database

 

“The biggest thing would be if we had some sort of database…”

2 (14.3%)

Judicious Use of Opioids

 

“Don’t just overprescribe pain medications…”

10 (71.4%)

a. Probe: In your opinion, what would be the best practice to prevent Vet Shopping?

Interprofessional Communication

  

2 (14.3%)

 

Communicate with Pharmacies/Pharmacists

“Well one thing you can do is call most of the drugs into the pharmacy…”

2 (14.3%)

Knowing Clients and Patients

 

“Probably just adhere to that animal client veterinary relationship before anything would be prescribed.”

8 (57.1%)

Information Sharing/Database

 

“Honestly, some sort of database…”

1 (7.1%)

Judicious Use of Opioids

 

“...I think just being careful and not routinely dispensing too much…”

6 (42.6))

b. What factors might limit your ability to prevent vet shopping?

Interprofessional Communication

  

2 (14.3%)

 

Communicate with Other Veterinary Professionals

“I guess some of that is we’re not sure if they have been to other people, to other veterinarians or not…”

2 (14.3%)

Knowing Clients and Patients

 

“I guess people lying…”

11 (78.6%)

Education

 

“Definitely the education of the veterinarians coming out that it is you know a problem…”

2 (14.3%)

9. How can veterinarians help in control or management of vet shopping?

Interprofessional communication

  

4 (28.6%)

 

Communicate with Pharmacies/Pharmacists

“To work more closely with the pharmacist…”

2 (14.3%)

 

Communicate with Other Veterinary Professionals

“Well communicating with other practices in the area…”

2 (14.3%)

Knowing Clients and Patients

 

“I guess it goes back to knowing the patient and knowing what the patient actually needs.”

8 (57.1%)

Education

 

“Being more aware of what’s going on…”

2 (14.3%)

Information Sharing/Database

 

“Maybe even there should be some kind of database…”

3 (21.4%)

Judicious Use of Opioids

 

“Honestly I think we could be a little less inclined to reach for pain meds on every occasion”

6 (42.9%)

11. What resources do you need to prevent Vet shopping?

Interprofessional communication

  

3 (21.4%)

 

Communicate with Pharmacies/Pharmacists

“I do think you know a close relationship with pharmacies…”

1 (7.1%)

 

Communicate with Other Veterinary Professionals

“More of a freedom within the community, the medical community, and the veterinary community to discuss the topics…”

1 (7.1%)

 

Communicate with Law Enforcement

“I think you have to have a relationship with law enforcement…”

1 (7.1%)

Knowing Clients and Patients

 

“...a good relationship with your client.”

7 (50.0%)

Education

 

“A CE (continuing education) course that would…”

7 (50.0%)

Information Sharing/Database

 

“I think maybe the CASPR reports where we can see if an individual has a history of using a particular medication.”

1 (7.1%)

Optimistic/Not Concerned

 

“I think we have the resources we need…”

1 (7.1%)

13. What are some things that you think veterinarians can do to help address the opioid crisis?

Knowing Clients and Patients

 

“Just know your clients, know their needs, and be sure you have a doctor-client-patient relationship”

6 (42.9%)

 

Judicious Use of Opioids

 

“And to be sparing in your prescriptions as far as in the amount and number of days…”

11 (78.6%)