“Executive Summary of Phase 3 of the Bayer Veterinary Care Usage Study”, John O. Volk, James G. Thomas, Elizabeth J. Colleran, Colin W. Siren2014-04-01 (, ; backlinks; similar)⁠:

The annual number of feline visits to veterinarians decreased 14% 200110201113ya, according to the 2012 US Pet Ownership and Demographics Sourcebook published by the AVMA, despite an increase in the cat population during that period.1 Earlier research conducted by Bayer Healthcare Animal Health in cooperation with Brakke Consulting Inc and the National Commission on Veterinary Economic Issues (NCVEI) showed that feline resistance to carriers and transportation was a formidable obstacle for many cat owners in taking their pet to the veterinarian.2

To probe more deeply into why cats are not taken to the veterinarian more often and to determine what veterinarians can do to improve feline medical care, Bayer and Brakke collaborated with the American Association of Feline Practitioners (AAFP) to examine the issue more closely. Bayer, Brakke, and the AAFP conducted focus group sessions as well as nationally representative surveys with cat owners and veterinarians.

…Four major reasons cat owners did not take their cats to the veterinarian for routine annual examinations were identified: lack of knowledge, feline resistance to pet carriers and travel, stressful experiences in the veterinary hospital, and cost.

Unlike the situation for dogs, most cats were acquired for free and without forethought. Many were gifts from family or friends or simply strays that showed up on the doorstep. Consequently, most cat owners received little or no initial instruction on proper veterinary care for their new pet. Only 48% of cat owners surveyed had taken their cat to the veterinarian within the preceding year. Many (37%) did not recall their veterinarian ever recommending annual examinations. Further, owners perceived that indoor cats were less likely to get sick and were unaware that cats are adept at hiding signs of illness or injury. The first phase of the Bayer veterinary care usage study2 established that feline resistance to pet carriers and travel was a major obstacle to veterinary visits. During focus group sessions conducted for the present phase of the study, cat owners were asked to make collages demonstrating what taking their cat to the veterinarian is like. Most of the collages used pictures from horror films and other sources that reflected a terrible and stressful experience for the cat and owner. Yet, only 18% of cat owners surveyed said they had received any instruction from their veterinarian on how to make bringing the cat to the hospital less stressful.

Once the owner dealt with getting the cat to the veterinary practice, the stress did not end there. More than half of cat owners (57%) were less than completely satisfied with waiting room comfort for their cats, and nearly the same percentage were less than completely satisfied with waiting room comfort for themselves. It was clear from the focus group sessions that for most owners, a veterinary visit was something to be dreaded and endured.

Finally, when asked how satisfied they were with their veterinary experience, cat owners were least satisfied with the value obtained for the money they spent, with 59% rating this factor lowest in satisfaction. When asked which items on a list of 16 concepts would motivate them to take their cat to the veterinarian more often, the top 3 items were cost related: a coupon for 50% off the cost of a veterinary visit (50% of respondents), a low-cost preventive care plan paid monthly (40%), and a 20% discount for multiple pets if brought in within a 30-day period (30%). The cost issue was all the more important because many owners indicated during focus group sessions that they had cats primarily because they perceived cats as low-cost pets.

…Many veterinarians recognized that transporting cats to the veterinary hospital was a major obstacle; however, most had not taken action to address the issue. Only 24% of respondents to the veterinary survey said they always (3%) or often (21%) provided specific instructions to clients on making the visit less stressful. However, 41% of veterinarians said they had made changes to reduce feline stress within their practice, and 70% had conducted some type of staff training.

…59% of respondents to the cat owner survey agreed with the statement that “I didn’t necessarily find the cat, the cat found me.”

…In focus group discussions, cat owners were generally incredulous when told that their cat could be sick without them knowing it because cats are adept at hiding signs of illness. In the quantitative survey, only 70% of cat owners said they believed the following statement: “Cats have the ability to endure pain and suffering without any outward signs and could be sick without your knowing about it unless it has periodic checkups at the veterinarian.” Interestingly, this statement scored the lowest (in terms of percentage of owners who believed the statement) of 6 truthful statements about cat health.