Gooden B R, Smith M J, Tattersall S J, Stockler M R
Faculty of Medicine, University of Sydney, NSW.
Med J Aust. 2001 Aug 20;175(4):219-22. doi: 10.5694/j.1326-5377.2001.tb143103.x.
To determine hospitalised patients' feelings, perceptions and attitudes towards doctors and how these are affected by whether or not doctors wear a white coat.
Cross-sectional questionnaire survey.
The medical and surgical wards of two Sydney teaching hospitals, on one day in January 1999.
154 of 200 consecutive patients (77%).
The effects of white-coat-wearing on patients' feelings and ability to communicate and on their perceptions of the doctor; why patients think doctors wear white coats and their preferences for the wearing of white coats and doctors' attire in general; and patients' rating of the importance of these effects and preferences.
Patients reported that white-coat-wearing improved all aspects of the patient-doctor interaction, and that when doctors wore white coats they seemed more hygienic, professional, authoritative and scientific. The more important that patients considered an aspect, the greater the positive effect associated with wearing a white coat. From a list of doctors' reasons for wearing white coats, patients thought that doctors wore white coats because it made them seem more professional, hygienic, authoritative, scientific, competent, knowledgeable and approachable. 36% of the patients preferred doctors to wear white coats, 19% preferred them not to wear white coats and 45% did not mind.
Patients reported feeling more confident and better able to communicate with doctors who wore white coats. The recognition, symbolism and formality afforded by a white coat may enhance communication and facilitate the doctor-patient relationship.
确定住院患者对医生的感受、认知和态度，以及这些如何受到医生是否穿白大褂的影响。
横断面问卷调查。
1999年1月的一天，悉尼两家教学医院的内科和外科病房。
连续200名患者中的154名（77%）。
穿白大褂对患者感受、沟通能力及对医生认知的影响；患者认为医生穿白大褂的原因以及他们对穿白大褂和医生总体着装的偏好；患者对这些影响和偏好重要性的评分。
患者报告称，穿白大褂改善了医患互动的各个方面，而且当医生穿白大褂时，他们看起来更卫生、专业、权威和科学。患者认为某方面越重要，与穿白大褂相关的积极影响就越大。在列出的医生穿白大褂的原因中，患者认为医生穿白大褂是因为这会让他们看起来更专业、卫生、权威、科学、有能力、知识渊博且平易近人。36%的患者希望医生穿白大褂，19%的患者希望医生不穿白大褂，45%的患者无所谓。
患者报告称，与穿白大褂的医生交流时感觉更自信，沟通也更顺畅。白大褂所赋予的认可度、象征意义和正式感可能会加强沟通，促进医患关系。
