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愿望还是教条:证据揭示的医生着装问题

Desiderata or dogma: what the evidence reveals about physician attire.

作者信息

Bianchi Matt T

机构信息

Partners Neurology, Massachusetts General Hospital and Brigham and Women's Hospital, Neurology Clinic, Wang Ambulatory Center 8th Floor, Boston, MA, USA.

出版信息

J Gen Intern Med. 2008 May;23(5):641-3. doi: 10.1007/s11606-008-0546-8. Epub 2008 Feb 20.

DOI:10.1007/s11606-008-0546-8
PMID:18286342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2324152/
Abstract

INTRODUCTION

Physician-patient interactions are complex and depend on multiple factors including common cultural definitions and evolving social norms. The once purely philosophical debate over what constitutes appropriate physician attire can benefit from a growing evidence base in the literature.

DISCUSSION

Although this literature is commonly regarded as supporting traditional attire, the data actually represent a more balanced distribution of opinions held by patients and by physicians. Perhaps interpretations favoring a conservative approach are expected given the history and tradition of the physician-patient relationship.

CONCLUSION

Nevertheless, in the age of evidence-based medicine, it is difficult to argue against scrutiny of the available literature. Evidence that challenges the importance of traditional physician attire is reviewed.

摘要

引言

医患互动十分复杂,取决于多种因素,包括共同的文化定义和不断演变的社会规范。曾经关于什么构成合适的医生着装的纯粹哲学辩论,如今可从文献中日益增多的证据基础中受益。

讨论

尽管这些文献通常被认为支持传统着装,但数据实际上代表了患者和医生所持观点更为平衡的分布。鉴于医患关系的历史和传统,或许倾向于保守做法的解读是可以预料的。

结论

然而,在循证医学时代,很难反对对现有文献进行审视。本文回顾了质疑传统医生着装重要性的证据。

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本文引用的文献

1
Does physician attire influence patient satisfaction in an outpatient obstetrics and gynecology setting?在门诊妇产科环境中,医生着装会影响患者满意度吗?
Am J Obstet Gynecol. 2007 Feb;196(2):186.e1-5. doi: 10.1016/j.ajog.2006.09.043.
2
Judging a book by its cover: descriptive survey of patients' preferences for doctors' appearance and mode of address.以貌取人:关于患者对医生外貌及称呼方式偏好的描述性调查
BMJ. 2005 Dec 24;331(7531):1524-7. doi: 10.1136/bmj.331.7531.1524.
3
What to wear today? Effect of doctor's attire on the trust and confidence of patients.今天穿什么?医生着装对患者信任和信心的影响。
Am J Med. 2005 Nov;118(11):1279-86. doi: 10.1016/j.amjmed.2005.04.026.
4
Free to be you and me?做真实的自己?
J Gen Intern Med. 2005 Mar;20(3):312-3. doi: 10.1111/j.1525-1497.2005.41006.x.
5
Should physicians have facial piercings?医生应该有面部穿孔吗?
J Gen Intern Med. 2005 Mar;20(3):213-8. doi: 10.1111/j.1525-1497.2005.40172.x.
6
Measuring professionalism: a review of studies with instruments reported in the literature between 1982 and 2002.衡量职业素养:对1982年至2002年间文献中报道的使用相关工具的研究的综述。
Acad Med. 2005 Apr;80(4):366-70. doi: 10.1097/00001888-200504000-00014.
7
Resident physician attire: does it make a difference to our patients?住院医师着装:对我们的患者有影响吗?
Am J Obstet Gynecol. 2004 May;190(5):1484-8. doi: 10.1016/j.ajog.2004.02.022.
8
"I swear by Apollo"--on taking the Hippocratic oath.“我以阿波罗之名起誓”——在宣读希波克拉底誓言时。
N Engl J Med. 2004 May 13;350(20):2026-9. doi: 10.1056/NEJMp048092.
9
Should doctors wear white coats?医生应该穿白大褂吗?
Postgrad Med J. 2004 May;80(943):284-6. doi: 10.1136/pgmj.2003.017483.
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You can't judge a book by its cover, but we do!人不可貌相,但我们就是会以貌取人!
Pharos Alpha Omega Alpha Honor Med Soc. 2003 Spring;66(2):13.