Bianchi Matt T
Partners Neurology, Massachusetts General Hospital and Brigham and Women's Hospital, Neurology Clinic, Wang Ambulatory Center 8th Floor, Boston, MA, USA.
J Gen Intern Med. 2008 May;23(5):641-3. doi: 10.1007/s11606-008-0546-8. Epub 2008 Feb 20.
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.
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.
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.
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。
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。
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。