De Lott Lindsey B, Panarelli Joseph F, Samimi David, Petrilli Christopher, Snyder Ashley, Kuhn Latoya, Saint Sanjay, Chopra Vineet, Whipple Katherine M
Kellogg Eye Center, University of Michigan, Ann Arbor, Michigan.
Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
J Acad Ophthalmol (2017). 2019 Jan;11(1):e36-e42. doi: 10.1055/s-0039-1688913.
Interest is growing in targeting physician attire to improve the patient experience. Few studies in ophthalmology have examined patient preferences for physician attire.
To understand patient preferences for physician attire in ophthalmology practices in the United States.
Survey-based, cohort study.
Two private and two academic ophthalmology practices.
A convenience sample of patients receiving ophthalmic care between June 1, 2015 and October 31, 2016.
A questionnaire containing 22 questions and photographs of a male and female physician in seven forms of attire were presented to patients; 14 unique questionnaires were randomly distributed. Patient preference for physician attire was the primary outcome determined by summing ratings of how knowledgeable, trustworthy, caring, approachable, and comfortable the pictured physician made the respondent feel. One-way ANOVA assessed differences in mean composite scores. Comparisons between respondent demographics, practice type, and attire preferences were assessed by chi-square tests. Patient satisfaction was assessed by agreement with questions about importance of physician attire and whether this influences happiness with care.
In total, 1,297 of 1,826 (71.0%) questionnaires were completed. Physician attire was rated as "important" by 62.9% of participants. A total of 43.6% of participants indicated that physician attire influenced how happy they were with their care. Overall, formal attire with white coat was preferred to casual, formal, and business attire (all comparisons, < 0.05). No differences in composite scores between formal attire with white coat, scrubs alone, scrubs with white coat, or casual attire with white coat were observed. However, compared with formal attire with white coat, physicians wearing scrubs without white coat appeared less knowledgeable (mean [standard deviation]: 8.2 [1.8] vs. 7.4 [2.1]; < 0.05) and trustworthy (8.3 [1.8] vs. 7.6 [2.1]; < 0.05). Additionally, casual attire with white coat was rated as less knowledgeable compared with formal attire with white coat (7.4 [2.0] vs. 8.2 [1.8]; < 0.05). Preferences for attire varied by clinical setting: patients preferred surgeons (45.2%) and physicians in emergency rooms (41.7%) in scrubs rather than formal attire with white coat.
Physician attire is important to patients receiving ophthalmic care. Policies aimed at physician attire in ophthalmology practices should be considered.
针对医生着装以改善患者体验的关注度日益提高。眼科领域很少有研究探讨患者对医生着装的偏好。
了解美国眼科诊所患者对医生着装的偏好。
基于调查的队列研究。
两家私立和两家学术性眼科诊所。
2015年6月1日至2016年10月31日期间接受眼科护理的患者的便利样本。
向患者发放一份包含22个问题的问卷以及一名男性和一名女性医生七种着装形式的照片；随机分发14种不同的问卷。患者对医生着装的偏好是主要结果，通过对照片中医生让受访者感觉在知识渊博、值得信赖、关怀备至、平易近人以及舒适程度方面的评分求和来确定。单向方差分析评估平均综合得分的差异。通过卡方检验评估受访者人口统计学、诊所类型和着装偏好之间的比较。通过对关于医生着装重要性以及这是否影响护理满意度问题的认同程度来评估患者满意度。
总共1826份问卷中有1297份（71.0%）被完成。62.9%的参与者认为医生着装“重要”。共有43.6%的参与者表示医生着装影响他们对护理的满意度。总体而言，穿白大褂的正式着装比休闲装、正装和商务着装更受青睐（所有比较，P<0.05）。未观察到穿白大褂的正式着装、单独穿手术服、穿手术服搭配白大褂或穿休闲装搭配白大褂之间综合得分的差异。然而，与穿白大褂的正式着装相比，不穿白大褂穿手术服的医生显得知识没那么渊博（平均[标准差]：8.2[1.8]对7.4[2.1]；P<0.05）且不值得信赖（8.3[1.8]对7.6[2.1]；P<0.05）。此外，与穿白大褂的正式着装相比，穿休闲装搭配白大褂被认为知识没那么渊博（7.4[2.0]对8.2[1.8]；P<0.05）。着装偏好因临床环境而异：患者更喜欢外科医生（45.2%）和急诊室医生（41.7%）穿手术服而非穿白大褂的正式着装。
医生着装对接受眼科护理的患者很重要。应考虑针对眼科诊所医生着装的政策。
