Emerging and Re-emerging Infectious Diseases Unit, National Institute for Infectious Diseases "Lazzaro Spallanzani," Rome, Italy.
Emergency and Critical Care Center, Kurashiki Central Hospital, Okayama, Japan.
J Hosp Med. 2020 Apr 1;15(4):204-210. doi: 10.12788/jhm.3350. Epub 2020 Feb 11.
Previous studies have shown that patients have specific expectations regarding physician dress. Japan has a cultural background that is in many ways distinct from western countries. Thus, physician attire may have a different impact in Japan.
We conducted a multicenter, cross-sectional study to examine patients' preferences for and perceptions of physician attire in Japan. The questionnaire was developed using photographs of either a male or female physician dressed in seven different forms of attire, and it was randomly distributed to inpatients and outpatients. Respondents were asked to rate the provider pictured; they were also asked to provide preferences for different forms of attire in varied clinical settings. Preference was evaluated for five domains (knowledgeable, trustworthy, caring, approachable, and comfortable). We also assessed variation in preferences for attire by respondent characteristics.
A total of 1,233 (61%) patients indicated that physician dress was important, and 950 (47%) patients agreed that it influenced their satisfaction with care. Compared with all forms, casual attire with a white coat was the most preferred dress. Older patients more often preferred formal attire with a white coat in primary care and hospital settings. In addition, physician attire had a greater impact on older respondents' satisfaction and experience.
The majority of Japanese patients indicated that physician attire is important and influenced their satisfaction with care. Geography, settings of care, and patient age appear to play a role in patient preferences.
先前的研究表明，患者对医生的着装有着特定的期望。日本在许多方面与西方国家的文化背景不同。因此，医生的着装可能在日本产生不同的影响。
我们进行了一项多中心、横断面研究，以调查日本患者对医生着装的偏好和看法。该问卷使用了男性或女性医生穿着七种不同着装形式的照片进行开发，并随机分发给住院患者和门诊患者。要求受访者对所描述的医生进行评分；他们还被要求在不同的临床环境中对不同形式的着装提供偏好。偏好评估了五个方面（知识渊博、值得信赖、关怀、平易近人和舒适）。我们还评估了着装偏好因受访者特征而产生的差异。
共有 1233 名（61%）患者表示医生的着装很重要，950 名（47%）患者同意着装会影响他们对护理的满意度。与所有形式相比，穿着休闲装搭配白大褂是最受欢迎的着装。在初级保健和医院环境中，年长的患者更倾向于穿着正式的白大衣。此外，医生的着装对年长患者的满意度和体验影响更大。
大多数日本患者表示医生的着装很重要，并且影响他们对护理的满意度。地理位置、护理场所和患者年龄似乎在患者偏好中起着一定的作用。
