Family Health Unit 7fontes, Northern Regional Health Administration, Braga, Portugal
ICVS/3B's - PT Government Associate Laboratory, Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
BMJ Open. 2021 Jan 29;11(1):e035130. doi: 10.1136/bmjopen-2019-035130.
To determine which modifiable and non-modifiable attributes patients prefer in a family physician, as well as to analyse participants' characteristics associated with their choices.
Cross-sectional study.
Family healthcare units (FHU) in the city of Braga and Barcelos (Northern Portugal).
Adults aged 18 years or more, enrolled in the selected FHU.
The preferred attributes were assessed with a questionnaire delivered in the FHU. These attributes included gender, age and nationality and the importance of being Portuguese, of greeting with a handshake, of welcoming in the waiting area, of using an identification badge and of wearing a white coat.
A total of 556 questionnaires were included in the analysis; 66% and 58% of the participants had no preference for the gender or age of the family physician, respectively. Using a multinomial logistic regression, male participants were 3.8 times more likely to have a preference for a male physician than having no preference, in comparison to female participants (OR 3.864, 95% CI 1.96 to 7.61). More than 69% of the participants considered greeting with a handshake, using an identification badge and wearing a white coat important or very important. There was a statistically significant association between being Portuguese and the major importance given to the use of an identification badge (β=0.68, 95% CI 0.23 to 1.12).
Our data show that modifiable attributes of the family physician (greeting, presence of an identification badge and wearing a white coat) are important for patients. Potential changes in family physician attitude in consultation could ultimately affect patient-physician relationship.
确定患者在家庭医生中更喜欢哪些可改变和不可改变的特征，并分析与患者选择相关的参与者特征。
横断面研究。
布拉加和巴塞洛（葡萄牙北部）市的家庭医疗单位（FHU）。
年龄在 18 岁及以上、在选定的 FHU 注册的成年人。
在 FHU 中使用问卷评估首选属性。这些属性包括性别、年龄和国籍，以及作为葡萄牙人的重要性、握手问候、在等候区迎接、使用识别徽章和穿白大衣的重要性。
共分析了 556 份问卷；分别有 66%和 58%的参与者对家庭医生的性别或年龄没有偏好。使用多项逻辑回归，与女性参与者相比，男性参与者更有可能选择男性医生而不是没有偏好，男性参与者的偏好是女性参与者的 3.8 倍（OR 3.864，95%CI 1.96 至 7.61）。超过 69%的参与者认为握手问候、使用识别徽章和穿白大衣很重要或非常重要。作为葡萄牙人，与对使用识别徽章的高度重视之间存在统计学上的显著关联（β=0.68，95%CI 0.23 至 1.12）。
我们的数据表明，家庭医生的可改变特征（问候、佩戴识别徽章和穿白大衣）对患者很重要。家庭医生在咨询中态度的潜在变化可能最终会影响医患关系。
