Dress for Success

Hutson, Matthew; Rodriguez, Tori

doi:10.1038/scientificamericanmind0116-13a

Cited by 3 publications

(1 citation statement)

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“… 22 Conversely, wearing a white coat has been associated with increased selective and sustained attentiveness to tasks. 23 These findings suggest that clothing may influence the wearer’s own psychological processes, a phenomenon coined ‘enclothed cognition’. 24 Therefore, attentiveness to hand hygiene may, in fact, be increased when physicians wear white coats or formal attire—improving patient care and satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Understanding patient preference for physician attire: a cross-sectional observational study of 10 academic medical centres in the USA

Petrilli¹,

Saint²,

Jennings

et al. 2018

BMJ Open

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ObjectiveSeveral large studies have shown that improving the patient experience is associated with higher reported patient satisfaction, increased adherence to treatment and clinical outcomes. Whether physician attire can affect the patient experience—and how this influences satisfaction—is unknown. Therefore, we performed a national, cross-sectional study to examine patient perceptions, expectations and preferences regarding physicians dress.Setting10 academic hospitals in the USA.ParticipantsConvenience sample of 4062 patients recruited from 1 June 2015 to 31 October 2016.Primary and secondary outcomes measuresWe conducted a questionnaire-based study of patients across 10 academic hospitals in the USA. The questionnaire included photographs of a male and female physician dressed in seven different forms of attire. Patients were asked to rate the provider pictured in various clinical settings. Preference for attire was calculated as the composite of responses across five domains (knowledgeable, trustworthy, caring, approachable and comfortable) via a standardised instrument. Secondary outcome measures included variation in preferences by respondent characteristics (eg, gender), context of care (eg, inpatient vs outpatient) and geographical region.ResultsOf 4062 patient responses, 53% indicated that physician attire was important to them during care. Over one-third agreed that it influenced their satisfaction with care. Compared with all other forms of attire, formal attire with a white coat was most highly rated (p=0.001 vs scrubs with white coat; p<0.001 all other comparisons). Important differences in preferences for attire by clinical context and respondent characteristics were noted. For example, respondents≥65 years preferred formal attire with white coats (p<0.001) while scrubs were most preferred for surgeons.ConclusionsPatients have important expectations and perceptions for physician dress that vary by context and region. Nuanced policies addressing physician dress code to improve patient satisfaction appear important.

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Section: Discussionmentioning

confidence: 99%