Perceptions of patients, physicians, and medical students on physicians’ appearance*

Yonekura, Cláudia Leiko; Certain, Lucas; Karen, Suen Ka Kee; Alcântara, Guilherme Augusto Sousa; Ribeiro, Lucas Gaspar; Rodrigues-Júnior, Antônio Luiz; Martinez, José Antônio Baddini

doi:10.1016/s2255-4823(13)70504-6

Cited by 6 publications

(8 citation statements)

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“…We think that this is because not wearing a white coat is more relatable to a patient. Similar results favoring physicians in white coats were seen in studies which focused primarily on patient perception [2,3,5,13] Given the change in dress attire in 'traditional white-collar jobs' across different service industries [14], we raised the question whether the younger generation of physicians would prefer more informal attire versus older generation who may favor the more traditional attire. Our study was able to show that the so-called 'generation gap' between the millennials and generation X at least does not exist when it comes to choosing a physician attire.…”

Section: Discussionsupporting

confidence: 56%

“…[1] Over 2000 years later, with the evolution of medicine, the physician's attire has also been continually evolving. Several previous studies have demonstrated that physician attire is essential to patients, their perception of the care they received, and their overall satisfaction [2][3][4]. The majority of studies on how patients perceive their physician's attire concluded that the patients still preferred a more traditional dress style, as defined by the white coat.…”

Section: Introductionmentioning

confidence: 99%

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Physician attire: physicians perspectives on attire in a community hospital setting among non-surgical specialties

Verghese

Kashinath

Jadhav

et al. 2020

Journal of Community Hospital Internal Medicine Perspectives

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Background: Several studies have demonstrated a patient preference for physicians wearing a white coat associated with improved patient satisfaction. There are few studies on physicians' perceptions of attire mainly done in the outpatient and surgical specialties. Objective: Assess non-surgical physicians' perception of attire in the hospital and to identify if any difference in the choice of attire amongst generation X and millennial physicians. Methods: We surveyed 86 physicians in the hospital with six sets of pictures of commonly worn physician attires in the hospital setting with a two-part questionnaire. Key Results: Formal attire with a white coat was found to be most favored, followed by formal without a white coat. Casual attire without a white coat was the least preferred across the surveyed attributes. The results were similar in generation X and millennial physicians. Only 49% concordance was observed with what physicians preferred and what they wore. Conclusion: Our study showed that physicians felt wearing a white coat was the best to convey specific attributes like honesty, confidence, professionalism, among others, similar to prior studies done in patients. However, less than half of the physicians surveyed themselves followed the preferred attire.

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Section: Discussionsupporting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Physician attire: physicians perspectives on attire in a community hospital setting among non-surgical specialties

Verghese

Kashinath

Jadhav

et al. 2020

Journal of Community Hospital Internal Medicine Perspectives

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“…Interestingly, even with changing societal norms making tattoos and piercings more common, an earlier study by Yonekura et al (2013) found that patients did not find these acceptable for healthcare workers. This is slightly different to the findings of the current study where these forms of personal expression did not seem to have a significant influence on patients' perspectives of professional care and competency.…”

Section: Discussionmentioning

confidence: 99%

What Do Patients Expect of Health Care Providers? Patient Perceptions and Expectations of Professionalism in Optometry Practice in KwaZulu-Natal, South Africa

Madadi¹,

Perumal²,

Sibiya³

et al. 2019

GJHS

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BACKGROUND: Professionalism, which includes factors such as attire, hygiene, communication skills, compassion and empathy; has not been previously investigated in the discipline of Optometry and yet is known to be influential in building patient-practitioner relationships. METHODS: This study was conducted at public and private eye care facilities in KwaZulu-Natal (KZN), South Africa. Convenience sampling was used to select 600 participants and data collected with a self-administered questionnaire. Data was analyzed using SPSS version 25. RESULTS: Attire was considered a competency indicator by the majority of participants (70.1%). Practitioners who exercised good hygiene were regarded as being more competent (73.3%). More than half (57.4%) of the respondents perceived an optometrist who wears glasses as more professional and likely to better understand their condition. A practitioner who smelled of cigarette smoke was considered unprofessional (67.3%). The use of simple terms was preferred by 88.5%, while 75.6% respondents felt that an optometrist who introduces themselves and maintained eye contact is more reliable. Most respondents (65%) believed that an optometrist who considers their lifestyle and finance was more trustworthy. CONCLUSIONS: Overall, physical appearance and other factors such as hygienic practices, communication skills and empathy appear to be important contributors to patient perspectives of professionalism in optometrists. Health care practitioners would therefore do well to consider these factors and soft skills in advancing the public’s perception of them and apply them to routine practice to build trust with patients.

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“…Research suggests that formal attire or white coat has been preferred even more consistently in several European countries (including the United Kingdom, Belgium, and Netherlands) than in the United States (Gallagher et al, 2008;Gherardi et al, 2009;Kocks et al, 2010;Hartmans et al, 2013). Studies from Australia (Gooden et al, 2001) and Brazil (Yonekura et al, 2013) revealed a clear preference of patients for white coat, whereas patients from Saudi Arabia preferred formal attire (Al-Ghobain et al, 2012). Interestingly, in Korea, research has shown that although patients expressed a preference for white coat, traditional attire was associated with increased patient comfort with their physician (Chang et al, 2011;Chung et al, 2012).…”

Section: The Influence Of Artifacts On Healthcare Outcomes Clothingmentioning

confidence: 99%

Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies

et al. 2020

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Research in social psychology demonstrates that physical environmental factors-or "artifacts" such as provider clothing and office décor-can influence health outcomes. However, the role of artifacts in augmenting or diminishing health outcomes is underexplored in the burgeoning discipline of placebo studies. In this paper, we argue that a careful consideration of artifacts may carry significant potential in informing how placebo effects can be maximized, and nocebo effects minimized in clinical settings. We discuss the potential mechanisms, including classical conditioning, response expectancy, and mindsets, by which artifacts might enhance or diminish these effects. Next, we propose testable hypotheses to investigate how placebo and nocebo effects might be elicited by artifacts in care settings, and conclude by providing innovative research designs to advance this novel research agendum.

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Perceptions of patients, physicians, and medical students on physicians’ appearance*

Cited by 6 publications

References 0 publications

Physician attire: physicians perspectives on attire in a community hospital setting among non-surgical specialties

Physician attire: physicians perspectives on attire in a community hospital setting among non-surgical specialties

What Do Patients Expect of Health Care Providers? Patient Perceptions and Expectations of Professionalism in Optometry Practice in KwaZulu-Natal, South Africa

Putting the ‘Art’ Into the ‘Art of Medicine’: The Under-Explored Role of Artifacts in Placebo Studies

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