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首页> 外文期刊>BMJ Open >Understanding the role of physician attire on patient perceptions: a systematic review of the literature— targeting attire to improve likelihood of rapport (TAILOR) investigators
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Understanding the role of physician attire on patient perceptions: a systematic review of the literature— targeting attire to improve likelihood of rapport (TAILOR) investigators

机译：了解医师服装对患者认知的作用：文献的系统综述-着装以提高融洽关系的可能性（TAILOR）研究者

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Objectives Despite a growing body of literature, uncertainty regarding the influence of physician dress on patients’ perceptions exists. Therefore, we performed a systematic review to examine the influence of physician attire on patient perceptions including trust, satisfaction and confidence. Setting, participants, interventions and outcomes We searched MEDLINE, Embase, Biosis Previews and Conference Papers Index. Studies that: (1) involved participants ≥18?years of age; (2) evaluated physician attire; and (3) reported patient perceptions related to attire were included. Two authors determined study eligibility. Studies were categorised by country of origin, clinical discipline (eg, internal medicine, surgery), context (inpatient vs outpatient) and occurrence of a clinical encounter when soliciting opinions regarding attire. Studies were assessed using the Downs and Black Scale risk of bias scale. Owing to clinical and methodological heterogeneity, meta-analyses were not attempted. Results Of 1040 citations, 30 studies involving 11?533 patients met eligibility criteria. Included studies featured patients from 14 countries. General medicine, procedural (eg, general surgery and obstetrics), clinic, emergency departments and hospital settings were represented. Preferences or positive influence of physician attire on patient perceptions were reported in 21 of the 30 studies (70%). Formal attire and white coats with other attire not specified was preferred in 18 of 30 studies (60%). Preference for formal attire and white coats was more prevalent among older patients and studies conducted in Europe and Asia. Four of seven studies involving procedural specialties reported either no preference for attire or a preference for scrubs; four of five studies in intensive care and emergency settings also found no attire preference. Only 3 of 12 studies that surveyed patients after a clinical encounter concluded that attire influenced patient perceptions. Conclusions Although patients often prefer formal physician attire, perceptions of attire are influenced by age, locale, setting and context of care. Policy-based interventions that target such factors appear necessary.
机译：目标尽管有越来越多的文献，但关于医生穿衣对患者知觉影响的不确定性仍然存在。因此，我们进行了系统的审查，以检查医生的装束对患者感知的影响，包括信任，满意度和信心。设置，参与者，干预措施和结果我们搜索了MEDLINE，Embase，Biosis Previews和会议论文索引。研究表明：（1）参与者年龄≥18岁; （2）评估医师的着装; （3）包括报告的患者对服装的看法。两位作者确定了研究资格。在征求关于服装的意见时，将研究按来源国，临床学科（例如，内科医学，外科手术），背景（住院患者与门诊患者）和临床遭遇发生情况进行分类。使用Downs和Black Scale偏倚风险评估研究。由于临床和方法学的异质性，未尝试进行荟萃分析。结果在1040次引用中，有30项研究涉及11？533名患者，符合入选标准。纳入的研究以14个国家的患者为特色。代表了普通医学，程序（例如普通外科和产科），诊所，急诊科和医院环境。在30项研究中，有21项（70％）报告了医生的服装偏爱患者或对患者认知产生积极影响。 30项研究中的18项（60％）更喜欢正式服装和没有指定其他服装的白大衣。在欧洲和亚洲，年龄较大的患者和进行的研究中，人们更偏爱正式服装和白大褂。在涉及程序专业的七项研究中，有四项报告要么不偏爱服装，要么偏爱磨砂膏。重症监护和紧急情况研究的五项研究中有四项也没有着装偏好。在临床遭遇后对患者进行调查的12项研究中，只有3项得出结论，着装会影响患者的感知。结论尽管患者通常偏爱正式的医师装束，但对装束的看法受年龄，地点，护理环境和护理环境的影响。针对此类因素的基于政策的干预措施似乎是必要的。

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