Title: The effects of physicien attire on consultation outcomes in primary health care, National Guard, Riyadh

Authors: Joud Abdulshakur Basfar, Amnah mohammed Alanazi, Hadeel Mansour Almutairi, Ali Ibrahim Alfarhan

 DOI: https://dx.doi.org/10.18535/jmscr/v12i02.06

Abstract

Introduction

A good Physician- patient relationship is the core of a successful primary health care. It is characterized by a two way interactions between the physician and the patient, where the patient is involved in the decision making(1). The relationship between the physician and the patient can interfere significantly with the treatment adherence(2). So it is necessary for the physician to work on building and preserving a good relationship from the first moment. The first impression is important to optimize healthcare outcomes(3). Physician appearances, gender, nationality, age, speech and posture were found to affect patient’s first impression(3). Also, it is found that once the first impression been developed, it will remain unchanged – most of the times-(3). Gender preferences found to increase patient satisfaction in some settings(4). For the intimate, and psychosocial issues, it is found to be preferred to have a physician of the same gender as a patient (4). For the age preference, some studies found that patients preferred the physician to be between 30-50 years(5). Physician appearances is also an important factor affecting patient perception of the care provided (1).

References

  1. Taylor PG. Does dress influence how parents First Perceive House staff competence? Archives of Pediatrics & Adolescent Medicine. 1987;141(4):426. doi:10.1001/archpedi.1987.04460040084021
  2. Dunn JJ. Patient and house officer attitudes on physician attire and etiquette. JAMA: The Journal of the American Medical Association. 1987;257(1):65. doi:10.1001/jama.1987.03390010069031
  3. Mason L, Mason J. Patients’ attitudes regarding characteristics of physicians in ophthalmology. BMC Research Notes. 2017;10(1). doi:10.1186/s13104-017-3056-0
  4. Keenum AJ, Wallace LS, Stevens AR. Patients’ attitudes regarding physical characteristics of family practice physicians. South Med J. 2003;96(12):1190–4.
  5. Edwards RD, Saladyga AT, Schriver JP, Davis KG. Patient attitudes to surgeons’ attire in an outpatient clinic setting: Substance over style. The American Journal of Surgery. 2012;204(5):663–5. doi:10.1016/j.amjsurg.2009.09.001
  6. Al-Ghobain MO, Al-Drees TM, Alarifi MS, Al-Marzoug HM, Al-Humaid WA, Asiry AM. Patients' preferences for physicians' attire in Saudi Arabia. Saudi Med J. 2012;33(7):763-767.
  7. Rehman SU, Nietert PJ, Cope DW, Kilpatrick AO. What to wear today? effect of doctor’s attire on the trust and confidence of patients. The American Journal of Medicine. 2005;118(11):1279–86. doi:10.1016/j.amjmed.2005.04.026
  8. Harnett PR. Should doctors wear white coats? Medical Journal of Australia. 2001;174(7):343–4. doi:10.5694/j.1326-5377.2001.tb143310.x
  9. Chung H, Lee H, Chang D-S, Kim H-S, Lee H, Park H-J, et al. Doctor’s attire influences perceived empathy in the patient–doctor relationship. Patient Education and Counseling. 2012;89(3):387–91. doi:10.1016/j.pec.2012.02.017
  10. Gherardi G, Cameron J, West A, Crossley M. Are we dressed to impress? A descriptive survey assessing patients’ preference of doctors’ attire in the hospital setting. Clinical Medicine. 2009;9(6):519–24. doi:10.7861/clinmedicine.9-6-519 2
  11. Budny AM, Rogers LC, Mandracchia VJ, Lascher S. The physician’s attire and its influence on patient confidence. Journal of the American Podiatric Medical Association. 2006;96(2):132–8. doi:10.7547/0960132
  12. Menahem S. Is our appearance important to our patients? Family Practice. 1998;15(5):391–7. doi:10.1093/fampra/15.5.391
  13. Schmittdiel J, Grumbach K, Selby JV, Quesenberry CP. Effect of physician and patient gender concordance on patient satisfaction and Preventive Care Practices. Journal of General Internal Medicine. 2000;15(11):761–9. doi:10.1046/j.1525-1497.2000.91156.x

Corresponding Author

Hadeel Mansour Almutairi

King Abdulaziz Medical City