Patients bearing gifts: are there strings attached?

نویسنده

Sean A Spence

چکیده

semiformal dress may have introduced some bias. For example, the higher preferences for the semiformal nonsmiling doctor may have arisen by its association with a smile on another photograph. Ideally each dress style would have been presented with a smiling and non-smiling version, or the smiling option should have been randomly associated with any of the dress styles. Although these results are representative of the patient population at one hospital in New Zealand, we cannot be sure they would be generalisable to other populations. In view of differences compared with earlier studies, repeating this study at regular intervals to track secular changes would be of value.We predict that the trend will continue for decreasing popularity of white coats. Although sex interactions were not apparent in this study, looking more specifically for this would be worthy of further study. Similarly, qualitative work that explores why patients react in certain ways would be of interest. Dress style and manner are well within a doctor’s control and therefore can be altered to fit most with patient preference. In the New Zealand setting this would involve dressing in a tidy, semiformal manner in conservative clothing. Asking patients if they prefer to be called by their first name may aid comfort. Doctors should introduce themselves fully and clearly, supplemented by a name badge worn at the breast pocket. A big smile is a definite advantage.

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