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      La vestimenta del médico pediatra en el consultorio hospitalario

      Archivos argentinos de pediatría
      Sociedad Argentina de Pediatría
      White coat, Outpatient clinic, Patient-physician relationship, Guardapolvo, Consultorio hospitalario, Relación médico-paciente

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          Abstract

          Objetivo. Evaluar la preferencia de las familias por la vestimenta del pediatra en la consulta ambulatoria en un hospital de la comunidad. Población, material y métodos. Se seleccionó a las familias que concurrieron a los consultorios externos para control en salud o consulta de demanda espontánea, durante cinco días hábiles consecutivos, de 9 a 20 h. Se excluyeron aquellos que consultaron en alguna especialidad pediátrica. A cada familia se le mostró una serie de cinco fotos de un médico en la misma posición y actitud, pero con diferente vestimenta. Junto con esto se les realizó una encuesta de ocho preguntas, llevada a cabo por un estudiante avanzado de la carrera de medicina. Se utilizaron dos series de fotografías, una de un hombre y otra de una mujer, con cambios de vestimenta equivalentes (ambo de guardia, ropa formal con guardapolvo y sin él, ropa informal con guardapolvo y sin él). La aleatorización de la serie de fotografías masculinas o femeninas se determinó por el número de admisión. En las encuestas se preguntó qué médico pediatra elegirían, tanto las familias como los niños mayores de 6 años, en forma independiente. También se preguntó qué médico no elegirían y si la vestimenta del pediatra les parecería un factor importante en su elección. Para el análisis de los datos, se confeccionó una base de datos con el programa stata 6.0. Resultados. Se efectuaron 355 encuestas, el 49,5% de las familias recibió la serie de fotografías femeninas, mientras que el 50,5% restante, la serie masculina. El 82% de los padres eligió una vestimenta que se identifica con la atención de la salud (ambo o guardapolvo), al igual que el 79% de los niños. En la elección del pediatra, el 50% de los padres refirieron que la vestimenta era muy importante o moderadamente importante, mientras que el 50% restante opinó que era poco o nada importante. El 88% de los niños contestó que no elegiría a un pediatra que no usara guardapolvo. El 59% de los padres manifestó que la vestimenta elegida se asemejaba a la de su pediatra, mientras que el 41% prefirió una vestimenta diferente. Conclusión. Los adultos acompañantes y los niños mayores de 6 años prefirieron a los pediatras que utilizaban un atuendo identificado con la atención en salud; asimismo, no eligieron a los pediatras que estaban vestidos con ropa de calle.

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          Most cited references22

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          Is our appearance important to our patients?

          We aimed to explore patients' attitudes towards family physicians' and nurses' appearance. One hundred and sixty-eight patients from three teaching Family Medicine clinics in Beer-Sheva, Israel, were interviewed in the clinics regarding the medical staff's dress code. They were also asked to choose one picture for either a male or female physician which, in their opinion, was the most suited for their own family physician, from a selection of pictures of the same male and female doctors dressed in different attires. One hundred and twenty-six patients (75%) replied that the attire of the physician had no influence on their decision in choosing their own family doctor. Fifty-two per cent of the patients preferred the doctor in a white coat and 71 % had the same preference for the nurse. Older age was associated with increased preference for a white coat. The dressing items which scored high for male doctor were a name tag, a formal suit or a shirt with a tie and sports shoes. For a female doctor a name tag, short haircut, trousers and sports shoes ranked highly. Long hair, earrings, and sandals scored low for a male physician, while mini-dress, shorts and tight clothes scored low for a female physician. About half of patients still prefer the doctor to be dressed in a white coat. Patients prefer a more formal dressing for male and female physicians in family medicine clinics. Most of the patients claimed that the attire of the physician had no influence on their choice of family physician.
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            Microbial flora on doctors' white coats.

            To determine the level and type of microbial contamination present on the white coats of doctors in order to assess the risk of transmission of pathogenic micro-organisms by this route in a hospital setting. Cross sectional survey of the bacterial contamination of white coats in a general hospital. East Birmingham Hospital, an urban general hospital with 800 beds. 100 doctors of different grades and specialties. The cuffs and pockets of the coats were the most highly contaminated areas. The level of bacterial contamination did not vary with the length of time a coat had been in use, but it increased with the degree of usage by the individual doctor. Staphylococcus aureus was isolated from a quarter of the coats examined, more commonly from those belonging to doctors in surgical specialties than medical specialties. Pathogenic Gram negative bacilli and other pathogenic bacteria were not isolated. White coats are a potential source of cross infection, especially in surgical areas. Scrupulous hand washing should be observed before and after attending patients and it may be advisable to remove the white coat and put on a plastic apron before examining wounds. There is little microbiological reason for recommending a more frequent change of white coat than once a week, nor for excluding the wearing of white coats in non-clinical areas.
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              Patient and house officer attitudes on physician attire and etiquette.

              To study patient preferences on physician attire and etiquette, we interviewed 200 patients on the general medical services of teaching hospitals in Boston and San Francisco. Of these 200 patients, 65% believed physicians should wear a white coat, 27% believed physicians should not wear tennis shoes, 52% believed physicians should not wear blue jeans, 37% believed male physicians should wear neckties, and 34% believed female physicians should wear dresses or skirts. Forty percent of patients wanted physicians to address them by first name, but only 10% of patients wanted to address their physicians by first name. A concurrent mailed survey of 74 medical house staff members at the two hospitals revealed wide variability in physicians' attire and in how patients were addressed at each institution. Thus, many house officers had habits that were less formal than a substantial portion of their patients preferred.
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                Author and article information

                Journal
                S0325-00752005000300005
                http://creativecommons.org/licenses/by/4.0/

                Pediatrics
                White coat,Outpatient clinic,Patient-physician relationship,Guardapolvo,Consultorio hospitalario,Relación médico-paciente

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