scholarly journals Does the white coat influence satisfaction, trust and empathy in the doctor–patient relationship in the General and Family Medicine consultation? Interventional study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e031887
Author(s):  
Leonor Marques Caetano Carreira ◽  
Sara Dinis ◽  
António Correia ◽  
António Pereira ◽  
Regina Belo ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Family Physician ◽  
Medical Knowledge ◽  
Comfort Level ◽  
White Coat ◽  
Interventional Study ◽  
Portuguese Version ◽  
The Family ◽  
Likert Scale Response ◽  
Registration Number

ObjectivesTo understand the influence of the white coat on patient satisfaction, opinions about medical clothing, perception about confidence, empathy and medical knowledge and the satisfaction and comfort level of physicians in consultation.SettingAn interventional study was conducted with a representative sample of the population attending primary care in central Portugal.ParticipantsThe sample was composed by 286 patients divided into two groups exposed or not to a doctor wearing a white coat. The first and last patients in consultation every day for 10 consecutive days were included.InterventionsEvery other day the volunteer physicians consulted with or without the use of a white coat. At the end of the consultation, a questionnaire was distributed to the patient with simple questions with a Likert scale response, the Portuguese version of the ‘Trust in physician’ scale and the Jefferson Scale of Patient Perceptions of Physician Empathy - Portuguese Version (JSPPPE-VP scale). A questionnaire was also distributed to the physician.OutcomesPlanned and measured primary outcomes were patient satisfaction, trust and perception about empathy and secondary outcomes were opinion about medical clothing, satisfaction and comfort level of physicians in consultation.ResultsThe sample was homogeneous in terms of sociodemographic variables. There were no statistically significant differences between the groups in terms of satisfaction, trust, empathy and knowledge perceived by the patients. There were differences in the opinion of the patients about the white coat, and when the physician was wearing the white coat this group of patients tended to think that this was the only acceptable attire for the physician (p<0.001). But when the family physician was in consultation without the white coat, this group of patients tended to agree that communication was easier (p=0.001).ConclusionsThere was no significant impact of the white coat in patient satisfaction, empathy and confidence in the family physician.Trial registration numberClinicalTrials.gov ID number: NCT03965416.

Primary Care Physicians' Discussion of Emotional Distress and Patient Satisfaction

2007 ◽  
Vol 37 (3) ◽  
pp. 331-345 ◽  
Author(s):  
Revital Gross ◽  
Shuli Brammli-Greenberg ◽  
Hava Tabenkin ◽  
Jochanan Benbassat
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Emotional Distress ◽  
Family Physician ◽  
Low Income ◽  
Well Being ◽  
Satisfaction With Care ◽  
The Past ◽  
The Family ◽  
Patient Satisfaction With Care

Objectives: To assess: a) the prevalence and determinants of self-reported emotional distress in the Israeli population; b) the rate of self-reported discussion of emotional distress with family physicians; and c) the association between such discussions and patient satisfaction with care. Method: Design: Retrospective, cross-sectional survey that was conducted through structured telephone interviews in Hebrew, Arabic, and Russian. This study was part of a larger study assessing patients' perceptions of the quality of health services. Participants: A representative sample of 1,849 Israeli citizens aged 22 to 93 (response rate: 84%). Independent variables: Gender, age, ethnicity (spoken language), education, income, self-reported chronic disease, self-reported episode(s) of emotional distress during the last year, and having discussed emotional distress with the family physician. Outcome measure: satisfaction with care. Results: 28.4% reported emotional distress and 12.5% reported discussion of emotional distress with a primary care physician in the past year. Logistic regression identified female gender, Arab ethnicity, low income, and chronic illness as independent correlates of emotional distress. These as well as Russian speakers and having experienced emotional distress during the past year were identified as independent correlates of discussion of emotional distress with the family physician. Patients who reported discussion of emotional distress with their family physician were significantly more satisfied with care. Conclusions: Encouraging physicians to detect and discuss emotional distress with their patients may increase patient satisfaction with care, and possibly also improve patients' well-being and reduce health care costs.

scholarly journals What attributes do patients prefer in a family physician? A cross-sectional study in a northern region of Portugal

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e035130
Author(s):  
Joana Nuno ◽  
Susana Fernandes ◽  
Teresa Rei Silva ◽  
Ana Catarina Guimarães ◽  
Bernardo Morais Pereira ◽  
...  
Keyword(s):  
Family Physician ◽  
Multinomial Logistic Regression ◽  
Cross Sectional Study ◽  
Northern Region ◽  
White Coat ◽  
Sectional Study ◽  
Male Physician ◽  
Cross Sectional ◽  
The Family ◽  
The City

ObjectivesTo determine which modifiable and non-modifiable attributes patients prefer in a family physician, as well as to analyse participants’ characteristics associated with their choices.DesignCross-sectional study.SettingFamily healthcare units (FHU) in the city of Braga and Barcelos (Northern Portugal).ParticipantsAdults aged 18 years or more, enrolled in the selected FHU.Main outcome measuresThe preferred attributes were assessed with a questionnaire delivered in the FHU. These attributes included gender, age and nationality and the importance of being Portuguese, of greeting with a handshake, of welcoming in the waiting area, of using an identification badge and of wearing a white coat.ResultsA total of 556 questionnaires were included in the analysis; 66% and 58% of the participants had no preference for the gender or age of the family physician, respectively. Using a multinomial logistic regression, male participants were 3.8 times more likely to have a preference for a male physician than having no preference, in comparison to female participants (OR 3.864, 95% CI 1.96 to 7.61). More than 69% of the participants considered greeting with a handshake, using an identification badge and wearing a white coat important or very important. There was a statistically significant association between being Portuguese and the major importance given to the use of an identification badge (β=0.68, 95% CI 0.23 to 1.12).ConclusionsOur data show that modifiable attributes of the family physician (greeting, presence of an identification badge and wearing a white coat) are important for patients. Potential changes in family physician attitude in consultation could ultimately affect patient–physician relationship.

scholarly journals Patient Satisfaction With the Family Physician Program in Sabzevar, Iran

2015 ◽  
Vol 8 (2) ◽  
Author(s):  
Alireza Ghorbani ◽  
Pouran Raeissi ◽  
Ehsan Saffari ◽  
Nahid Reissi
Keyword(s):  
Patient Satisfaction ◽  
Family Physician ◽  
The Family

Psychometric study of the Portuguese version of the Family Distress Index (FDI).

2018 ◽  
Vol 36 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Gabriela Fonseca ◽  
Carla Crespo ◽  
Laurie D. McCubbin ◽  
Neide Areia ◽  
Ana Paula Relvas
Keyword(s):  
Psychometric Study ◽  
Portuguese Version ◽  
The Family ◽  
Family Distress

Errata

1973 ◽  
Vol 3 (1) ◽  
pp. i-i
Keyword(s):  
Drug Abuse ◽  
Family Physician ◽  
State Prison ◽  
Medical Office ◽  
The Family ◽  
Human Side

The articles referred to in the footnote in Dr. Kaplan's paper on page 61, and intended to follow his article, were misplaced in this issue of the Journal. The articles referred to are: A Proposal To Place the Treatment of Addiction in The Private Medical Office…………………Alvin J. Cronson A Human Side To The Addict………………………Joan C/chosz Developing a Comrnunlty-Oriented Drug Abuse Program in a State Prison……………………Leont/ H. Thompson The Treatment of Drug Abuse by the Family Physician…………………………Ronald N. Horowitz and Ronald North

Dr. Silver Replies

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 299-299
Author(s):  
Larry B. Silver
Keyword(s):  
Family Physician ◽  
Learning Disorders ◽  
The Family

It is difficult to reply to Dr. Browder's comments for he suggests that I said certain things in my paper that I did not say and he suggests that I should have said other things which I did state in the paper. I do not feel that the field of learning disorders is outside the expertise of the physician. I refer to the physician as key to the coordinated efforts to help these children. My purpose in reviewing the literature was to assist the family physician.

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