Pediatrician wearing a white coat: A survey of preferences among children and their care givers

Abstract

Background:The practice of wearing white coats, also called laboratory (lab.) coats, by doctors is very common throughout the western world and is also found in the rest of the world. The exact origin of this practice is unclear and its relevance, especially in pediatric practice, is being questioned of late. Objectives: To ind out whether the mode of dressing of a pediatrician, especially wearing of white coats, has an in luence on the perception of the doctor by parents and/or children in a pediatric ward. Materials and Methods: A structured self-administered questionnaire was used to collect information from the caregivers of children, (and older children) who were admitted in the hospitals during the study period. Three photographs of a doctor dressed differently (formal dressing with shirt and tie and a white coat, formal dressing with shirt and tie but no white coat and casual dressing with T-shirt upon jeans trousers) were shown to the children and their parents/caregivers and were asked to indicate which of the pictures they would prefer as their child's doctor. Results: A total of 227 child/ caregiver pairs were interviewed. Ninety-four of the children [41.4%] were females whereas133 [58.6%] were males. The preference of the caregivers on the appropriate dress style for doctors was mostly the corporate attire alone was 74 [32.6%]; and with a white coat was 126 [55.5%]. The preference of the children for the corporate look was also 67 [29.4%] and the corporate look with white coat was 88 [38.7%] as the preferred attire for their attending doctor. Conclusions: Our indings suggest a preference for the wearing of white coats by pediatricians, especially among caregivers and older children.

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“…Healthcare workers and students commonly wear white coats in restaurants, libraries, super-marts etc and also keep them in vehicles and office 3,8,11 . Pediatricians and Psychiatrists generally prefer not to wear white coats in order to decrease anxiety among these categories of patients 7,12 . Transient increase in blood pressure of patient by just seeing a doctor in a white coat is known as "white coat syndrome" 12 .…”