Physician Attire and Appreciation of Physician Communication in Postpartum Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 178
- 试验地点
- 2
- 主要终点
- Patient - physician communication score
研究概览
简要总结
Wearing white coat during hospital rounds has been associated with increased risk of colonization and transmission of resistant pathogens. On the other hand, studies have shown that physicians' attire affects patients' confidence in their physician and the patient-physician relationship. The results of these studies were highly dependent on the practice setting, with no data in postpartum patients.
The objective is to test the hypothesis that not wearing a white coat during physician postpartum rounds impact patient-physician communication scores.
详细描述
Patient satisfaction is an important measure of quality of care. One of the most important variables in patients satisfaction scores is the physician communication skills. There have been several studies evaluating different strategies to improve the patient perceptions of patient - physician communication including delayed physician rounds, improvement of handoff strategies, and family centered rounds. Additionally, research has shown that patients develop a first impression of their physician based on the physician's verbal and nonverbal communication, including the clothing and cleanliness. Patient - physician communication scores not only have an impact on patient care, but are also now linked to Medicare reimbursements.
White coats have been widely used in the medical profession, however some physicians believe that this can be a nonverbal barrier to patient's interaction. Prior studies on the impact of physician attire have reported conflicting results. In a survey published by Cha et al, obstetric and gynecologic patients seen in the outpatient clinic preferred that the resident use white coats. Another study showed that patients favor the use of white coat in the Internal Medicine outpatient clinic which may favorably influence trust and confidence in the medical encounter.
No randomized controlled trial has been published on the impact of the use of white coat on patient - physician communication scores in the postpartum patients. This trial's primary outcome is to evaluate the impact of physician attire (specifically wearing white coat) during postpartum rounds on "patient - physician communication" scores.
This study is a randomized controlled trial performed in postpartum patients to evaluate the impact of not wearing white coat during rounds on "patient - physician communication" scores.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Maternal age ≥ 18 years and <50 years
- •Patient admitted to postpartum floor at University of Texas Medical Branch (UTMB)
- •Patient care managed by obstetric physicians during the postpartum period.
排除标准
- •Patient admitted to ICU
- •Delivery resulting in stillbirth Patient not fluent in Spanish and/or English
研究组 & 干预措施
non white coat rounding
The postpartum physician rounding in this group will be performed wearing white coat.
干预措施: non White coat (Other)
White coat rounding
The postpartum physician rounding in this group will be performed not wearing white coat.
干预措施: non White coat (Other)
结局指标
主要结局
Patient - physician communication score
时间窗: 24 to 120 hours
Obtained from the three Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questions.
次要结局
- Recommending the hospital to friends and family(24 to 120 hours)
- Physician attire rating score(24 to 120 hours)
- White coat use(24 to 120 hours)
- Hospital rating scores(24 to 120 hours)