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21 25263342 42 Context of care also influenced attire preference.
Four of seven studies involving procedural specialties reported either no preference for attire or a preference for scrubs; four of five studies in intensive care and emergency settings also found no attire preference.
5 27 However, in the remaining nine studies, patients did not voice any attire preference following a clinical encounter suggesting that attire may be less likely to influence patients in the context of receiving care.
7 37 For example, while many patients did not report an attire preference when directly surveyed, several of our included studies found that images of patients dressed in white coats or formal suits were more often associated with perceptions of trust and confidence even if patients also expressed no specific preferences regarding attire.
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5 21 25 Only two studies reported no attire preferences in this specific medical discipline in this setting.
19 34 Second, the influence of cultural aspects on attire expectations is likely to be substantial on attire preferences.
Unique findings including the fact that attire preferences vary by geographic location, patient age and context of care.
28 29 Conversely, four of five studies conducted in acute care settings reported no attire preferences 17 18 31 37; only one study reported a preference of formal attire with or without a white coats.
In order to better tailor physician attire to patient preferences and improve available evidence, we would recommend that healthcare systems capture the 'voice of the customer' in individual care locations (eg, intensive care units and emergency departments) during clinical care episodes.
19 33 Studies categorised as being 'mixed' in context (n=6) correspondingly reported heterogeneous preferences, spanning no preference for attire, to preference for formal attire, white coat and scrubs with white coats only 24263032384238 42 (figure 4).
16 Of the seven procedural studies that included patients from obstetrics and gynecology, gastroenterology, emergency care and surgery, 19 20 22 23 33 36 39 three reported either no specific preference for attire 22 23 39 or preference for scrubs over other attire.
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