[The white coat in pediatrics: link between medical history and preference for informally dressed physicians].

OBJECTIVE: To find out if children show a preference for a doctor in a white coat or an informally dressed doctor, and what factors influence this preference. Further to determine if children show a preference for a physician of their own or of the other sex. METHOD: A series of 20 pairs of photographs showing varying combinations of a male and a female doctor in a white coat or in informal dress was presented to test subjects: 37 children without a medical history, 28 children with a minor and 16 with an extensive medical history, aged between 6 and 12 years. Out of each pair of photographs, the test subjects were invited to choose the doctor they would prefer. RESULTS: On average, the test subjects opted for a doctor in a white coat more often than for an informally dressed doctor (p < 0.05). There was a significant difference in dress preference between children with a less and with a more extensive medical history (p = 0.001): children with no medical history more often chose a doctor in a white coat. Children with an extensive medical history more frequently showed preference for informal dress. The children opted more frequently for a doctor of their own sex (p < 0.001). CONCLUSION: The preference of children for a doctor in a white coat or for an informally dressed doctor depended on their medical history. The more extensive the medical history, the more the preference shifted to an informally dressed doctor. Also, the children preferred a doctor of their own sex.