Sitting vs. standing: The impact of surgeon posture on patient perception of visit duration in the outpatient plastic surgery clinic

IF 2.4 3区 医学 Q2 SURGERY Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-07 DOI:10.1016/j.bjps.2025.04.006
Evan Rothchild, Isabelle T. Smith, Joseph A. Ricci
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Abstract

Background

Patients commonly feel a medical professional spends more time with them when the provider is seated during a visit rather than standing. However, no empirical evidence supports this claim in the outpatient setting or specifically in plastic surgery clinics. This study aimed to provide quantitative evidence to support or refute this perception.

Methods

We conducted a prospective, randomized, controlled study at a single surgeon’s outpatient plastic surgery clinic. Patients were randomly assigned to either the sitting or standing group, and the surgeon entered the room and conducted the visit as usual with the assigned posture. Data on the timed and perceived interaction times were collected and analyzed.

Results

A total of 131 patients were enrolled. The mean timed visit duration recorded by the student researcher and the mean perceived visit time reported by patients were significantly longer in the sitting group. However, neither the absolute nor proportional difference between timed and perceived visit durations varied significantly between groups.

Conclusion

These results suggest that patients accurately estimated the duration of their visits regardless of the surgeon’s posture. Therefore, the increased perception of time spent with providers during sitting visits is attributable to an actual longer visit duration rather than an illusion created by the provider’s posture. Thus, sitting offers no substantial benefit in enhancing the perception of a longer interaction. The real time spent with the patient ultimately influences the patient’s experience.
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坐与站:外科医生的姿势对门诊整形诊所的访问时间的患者感知的影响
背景:患者通常会觉得,当医疗专业人员在就诊时坐着而不是站着时,他们花在他们身上的时间更长。然而,没有经验证据支持这一说法,在门诊设置,特别是在整形外科诊所。本研究旨在提供定量证据来支持或反驳这种看法。方法我们在一位外科医生的门诊整形外科诊所进行了一项前瞻性、随机、对照研究。患者被随机分配到坐着组或站着组,外科医生进入房间并以指定的姿势照常进行就诊。收集和分析了时间和感知交互时间的数据。结果共纳入131例患者。学生研究者记录的平均访问时间和患者报告的平均感知访问时间在坐着组中明显更长。然而,时间和感知访问时间之间的绝对差异和比例差异在两组之间都没有显着变化。结论这些结果表明,无论外科医生的姿势如何,患者都能准确地估计他们的就诊时间。因此,在静坐访问期间,与提供者一起度过的时间的增加可归因于实际的更长的访问时间,而不是由提供者的姿势产生的错觉。因此,坐着对增强长时间互动的感觉并没有实质性的好处。与病人在一起的真实时间最终会影响病人的体验。
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来源期刊
CiteScore
3.10
自引率
11.10%
发文量
578
审稿时长
3.5 months
期刊介绍: JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.
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