Patient Care And Customer Service Are Not The Same!

Customer service and patient care are two totally different concepts. Unfortunately, the great divide between the two is only going to clash as we enter this difficult era of reimbursement rates that depend on subjective patient satisfaction surveys. The purpose of this article is to illustrate the differences between patient care and customer service.

Patient care and customer service might seem interchangeable to healthcare administrators and members of the public, but they are most certainly not the same. If nurses ignore the differences between the two practices, the outcome could be downright disastrous.

Dorland's Medical Dictionary (2008) defines patient care as the services rendered by members of the health profession and non-professionals under their supervision for the benefit of the patient. On the other hand, customer service is the capability of a business or entity to meet the wants and needs of its customers. While some elements of customer service should be incorporated into patient care, the healthcare industry would be wise to avoid jumping too deeply into the customer service bandwagon. Keep reading to see my point.

Healthcare facilities are expressly designed for patient care; however, they are not made for customer service, regardless of what the powers that be would like the public to believe. Keep in mind that good customer service involves consistently meeting the needs and wants of the people who patronize the business. Conversely, patients often want things that counteract the effects of good patient care. The nurse who gives patients whatever they want (cigarettes, donuts, etc.) is providing great customer service while delivering poor patient care.

The fry cook at McDonald's provides good customer service when he smiles while preparing a Double Quarter Pounder cheeseburger and super sized fries for the patient diagnosed with coronary heart disease. The friendly people at the bakery display great customer service by making an entire dozen of sugary cinnamon rolls per request for the noncompliant type I diabetic patient. The courtesy clerk at the Holiday Inn delivers outstanding customer service when she escorts the oxygen-dependent COPD patient outside to smoke.

Employees in the service industry do these things to ensure a certain level of service because they want those paying clients to return. Who cares if good customer service might be bad for one's health? Health promotion is not the concern of workers in the hotel, restaurant, and hospitality industry. They want the customer's money in exchange for all services rendered, even if the service will lead to patient demise in a few years.

I totally agree that some aspects of customer service belong in healthcare because patients are external customers of the facility, and will refer others to the hospital if they are satisfied with their care. However, what about the patient who refuses to have any vital signs taken during the duration of his or her stay due to not wanting to be bothered? The nurses who honor this request are excelling at customer service for giving the patient what they want, but are practicing poor patient care by not performing a complete assessment.

Customer service and patient care are not synonymous. Unfortunately, the great divide between the two concepts is only going to clash more as we enter this era of reimbursement rates that depend on subjective patient satisfaction surveys. As always, we cannot go wrong with the Golden Rule to treat others in the same manner that we would want to be treated. When faced with the choice between customer service and patient care, I hope that patient care lives on.

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As for the person who said the competition is the issue, I disagree. Anyone who has medicare or medical insurance is going to pay less $ to have a knee relplaced in their own country than flying out. Insurance will not pay for air, etc. If it is an elected procedure than yes, may be better to go to Thailand like for cosmetic surgery. I personally would rather pay more and have it here but that is just my opinion.

There are people who have insurance, but given the deductibles and co-pays, still find it cheaper to have certain large elective surgeries (e.g., joint replacements) in Asia at a top hospital. For people without insurance, it's no contest. For many of them, it's a matter of going overseas (including to such places as Cuba) or going without.

I had a group insurance plan in the late 90's that would send you to "centers of excellence" if you needed major non-emergency surgery, such as an organ transplant. It's not beyond the realm of possibility that an insurance company would be willing to pay for your trip to Thailand to be cared for at a good hospital, and pick up the tab for transportation and accommodations, if the total cost would be less than that of treatment in the U.S. if outcomes were as good as or better than having the procedure done here.

My hospital is 'sooo' into this customer service BS, they have given us scripts to follow when doing 'bedside report' we are supposed to have things ready for pts when they come up to our floor from wherever (ER, OBs, etc) like fresh ice water, the towels folded like a fan on the bed, their name on the white board, hot coffee already made, etc. We have cell phones that we give our #'s to the pts and they can call us directly instead of hitting the call light when they want something. We are even in the process of having the pts pick out a colored stone w/ inspirational phrases on it upon their admission so that can be their 'guiding spirit/inspiration' throughout their hospital stay. It has gotten to the point that many of us are more worried about 'pleasing pts' than actually providing medical care. I cannot physically be the pts personal butler while carrying out all their healthcare needs plus babysitting doctors and monitoring techs who do vitals and whatnot. I am only one person and I went to nursing school and sat for boards for a reason, to do nursing tasks to help the patient get healthy, not ensure that their pitcher is full of fresh ice water before change of shift or that the meals come out just the way they want them from food service. I don't need a script to follow to introduce myself to pts, I have common sense and people skills, I do these things anyways, but should I get dinged for forgetting to ask the pt. if they wanted their door open or closed when I leave their room...??? How far will this go?

Specializes in Med Surg, Parish Nurse, Hospice.
My hospital is 'sooo' into this customer service BS, they have given us scripts to follow when doing 'bedside report' we are supposed to have things ready for pts when they come up to our floor from wherever (ER, OBs, etc) like fresh ice water, the towels folded like a fan on the bed, their name on the white board, hot coffee already made, etc. We have cell phones that we give our #'s to the pts and they can call us directly instead of hitting the call light when they want something. We are even in the process of having the pts pick out a colored stone w/ inspirational phrases on it upon their admission so that can be their 'guiding spirit/inspiration' throughout their hospital stay. It has gotten to the point that many of us are more worried about 'pleasing pts' than actually providing medical care. I cannot physically be the pts personal butler while carrying out all their healthcare needs plus babysitting doctors and monitoring techs who do vitals and whatnot. I am only one person and I went to nursing school and sat for boards for a reason, to do nursing tasks to help the patient get healthy, not ensure that their pitcher is full of fresh ice water before change of shift or that the meals come out just the way they want them from food service. I don't need a script to follow to introduce myself to pts, I have common sense and people skills, I do these things anyways, but should I get dinged for forgetting to ask the pt. if they wanted their door open or closed when I leave their room...??? How far will this go?

I couldn't agree more with the above comment. Somedays when I am being told what to say and how to act, I feel like a 2 yr old. I have been a Nurse long enough to know how to care for a sick person. I am not your Mother or your maid or your butler. I will be glad to care for you and give you the very best care that I can! I am your NURSE.

Well at least my extensive sales and customer service background will be advantageous to me when I finish my program.

The ACA is filled with all kinds of wonderful things and I highly reccomend everyone does some research.

Specializes in Oncology.

I'm a nurse, not a servant. I provide care, not "service." I wish people could get it through their heads!

Specializes in PCU.

Excellent article, superb points. Thank you so much for putting forth such a wonderful article :)

I feel that as nursing students we are taught this everytime at clinical! That literally we are going to b bad future nurses because we did not pack up a patient's bag before they discharge or changed thier tv channels for them when they got bored...it makes me feel like we are being treated more like butlers than nurses

I hate the customer service mentality. Hate it. I think it really diminishes what we do to frame it in terms of "customer satisfaction" rather than "excellent patient care." There are many situations where doing the right thing by your patients means making some of them unhappy. You see this in emergency nursing a ton in terms of wait times, and it really becomes a challenge: folks who can wait the longest are the healthiest and in the best position to complain about how miserable that wait was!

Why not have hospitality techs who can pass out magazines, fetch STAT blankets and ice chips for all 9 visitors in the room, and figure out why the TV isn't working.

Cold Stethoscope, I disagree with you 100%. There is no insurance company in the U.S. that would ever pay for travel to Thailand or anywhere else unless it was for something that was not offered here and in that case it most likely would not be covered. Joint replacement in U.S. is not "elective" as it may be in other countries. These are my least favorite surgeries as the work is physically hard and the equipment is many. Our hospital does quite a bit and none are elective. But on the other hand I am sure a lot of people would love to go to Thailand for example if given the choice and paid for.

Cold Stethoscope, I disagree with you 100%. There is no insurance company in the U.S. that would ever pay for travel to Thailand or anywhere else unless it was for something that was not offered here and in that case it most likely would not be covered. Joint replacement in U.S. is not "elective" as it may be in other countries. These are my least favorite surgeries as the work is physically hard and the equipment is many. Our hospital does quite a bit and none are elective. But on the other hand I am sure a lot of people would love to go to Thailand for example if given the choice and paid for.

I think you may be confusing elective with cosmetic. No one is going to die from a bad knee. that makes that surgery elective. And i do believe that this tourist medecine has been going on for a while. If it is fiscally sound for the insurer, why would they balk?

Steth you must not be U.S.? Because knee surgery is not considered "elective" here. Our health insurance here is so mixed up but there is no way the insurance would pay for leaving the country. Has nothing to do with it being "fiscally sound". I could just see it......great vacations paid for by our govt? Never ever will happen. I can't imagine it being paid for by another other country? I guess I take it for granted that certain hip, knee, etc is covered for here. I have heard stories of people waiting a year for it in other countries and at least our wait could be two weeks or maybe less.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.
Our health insurance here is so mixed up but there is no way the insurance would pay for leaving the country. Has nothing to do with it being "fiscally sound". I could just see it......great vacations paid for by our govt? Never ever will happen.
While the US government might not be financing medical tourism, many US-based health insurance companies have jumped onto the bandwagon and have been paying for surgical and dental procedures abroad for the past several years due to the 80 percent cost savings. They'll even cover airfare and certain hotels.

Medical tourism is alive and well, and numerous insurance companies will pay.

Insurers aim to save from overseas medical tourism - USATODAY.com

Hip surgery in India? Insurance may pay - Health - Health care - NBCNews.com