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. Nurses Relations Article

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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Well I apologize then. I would never ever think the U.S. insurance would cover such things. I am going to check into it for sure. I could use a nice vacation! But I truly have never heard or have known anyone who has had this luxury. I would like to know what insurance pays for this? I understand elective surgery like cosmetic but I still have a hard time believing that Delta Dental which is HUGE is going to pay for someone to go to Mexico for dental work. Just saying.

Steth you must not be U.S.? Because knee surgery is not considered "elective" here.

Yes, I live in the U.S., and always have. I had a bad skiing accident, which left me with "severe ACL insufficiency" in my right knee. I found one on the best orthopedic surgeons in Boston and consulted him twice about whether I needed surgery. It came down to whether I wanted to play knee-twisting sports like tennis, basketball, or aggressive skiing, or whether I could live without them. I chose to forgo the surgery. If I didn't have insurance, and I did want the surgery, you can be sure that I would have done some research and likely booked a trip to India.

It's not cosmetic surgery. Since I did have insurance, they would have paid to have it done in Boston.

As our OP said, since you can have the same work done overseas for far less money, some insurance companies are willing to foot the bill for the trip. As I said, I once had insurance where you would be sent to different states for major procedures, such as organ transplants.

I doubt that the government would send people they insure (e.g., those who have Medicaid) overseas because it would be bad publicity for American healthcare and technology.

(By the way, there was an interesting story on medical tourism on 60 Minutes a few years ago.)

Ugh. The patient and visitors do not get to decide what are stable vitals or not. The Dr. does and I have seen many of these "stable vitals" crump fast. After all pt is in a hospital for a reason. Thier right to refuse but I will let them know why it is important to assess. Also I work nights and like to check IV sites frequently. The first to cry about the door opening will be the first to cry with an inflitration.

Here is more gems. I made a post on this when it happened. I once provided terrible service by not bringing chairs for VISITORS quickly enough. One of them was standing in the hall way saying, " WE ASKED FOR CHAIRS, WHERE ARE THEY?" only a few minutes went by. MEANWHILE when I left the room initially to get the chairs, I HEARD FROM THE HALLWAY, THAT one of my other patient's needed a trach suctioned STAT. that is the priority NOT THE CHAIRS FOR visitors. Yet some uneducated visitor is at liberty to whine about "poor nursing" when she and her entorouge do not get their chairs within 5 minutes. Those are the service scenarios that nurses can't stand. Or pts who complain about getting awoken for IV abx. I can go on and on. Sometimes I think I should pack my stuff, go back to a big city and work in a bar, restaurant, etc where I can put my service skills to good use and get paid tips. lol

Specializes in Med-Surg.
It's going to get much, much worse!!! Read this article and weep!!

Patients? Grades to Affect Hospitals? Medicare Reimbursements - NYTimes.com

:banghead:

Oh sweet, merciful God...I am honestly scared for the future of 'healthcare' now. Especially considering the high sense of entitlement from certain Medicaid and Medicare recipients who are not satisfied no matter what we do for them. The world is going to heck in a hand-basket right quick!

Specializes in Med-Surg.
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.

Sure, just like getting reimbursement depending on customer satisfaction? 'Oh, your 3 week stay where everyone did everything they could for you was only an 8/10?' Well then, no money for you hospital! SMH...what is the world coming to where we think this is ok in ANY way, shape or form?!

This sense of entitlement that is growing is just completely nuts! Soon enough we will be lighting their cigarettes for them, forget about the permanent O2 NC attached to their face. Doing fast food runs for our morbidly obese patients, just to avoid those low satisfaction scores...

:banghead: :madface::banghead:

Specializes in Med-Surg.

And some of those who think this is a good thing need to read the thread on stupid things people present to the ER for. When someone takes an ambulance to go to the ER for a hangnail and is made to wait, I am sure they will complain about it. When a drug-seeker comes in and doesn't get what he/she wants, or not often enough, then they will be unhappy. So what do you do? Risk a law suit because you give the oil to the squeaky wheel and care for the hangnail before you see the obvious MI sitting quietly waiting their turn? Or better yet, help a 'patient' get their fix and possibly OD, risk losing your license because you didn't show critical thinking, etc. just so *gasp* these self-entitled ***es get what they want, when they want it, without paying for it (Oh, of course, its coming out of MY paycheck!)?

Specializes in Legal, Ortho, Rehab.

This irks me. The facility would have no problem turning this around and throwing a nurse under the bus.

Specializes in PeriOp, ICU, PICU, NICU.
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.

I live on a bordertown and my insurance pays for dentals and healthcare across the border. As a matter of fact, its WAY CHEAPER and i get more dental work for what is covered here over there, for example.

I live in Texas.

Specializes in Infusion Nursing, Home Health Infusion.

New and recent studies have shown that mortality rates are significantly higher ( as much as 40 percent) in patients who are the most satisfied with their care. I just had to chuckle when I read that recently b/c as nurses I think we inherently know this and the buffoons who are tying reimbursement to satisfaction should be the most satisfied should they ever need the services of a nurse. :madface:

I totally agree with you that nursing and healthcare should not trend towards being "customer service oriented." I have been a waitress for many years, and just graduated this spring from nursing school, (and just took my NCLEX-RN today' yay!). One thing I noticed right away about being "service-oriented" like I am (waitressing background, being financially motivated to serve others to their satisfaction so I was rewarded with a good tip, "the customer-is-always-right" mentality..... etc!) was that it was difficult for me to assert myself as the nurse in charge and who had a plan and a goal for the patient. For example, getting a surgical patient out of bed to ambulate when they were sleepy and "up-to-it."

Yes, it's necessary to provide compassionate care, but healthcare is evidence-based.