Yet Another Cycling Forum

Off Topic => The Pub => Topic started by: Sergeant Pluck on 25 April, 2008, 08:52:30 pm

Title: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 25 April, 2008, 08:52:30 pm
How do you, the great unwashed  ;), like to be referred to by nurses and doctors in the context of attending for clinic visits or investigations?

How do you prefer to be referred to in written information about your investigation, for example? How would you prefer to hear yourselves referred to in the course of a conversation with the staff? Are you a patient, a client, a customer, or do you prefer to be referred to simply as people / persons / individuals? Do you find it objectionable to be referred to as a patient? Do you feel this labels you as a "sick person"?
Title: Re: Patients, clients, customers, service users...
Post by: Noodley on 25 April, 2008, 09:02:18 pm
I have no problem with being referred to as a "patient" by medical staff.

My line of work has similar "issues" re what to call clients/service users/customers/etc. as they are mostly "involuntary" and under a degree of compulsion to attend, despite having "agreed" to be subject to a court order to attend.

I do feel there is some scope to think about these matters and what impact "labelling" has on the relationship, but I am quite happy to be a "patient" with medical staff.  I do not think it implies I am necessarily sick, although the nature of the realtionship may suggest some degree of ailment....
Title: Re: Patients, clients, customers, service users...
Post by: MSeries on 25 April, 2008, 09:07:45 pm
Not a problem being the 'patient'. I was a patient today at my physiotherapy, it was great.
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 25 April, 2008, 09:40:08 pm
I find that reassuring. Where I work (cardiac imaging) patients are routinely referred to as such and I don't think there is a problem with it. Some are undoubtedly very ill, many are not. Personally I don't think the term "labels" people one way or the other apart from the fact that the patients are receiving care or treatment or undergoing a test or scan.
I have no problem being referred to as a patient myself in any health care environment.
The term seems to be disapproved of in some circles where I work and I was puzzled as to the origin of the disapproval. (It seems to emanate from corporate communications types).
Title: Re: Patients, clients, customers, service users...
Post by: outwith on 25 April, 2008, 10:06:27 pm
I never liked the change from 'passenger' to 'customer' on trains.  I want to be identified as someone trying to travel somewhere, not someone who's only succeeded in handing over money.
Title: Re: Patients, clients, customers, service users...
Post by: Adam on 25 April, 2008, 10:10:48 pm
Definitely a patient.  Anyone who wants to make sick people become "clients" should be given an enema.
Title: Re: Patients, clients, customers, service users...
Post by: Frenchie on 25 April, 2008, 10:17:17 pm
Definitely a patient.  Anyone who wants to make sick people become "clients" should be given an enema.

Yep.
Title: Re: Patients, clients, customers, service users...
Post by: steveB on 25 April, 2008, 10:19:49 pm
I don't care one way or the other.  Patient is what I expect to be called whenever I visit anywhere for medical treatment.  Although I feel more like a customer when I visit the dentist.

I think we all accept without thinking by whatever name we are referred to.

Not so many years ago the only people in teams were in some sort of competition with an opposition, now everyone is in a team of some sort at work, sales team; maintenance team; management team.

The words don't really matter to the punter/customer/patient IMO, it's the service that counts.  
Title: Re: Patients, clients, customers, service users...
Post by: geraldc on 25 April, 2008, 10:22:56 pm
anything as long as medical staff don't call me the 'subject'. I remember when the dentist would ask me if I'd been a good boy in between check ups. They should bring that back for adults.
Title: Re: Patients, clients, customers, service users...
Post by: rower40 on 25 April, 2008, 10:29:08 pm
Customer, Patient, Client, Victim: all fine by me.
Just don't call me T.F.Bundy (http://www.urbandictionary.com/define.php?term=T.F.BUNDY)
Title: Re: Patients, clients, customers, service users...
Post by: Basil on 25 April, 2008, 10:34:36 pm
My Dad used to say "You can call me anything you like as long as you don't call me late for dinner."
Title: Re: Patients, clients, customers, service users...
Post by: Wowbagger on 25 April, 2008, 11:43:46 pm
I received my P60 this week and the letter addressed me as "Dear Pensioner".
Title: Re: Patients, clients, customers, service users...
Post by: Noodley on 25 April, 2008, 11:47:32 pm
I received my P60 this week and the letter addressed me as "Dear Pensioner".

 ;D ;D ;D
Title: Re: Patients, clients, customers, service users...
Post by: Pingu on 26 April, 2008, 12:11:10 am
Sir
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 26 April, 2008, 12:27:26 am
I received my P60 this week and the letter addressed me as "Dear Pensioner".

Oh dear  ;D

Title: Re: Patients, clients, customers, service users...
Post by: Eccentrica Gallumbits on 26 April, 2008, 01:31:05 am
We had this debate here a few years ago and one of the consultant neurologists - a couthy Glasgwegian - put an end to the client/patient argument by saying "there's twa professions hae clients - that's lawyers and hoors."  ;D

There's a move in some local authorities to call the residents of that areas "customers" which I hate. Customers have a choice. You don't have a choice of which local authority provides your services you're stuck with the one you live in and the only way to change that is to move. And certainly many social work clients are receiving input against their will as compelled by law, so the notion of customer is ridiculous.
Title: Re: Patients, clients, customers, service users...
Post by: Regulator on 26 April, 2008, 07:10:52 am
I am a patient - plain and simple...
Title: Re: Patients, clients, customers, service users...
Post by: alan on 26 April, 2008, 08:12:32 am
I am a patient - plain and simple...

I too am plain & simple. I prefer to be regarded as a patient .
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 26 April, 2008, 08:17:08 am
This is confirming what I already know from patients themselves, but it's good to hear it from people that aren't already in a hospital department being asked while being treated.

Our communications department seem to think otherwise at times.  ::-)

Quote
"there's twa professions hae clients - that's lawyers and hoors."

 ;D
Title: Re: Patients, clients, customers, service users...
Post by: Adrian on 26 April, 2008, 08:21:18 am
I am a patient - plain and simple...

Is that not more usually spelt pedant?
Title: Re: Patients, clients, customers, service users...
Post by: Regulator on 26 April, 2008, 08:22:34 am
I am a patient - plain and simple...

Is that not more usually spelt pedant?


[Looks for the two finger smiley]
Title: Re: Patients, clients, customers, service users...
Post by: diapsaon0 on 26 April, 2008, 09:13:26 am
I loathe the term "service users"  ::-)  I'd rather be a patient when I'm in hospital, a  customer in a shop, a client at the solicitor's and a bloke the rest of the time.

N
Title: Re: Patients, clients, customers, service users...
Post by: slowfen on 26 April, 2008, 11:32:38 am

Having had similar problems when working on wards, the terms "punter" and "victim" would wind-up those who were trying to remove that henious label of patient
Title: Re: Patients, clients, customers, service users...
Post by: Gandalf on 26 April, 2008, 12:55:03 pm
When I had my vasectomy, post op  I was referred to as a 'Jaffa'.
Title: Re: Patients, clients, customers, service users...
Post by: border-rider on 26 April, 2008, 04:52:37 pm
"The sub-healthy community"

 ;)
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 26 April, 2008, 10:13:05 pm
 ;D
Title: Re: Patients, clients, customers, service users...
Post by: Pedaldog. on 26 April, 2008, 10:41:13 pm
When I was a student Nurse in Colchester, 1992, We were given the death penalty if we ever referred to anything but "Clients and Carers or Health Care Professionals" and it still winds me up now.
Title: Re: Patients, clients, customers, service users...
Post by: andygates on 26 April, 2008, 11:45:06 pm
Patients, and in transport, passengers.

Clients and customers are just giving a company money.  Patients are being made well, and travellers are going somewhere.  The change in wording changes the emphasis in a way that makes my skin crawl.
Title: Re: Patients, clients, customers, service users...
Post by: Cunobelin on 27 April, 2008, 08:23:25 am
Midwives have "Mothers"
Paediatric nurses have children
Genera nurses have patients
Prostitutes have Clients

Title: Re: Patients, clients, customers, service users...
Post by: Bollards on 27 April, 2008, 12:17:29 pm
A patient definitely.

Non of that newspeak!
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 28 April, 2008, 07:16:58 pm
Here's a term I've had an earful of today, in relation to patients: bariatric.

 :sick:

Give me good old "morbidly obese" any day.
Title: Re: Patients, clients, customers, service users...
Post by: Deano on 28 April, 2008, 07:27:31 pm
There's a move in some local authorities to call the residents of that areas "customers" which I hate. Customers have a choice. You don't have a choice of which local authority provides your services you're stuck with the one you live in and the only way to change that is to move. And certainly many social work clients are receiving input against their will as compelled by law, so the notion of customer is ridiculous.

When I was working for the civil service - state benefits - I used to correct local authorities which called people "customers".  I much prefer "resident".

I doubt there is anywhere worse than the civil service for using the language of business - customers, end users etc.  OTOH some people in the office had much worse terms...
Title: Re: Patients, clients, customers, service users...
Post by: Regulator on 29 April, 2008, 08:19:30 am
Here's a term I've had an earful of today, in relation to patients: bariatric.

 :sick:

Give me good old "morbidly obese" any day.


I like that!   :)


I'm not fat - I'm 'bariatric'!   :thumbsup:  ;D
Title: Re: Patients, clients, customers, service users...
Post by: andygates on 29 April, 2008, 09:16:54 am
The name's Attrick.  Barry Attrick.
Title: Re: Patients, clients, customers, service users...
Post by: diapsaon0 on 29 April, 2008, 09:57:54 am
When I joined the Civil Service (DH)SS in 1974, we were told to refer to people as 'IP's' (Insured Persons). The PC brigade would have a field day with that now  ???

N
Title: Re: Patients, clients, customers, service users...
Post by: dkahn400 on 29 April, 2008, 10:11:41 am
Patients, and in transport, passengers.

Clients and customers are just giving a company money.  Patients are being made well, and travellers are going somewhere.  The change in wording changes the emphasis in a way that makes my skin crawl.

WHS
Title: Re: Patients, clients, customers, service users...
Post by: dkahn400 on 29 April, 2008, 10:13:45 am
"The sub-healthy community"

 ;)

Non-patient-statusly challenged.

Title: Re: Patients, clients, customers, service users...
Post by: pcolbeck on 29 April, 2008, 10:21:56 am
One the train the other day the person in charge of the staff on the train (head steward ?) announced herself over the intercom as "your team leader for today" which seems grammatically incorrect as I was not in any kind of team with her and also to imply that they rotated positions every day which I suspect is not the intention.

Doctor / Nurse and patient for heavens sake. Who wants to play health care professionals and customers ? It doesn't sound like fun at all.
Title: Re: Patients, clients, customers, service users...
Post by: clarion on 29 April, 2008, 10:41:14 am
A person could be a bariatric patient, in the same way they could be a cardiac patient or a renal patient.  You couldn't describe a person as bariatric alone.
Title: Re: Patients, clients, customers, service users...
Post by: juliet on 29 April, 2008, 12:23:08 pm
I think it depends on the service.  Physical health services I think patient seems OK.  Mental health services (the area in which I am currently retraining) I find it more problematic.  Doctor/patient is a very power-laden relationship, and one of the big problems I have with the way that mental health services are structured at present is the way in which the relationship is YOU are the ill person and I am the healthy sane professional who is going to fix you. 

It takes agency away from people and that in itself can have a negative impact.  It also places the psychologist/psychiatrist in the position of expert - whilst they do of course have professional expertise, the patient/client/service user also has a great deal of expertise on their own experience, and there's a tendency for that to be ignored. 

I'm not sure that service user is that much of an improvement, though, and client definitely not.  (People who've had experience of the enforced parts of the mental health system tend to be very scathing about "service user", because they would resist the idea that they've been provided with any "service".)
Title: Re: Patients, clients, customers, service users...
Post by: HTFB on 29 April, 2008, 01:03:53 pm
My line of work has similar "issues" re what to call clients/service users/customers/etc. as they are mostly "involuntary" and under a degree of compulsion to attend, despite having "agreed" to be subject to a court order to attend.
May I suggest penitent?

On edit: er, I have no idea what sort of court orders these are. Penitent would be a good word for people subject to non-custodial punishment or enforced rehabilitation after a crime, anyway.

On further edit: now spelled right.
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 29 April, 2008, 01:09:58 pm
A person could be a bariatric patient, in the same way they could be a cardiac patient or a renal patient.  You couldn't describe a person as bariatric alone.

Yes, but some of these terms are used in that way, e.g. geriatric.
"She'd be much better off in with the other geriatrics"  ::-)  :sick:

Not where I work, y'understand.

Title: Re: Patients, clients, customers, service users...
Post by: Greenbank on 29 April, 2008, 01:14:40 pm
It's just the ever pervasive corporate bullshit. Much like everything must have a strapline or mission statement.

Why does my borough council need to call itself "The Brighter Borough"?

And why the f*** does the college down the road have to waste money each and every year rebranding itself (http://www.south-thames.ac.uk/Chapters/ViewChapter.aspx?PageId=85#471)?

"
The revamped branding incorporates:

    * a distinctive new logo
    * fresh corporate colours
    * and an updated new vision, mission and values

The new branding is supported by a new strapline: ‘shaping your future'

Commenting on the rationale behind the re-brand, Sarah Horrell, Director of Marketing and Business Development said, "We have adapted to reflect the changes currently being experienced in the world of FE, to drive our own aspiration and affirm our position as a vocationally focused college serving the needs of the community and business."
"

I feel queasy.
Title: Re: Patients, clients, customers, service users...
Post by: CathH on 29 April, 2008, 01:18:05 pm
I think my discomfort from being called a "customer" if visiting a hospital is because it is just plain wrong in my eyes.  Customers pay for a product.  Customers don't tend to receive a service that's free at the point of use (mostly).  

When my other half went private using his company BUPA cover for a procedure he had no problem being referred to as a customer, and his expectations were a whole lot different too.
Title: Re: Patients, clients, customers, service users...
Post by: Sergeant Pluck on 29 April, 2008, 01:25:19 pm
Our Training and Education Department, formerly known as just that, underwent a "rebranding" not long ago. It's called "Evolve" now. No-one knows what "Evolve" is. Any relevant queries are always about "training" or "education"; nobody calls it Evolve. It's listed in the work email and phonebook as Training and Education as otherwise no-one could find it.

Outside agency, fancy logo, and the laughable bit was that the rooms in the small department, formerly quite sensibly known as 1, 2, and 3, are now re-named "Oak", "Chestnut, "Willow".

Growth and all that y'see.  ::-)

The rooms have remained precisely the same. The training that goes on is either the same, or in the cases where it has been contracted out, far worse.

Title: Re: Patients, clients, customers, service users...
Post by: Ian H on 29 April, 2008, 01:41:15 pm
...Doctor/patient is a very power-laden relationship...

Being a doctor puts a person in a position of power; there's no getting away from that. The doctor needs to be aware of it, and of the responsibility that goes with it.
Title: Re: Patients, clients, customers, service users...
Post by: alan on 29 April, 2008, 02:00:04 pm



Commenting on the rationale behind the re-brand, Sarah Horrell, Director of Marketing and Business Development said, "We have adapted to reflect the changes currently being experienced in the world of FE, to drive our own aspiration and affirm our position as a vocationally focused college serving the needs of the community and business."




That seems like toomanywords speak for

Trying to get it right ::-)
Title: Re: Patients, clients, customers, service users...
Post by: FatBloke on 30 April, 2008, 11:52:25 am
I would like to be addressed as "your grace", but as my elevation to Dukedom is somewhat unlikely I'll make do with "patient".