Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Patients vs. customers: the ethics of health care as a business

Jean Paul Brutus, MD
Physician
March 3, 2023
Share
Tweet
Share

Medicine is both a business and a profession, with the business aspect being the provision of health care services for a fee and the professional aspect being the delivery of medical care for the patient’s benefit.

The business of medicine refers to the broader economic and political systems that shape the health care industry, such as government policies, insurance regulations, and the influence of pharmaceutical companies and other industry stakeholders.

The terms “patient” and “customer” or “client” are often used interchangeably in the context of health care, but they have different meanings.

A patient is someone who receives medical treatment or care for an illness or injury.

A customer or client, on the other hand, is someone who buys a product or service.

A customer or client knows and understands what he wants and needs and will pay for what he wants.

On the other hand, patients may not be as informed as their doctor about what they have and need.

They may want something that is not in their best interest, or that may not be the most appropriate treatment for their condition.

The physician has a fiduciary duty to act in the patient’s best interest and provide the best possible care, even if it may not align with the patient’s immediate wishes.

Traditional models of health care have viewed patients primarily as passive recipients of medical care, with little control over their treatment or the health care system as a whole. This was the paternalistic model.

In recent years, however, there has been a strong shift to a more patient-centered approach, in which patients are seen as active participants in their own care and are given more control over their treatment options. Gone is parental control. And it is a good thing.

With the shift to a more consumer-oriented health care system, patients are increasingly seen as customers or clients.

This has led to an emphasis on customer service and patient satisfaction and an increased focus on marketing and branding within the health care industry.

While the business aspect of medicine can bring benefits such as improved patient experience, access to care, and increased innovation, it also raises ethical concerns, such as balancing profit with patient welfare and avoiding conflicts of interest among health care providers.

In addition, with a focus on customer satisfaction, it is important to ensure that the needs of patients are not overshadowed by market forces.

Overall, medicine is both a business and a profession, and the two are closely intertwined.

However, it’s important to ensure that the business of medicine does not interfere with the primary goal of providing quality patient care and that the terms “patient” and “customer” or “client” are used appropriately.

The physician has a fiduciary duty to act in the patient’s best interest; the businessperson does not.

Jean Paul Brutus is a hand surgeon.

Prev

The hidden consequences of portal message fees

March 3, 2023 Kevin 3
…
Next

The power of a simple form: a doctor's experiment in building trust with patients

March 3, 2023 Kevin 3
…

Tagged as: Primary Care

< Previous Post
The hidden consequences of portal message fees
Next Post >
The power of a simple form: a doctor's experiment in building trust with patients

ADVERTISEMENT

More by Jean Paul Brutus, MD

  • The hidden toll of physician regulatory investigations

    Jean Paul Brutus, MD
  • Why Quebec’s health care model could change Canada’s system for good

    Jean Paul Brutus, MD
  • What causes fainting and how to prevent it during needle procedures

    Jean Paul Brutus, MD

Related Posts

  • How social media can help or hurt your health care career

    Health eCareers
  • To fix health care, ask patients to change their understanding of how a health care system should work

    Richard Young, MD
  • How our health care system traumatizes patients

    Linda Girgis, MD
  • Patients alone cannot combat high health care prices

    Peter Ubel, MD
  • Physicians and patients must work together to improve health care

    Michele Luckenbaugh
  • Doctors and patients should be wary of health care mega-mergers

    Linda Girgis, MD

More in Physician

  • Rural maternity care in crisis: 5 solutions to save local OB units

    Jesus Ruiz, MD
  • Bipolar I and the illusion of insight: a firsthand account

    Tommy Saborido, MD
  • The hidden toll of physician regulatory investigations

    Jean Paul Brutus, MD
  • Learned helplessness and self-efficacy in tobacco treatment

    Edward Anselm, MD
  • Why doctors struggle with health care system delays

    Kayvan Haddadan, MD
  • Physician mental health and suicide prevention: stories of survival

    Michael F. Myers, MD
  • Most Popular

  • Past Week

    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • The hidden cost of medical board regulation and prosecutorial overreach

      Kayvan Haddadan, MD | Physician
    • Reflection vs. rumination: Is medical education harming students?

      Vijay Rajput, MD and Seeth Vivek, MD | Education
    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
  • Recent Posts

    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
    • Bipolar I and the illusion of insight: a firsthand account

      Tommy Saborido, MD | Physician
    • AI in health care data management: Curing the EHR overload

      Hamad Husainy, DO | Tech
    • The hidden toll of physician regulatory investigations

      Jean Paul Brutus, MD | Physician
    • Physician father wrestles with daughter’s post-Dobbs future [PODCAST]

      The Podcast by KevinMD | Podcast
    • Physician tax strategies: Why your tax bill is so high and how to fix it

      Logan Foltz, MD | Finance

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

Leave a Comment

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • The hidden cost of medical board regulation and prosecutorial overreach

      Kayvan Haddadan, MD | Physician
    • Reflection vs. rumination: Is medical education harming students?

      Vijay Rajput, MD and Seeth Vivek, MD | Education
    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
  • Recent Posts

    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
    • Bipolar I and the illusion of insight: a firsthand account

      Tommy Saborido, MD | Physician
    • AI in health care data management: Curing the EHR overload

      Hamad Husainy, DO | Tech
    • The hidden toll of physician regulatory investigations

      Jean Paul Brutus, MD | Physician
    • Physician father wrestles with daughter’s post-Dobbs future [PODCAST]

      The Podcast by KevinMD | Podcast
    • Physician tax strategies: Why your tax bill is so high and how to fix it

      Logan Foltz, MD | Finance

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Leave a Comment

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...