So, you walk into your GP's surgery and he or she says 'Good morning Jane, how can I help you'? 'Well, doctor... you begin.
You walk into the consulting office of your hospital specialist and he or she says 'Good morning Jane. How have you been since the last time I saw you?' 'Well, Dr.......' you begin.
You are admitted to hospital and the admitting nurse says ' Hello Jane, I'm Sister Black'...and so on.
Are you getting the picture? When we are on the receiving end of health care, we the patient are automatically addressed by our given name, whereas the health care professionals introduce themselves with their honorific plus surname. If you addressed your consultant by his given name he would choke on his tie.
I worked in hospital health care for my whole career so I know the stock answers. 'It's much friendlier to use first names when people come into hospital' (applied only to the patient and some nurses, physios and so on once you've been there for a while). 'patients much prefer to be called by their given name' But do they really? Many older people really do not like it, and prefer to be called Mr or Mrs, Sir or lady, whatever, plus their surname. At the very least it would be nice to be asked how you would like to be addressed. Using the given name for everyone, without asking has only really occurred in the last 20 or 30 years.
Why then do the care givers of every kind prefer to be given their honorific plus surname? There are for example very few doctors who will introduce themselves 'good morning Mrs Jones - I'm Jimmie your registrar. How would you like me to address you?'
There is also something of a hierarchy within the hospital too - many medics will call nurses by their given names, when they remember them, but definitely do no expect said nurses to reciprocate. Same with secretaries - they get their given name, but call their bosses by their honorifics.
If you try to analyse it then you must conclude that it is just as unfriendly and gives a sense of 'I'm the medic, you're just a lesser being'. I do find it so disrespectful to patients, creating and perpetuating the superior versus inferior relationship. It also annoys the backside off me when I am addressed by my first given name as I never use it, and hate it

. So far from being friendly, calling me by my first given name is almost offensive.
Here on TAS we have a really wide spread of young and old, health care professionals and people who have been on the receiving end of health care. What do you think of this question? Do you feel spoken down to when you are called by your given name whereas the staff are formal and expect the use of their full title? Or do you feel it's friendly to be automatically called by your first name but you wouldn't expect to call your doctor by his/her/its given name, and I'm just old fashioned and a wittering old woman?