1、ClinicianoftheFutureHealthClinicianoftheFuture2023ElevatingglobalvoicesinhealthcareClinicianoftheFuture20232ContentsForeword3Summary4Introduction6Chapter1:Cliniciansareseekingbalance8Chapter2:TechnologyandAIareempoweringclinicians19Chapter3:Knowledgeandtechnologyare
2、transformingtheclinicianpatientrelationship32Chapter4:Cliniciansimagineavalue-basedfuture42Conclusion51Methodology52Acknowledgments53Appendices54ClinicianoftheFuture2023ClinicianoftheFuture20233ClinicianoftheFuture2023ForewordThefutureofhealthisbeingprofoundlyshaped
3、byaconvergenceofkeyfactorsthatareredefininghowweapproachhealthcareonaglobalscale.Firstandforemost,advancementsinmedicaltechnologyaredrivingunprecedentedinnovations,allowingformoreaccuratediagnoses,personalizedtreatments,andenhancedpatientoutcomes.Cutting-edgetechno
4、logiessuchasartificialintelligence,genomics,telemedicine,andwearabledevicesarerevolutionizingpatientcarebyenablinghealthcareprofessionalstomakedata-drivendecisionsandtailorinterventionstoindividualneeds.Additionally,theincreasingemphasisonpreventivehealthcareisreshapin
5、gthelandscape,withashifttowardsproactivemeasuresaimedatidentifyingandaddressinghealthrisksbeforetheyescalateintomoreseriousconditions.Thispreventiveapproach,coupledwithgreaterpatientempowermentthroughhealtheducationandawareness,isfosteringaneweraofself-managedw
6、ellness.Lastyear,welaunchedtheClinicianoftheFuturereporttoexploreemergingtrendsshapingthefutureofhealthcareandelevatethevoicesofthousandsofcliniciansaroundtheworldontheopportunitiesandchallengestheyarefacingintheirroles.Sincetheworldwerelivinginischangin
7、grapidly,werepleasedtosharewithyouthelatestfindingsandinsightsfromtheClinicianoftheFuture2023report.Inthisreport,youwilllearnmoreaboutkeyprioritiesforthefutureofhealth,includingcliniciansconcernsontheongoingnursinganddoctorshortage,theirinterestandapprehen
8、siononthefast-movingworldofartificialintelligence,theirviewsonimprovingthecontinuoustrainingofclinicians,andperspectivesontheintegrationofscientificresearchinclinicalpractice.AtElsevierHealthwesupportcurrentandfuturehealthcareprofessionalsbyprovidingtrusted,evide
9、nce-basedcontentanddataanalyticstohelpinformclinicaldecisions.Aspartofourcompanymission,wearecommittedtoidentifyingandprovidingsolutionstoaddressthechanginghealthcarelandscapetodayandtomorrowandwillcontinuetolistenandamplifythevoicesofthoseonthefrontlines
10、ofpatientcare.IhopeyouenjoyreadingthisreportandifyoureinterestedinlearningmoreaboutupcomingClinicianoftheFuturereportsandevents,pleasesignuptobeapartoftheClinicianoftheFuturecommunity.Sincerely,JanHerzhoffPresident,ElsevierHealthClinicianoftheFuture20234Sum
11、maryTodayscliniciansareenthusiasticabouttheirroles,butmanyareacutelyawareofthechallengesfacinghealthcare,includingstaffshortages.Theyarekeentobalancethisandcanseethepotentialoftechnologicalsolutions,includingartificialintelligence(AI),toeasetheirworkburden.Thesea
12、realldriversofchange,helpingshapetomorrowshealthcarelandscapeoneinwhichtheclinicianofthefuturewillwork.ElsevierHealthdevelopedtheinauguralClinicianoftheFuturereportin2022;this2023surveyexploresthelatesttrendsincliniciansperspectives.Thisnewreporttakesasnaps
13、hotofclinicianbehaviorandopinionthatshowsprogressornottowardthepossiblefuturesweenvisionedintheClinicianoftheFutureReport2022.Throughanonlinesurvey;2,607cliniciansaroundtheworldsharedtheirexperiencesandviews.Thisreportfocusesonfourthemesthatemergedstrongly
14、fromtheresults.CliniciansareseekingbalanceFordetails,seeChapter1onpage8Cliniciansenjoytheirwork,butmoreareconsideringleavingtheirroles(37%)thanin2022(33%),and13%areconsideringleavinghealthcarealtogether,withmany(9%)retiring.Clinicianshortageisaconcern,particularlyin
15、theUKandtheUSA,andmanyareworriedthatnewlyqualifieddoctorsdidnotgetenoughhands-ontrainingduetoCOVID-19.Digitaltechnology,includingartificialintelligence(AI),couldbepartofthesolutionaswemovetowardtheFutureBalancedClinicianenvisionedintheClinicianoftheFuture
16、Report2022.86%enjoytheirjobsbuttheycontinuetoworklonghours49hoursistheaverageworkingweek37%areconsideringleavingtheirjobsinthenext2-3years13%areconsideringleavinghealthcareinthenext2-3years54%ratetacklingtheshortageofnursesasatoppriorityTechnologyandAIareemp
17、oweringcliniciansFordetails,seeChapter2onpage19Thedependencyontechnologyhasalwaysbeenhighamongcliniciansbuttheappetiteforitasanenablingtoolisincreasing,asitisperceivedtohelpaddresstimepressures,createefficienciesandenhanceclinicalpractice.Thereisanappetite
18、tousegenerativeAItoolstolearnandinformtheirdecisionmaking,andagrowingdesireamongclinicianstohavedigitaltechnologyexpertise,especiallyastheyanticipateusingpatient-collecteddatatohelpmakedecisions.TheFutureTech-SavvyClinicianiscloserthancliniciansmayhaveimagine
19、d:manyoftheirpredictionsforhealthcareadecadeinthefuturenowseemtobeonthe2-3yearhorizon.ThisincludesusinggenerativeAItools,thoughtherearedifferencesofopinionanddebatearoundfutureuseofAI.48%finditdesirableforphysicianstouseAIinclinicaldecisionmaking11%ofcl
20、inicaldecisionsarecurrentlyassistedbygenerativeAItools51%considerAIdesirablefortrainingdoctors,50%fortrainingnurses73%consideritdesirablefordoctorstobedigitalexperts,and71%fornurses68%finditdesirablethatpatient-collecteddatainformsclinicaldecisionsClinicianoftheFutur
21、e2023ClinicianoftheFuture20235KnowledgeandtechnologyaretransformingtheclinicianpatientrelationshipFordetails,seeChapter3onpage32Thereisatrendtowardspatientempowerment,withcliniciansexpectingtheirhealthliteracy,knowledgeofsocialdeterminantsofhealth(SDOH)andproactive
22、healthmanagementtogrowinthecomingfiveyears.Astheuseofdigitaltechnologies(e.g.wearables)increasesandinteractionsbecomemorevirtual,cliniciansmayneedtoupskill.ThisprogresstowardtheFuturePartnerforHealththatweenvisionedintheClinicianoftheFutureReport2022willbe
23、supportedbydevelopmentsindigitaltechnology.Cliniciansthinkthat:Twoinfive(41%)patientsarehealthliteratetodayHalf(49%)ofpatientswillbehealthliteratein2028KnowledgeofSDOH:35%today48%in5yearsActivemanagementofhealth:38%today49%in5yearsUseofmonitoringtools:27%today45%in
24、5years55%findtelehealthdesirableasthemainmechanismforroutinecheck-ups61%ofclinicianshaveenoughtimetoprovidegoodpatientcareCliniciansimagineavalue-basedfutureFordetails,seeChapter4onpage42Overall,clinicianshaveapositivesentimenttowardvalue-basedcare,withmostexpect
25、ingittoreduceburdenonsecondarycareandimprovethepatientexperiencewhilesavingcosts.Theyrecognizetheimportanceofmovingtoapreventiveandpersonalizedapproach,notingthereisstillajourneyahead,includingimprovingpreventivecare.Althoughvalue-basedcareisnotyetabroadrea
26、lityinmostcountries,somearemovingtowardsit,andcliniciansgenerallyseethispositively.74%ofcliniciansthinkmoreshouldbedoneinpreventivecare73%ofcliniciansexpectthatmostpatientswillbemanagedinprimarycaresettings69%ofcliniciansexpecthospitalstaystobeshorter67%expecti
27、nstitutionstomonitorpatientssocialdeterminantsofhealth51%ofcliniciansexpectvalue-basedcaretolowercosts40%ofcliniciansconsiderpersonalizedtreatmentapproachesatoppriorityThisisadynamicpicture,andasnewcliniciansentertheworkforce,thelandscapewillcontinuetoshift.Wecondu
28、ctedthis2023surveytokeeplisteningtoclinicians,andwerenotstoppinghere.OurnextsteponthisjourneyisasurveyofstudentsonAIandanumberofothertopics.Weinviteyoutoshareyourthoughtsandinputwithus.Withtheseinsights,wecancontinuetodevelopsolutionsthathelpclinicia
29、nsandtheirFollowElsevierConnectonTwitter,FacebookandLinkedInClinicianoftheFuture20236Healthcarecontinuestochange,andweretakingitspulseIntheClinicianoftheFutureReport2022,welookedatthefutureclinicianfromfiveangles,andidentifiedthedifferentskills,profiles,androl
30、esthatcouldmeetthechallengescliniciansidentifiedahead.Weestablishedabaselinebyaskingcliniciansabouttheircurrentexperience,andweaskedthemtolookadecadeaheadtobuildapictureofwhatmightbecoming.Oneyearon,wehavetakenapulseoftheevolvingworldofhealthcare.Wehav
31、efolloweduponsomepreviousfindings,lookedfromdifferentanglesatothers,andopenednewlinesofinvestigation.Inthisreport,youcanreadtheresultsandfindouthowthelandscapeisshifting.IntroductionClinician:Inthisreport,whenwetalkaboutclinicianswearereferringtophysiciansan
32、dnursesinprimaryandsecondarycare.TheClinicianoftheFutureLookingattheclinicianofthefuturefromfiveangleshighlightshowmultifacetedtheirworkis,todayandinthefuture.Italsoshowsthemultiplechallengescliniciansface,andtherangeofsolutionstheywillneedaccesstoinord
33、ertonavigatetheworldofhealthcaretomorrow.TheFutureClinicianasaPartnerforHealthwillworkcollaborativelywithpatients,whoareinformed,empoweredmembersoftheirowncareteam.TheFuture“TotalHealth”Clinicianwillhelppeoplestayhealthyratherthanwaitinguntiltheybecomeill,by
34、focusingonpreventivehealthcare.TheFutureTech-SavvyClinicianwillimprovepatientoutcomesbyusingdataandthelatestdigitalhealthtechnologies,whichareconstantlyevolving.TheFutureBalancedClinicianwillhaveabetterworklifebalanceifstaffshortagesareaddressed,helpingavoidthe
35、burnoutprevalenttoday.TheFutureAccessibleClinicianisawareofhealthinequitiesandworksinasystemthatmakescaremoreavailabletodiversepopulations.Inthisreport,wehavethefutureclinicianinmind,andwerefertothesefiveperspectiveswithinthefourmaintrendsthatcamethrough
36、inthelatestsurvey.ClinicianoftheFuture20237ClinicianoftheFuture2023Inthisstudy,ourobjectivewastotakethepulseofattitudesandperceptionsamonghealthcareprofessionals,toseewherewestandoneyearon.Theaimwastouncovershiftsinexpectationsthatcouldimpactthewayhealth
37、careisdeliveredinthefutureandconsiderwhatcliniciansmightdoasthosechangesprogress.CliniciansurveyTheworldtodayisquitedifferenttotheoneinwhichwecapturedcliniciansviewsfortheinauguralClinicianoftheFuturereport:inlate2021,manycountrieswereexperiencingongoingm
38、easurestodealwiththeCOVID-19pandemic.Althoughstillaffectingmanypeople,theCOVID-19pandemichasfurtherabated,andwehaveincreasinglyadjustedtoanewpost-pandemiclife.Someofthechangesthepandemicbroughtinhaveremainedpermanent,notablytheriseoftelehealth.Oneofthebiggest
39、shiftswehaveseeninthehealthcaresectorinthelastyearhasbeentheemergenceandrapidgrowthofAI,particularlygenerativeAItoolslikeChatGPTandBard.Toensurewehavearepresentativepictureofcliniciansexperiencetodayandexpectationsofthefuture,wehaveaskedanumberofquest
40、ionsabouttheirattitudestoAI.Alongsidethesurveyresults,wehaveexploredaspectsoftodayshealthcarelandscape,puttingaspotlightonthreemarkets:China,theUKandtheUSA.Eachcountryandregionhasitsowncontext,andthishasaninfluenceoncliniciansresponses.Whilewehavetriedtoint
41、erpretresponseswithincontext,wearetakinganobjectiveviewofthesurveydata.Wesharetheresultsinthetextandhighlightsomeinvisuals;youcanexplorethefullresultsat2023reporttakesasnapshotofclinicianbehaviorandopinionthatshowsprogressornottowardthepossiblefutures
42、weenvisionedinthe2022report.Bycontinuingtoelevatethevoicesofclinicians,wecanbetterunderstandthechallengestheyexpecttofaceintheyearsaheadandconsiderhowallhealthcarestakeholderscanpartnerwithdoctorsandnursestosupporttheminprovidingthebestcarepossiblefort
43、heirpatients.10-15-minuteonlinesurveyn=2,607cliniciansfrom116countriesAprilandMay2023SeetheMethodology(page52)andAppendix(page54)foramoredetailedbreakdown.ClinicianoftheFutureHealthCliniciansareseekingbalanceClinicianoftheFuture2023Chapter1Cliniciansareseekingbalanc
44、e86%enjoytheirjobsbuttheycontinuetoworklonghours49hoursistheaverageworkingweek37%areconsideringleavingtheirjobsinthenext2-3years13%areconsideringleavinghealthcareinthenext2-3years54%ratetacklingtheshortageofnursesasatoppriorityCliniciansenjoytheirwork
45、,butmoreareconsideringleavingtheirroles(37%)thanin2022(33%),and13%areconsideringleavinghealthcarealtogether,withmany(9%)retiring.Clinicianshortageisaconcernacrossmostmarkets,particularlyintheUKandtheUSA,andmanyareworriedthatnewlyqualifieddoctorsdidnotgetenoughh
46、ands-ontrainingduetoCOVID-19.Digitaltechnology,includingartificialintelligence(AI),couldbepartofthesolutionaswemovetowardtheFutureBalancedClinicianenvisionedintheClinicianoftheFutureReport2022.Inthe2022ClinicianoftheFuturesurvey,clinicianssharedthattheylovewh
47、attheydo.DespiteexperiencingtheCOVID-19pandemicandfacingarangeofchallengesandfrustrations,cliniciansareenthusiasticabouttheirjobs.TheClinicianoftheFuture2023surveyshowsthatthevastmajorityofcliniciansstillenjoytheirjobs:86%ofcliniciansgloballyagreed,thesamelev
48、elofagreementasthe2022survey.MostcliniciansenjoytheirrolesAgreementishighacrossdifferentregions;itishighestinSouthAmerica,where94%ofcliniciansreportedenjoyingtheirjobs(95%ofdoctorsand93%ofnurses).Althoughmostrespondentsagree,therewasasignificantdropinjobenjoym
49、entsincethepreviousstudyinChina,where86%ofdoctorsandnursesenjoytheirjobs,downfrom91%and90%respectivelyin2022.JobenjoymentissignificantlyloweramongdoctorsintheUSA(80%)andtheUK(76%).Giventhebackdropofoverstretchedhealthcaresystems,withwidespreadstrikingintheUSA1
50、andUK,2clinicianshavehadachallengingyear.IntheClinicianoftheFutureReport2022,wesawapictureofcliniciansaroundtheworldburningoutduetopressurefromtheCOVID-19pandemic,coupledwithfeelingundervalued.AlthoughtheheightoftheCOVID-19pandemicisnowfurtherbehindus,cl
51、iniciansarestillfeelingthepressure.AccordingtothePhysiciansFoundations2022SurveyofAmericasPhysicians,capacityissuesmeanone-thirdofphysiciansareoverextendedandoverworkedtoday,andnearlyhalfareatmaximumcapacity.3Almosthalfofrespondentsdonothavehighprofessionalmor
52、ale,andmorethanhalflackpositivefeelingsabouttheprofession.TheresultHalfofrespondentswouldnotrecommendacareerinmedicine.Similarly,researchpublishedinMayoClinicProceedingsshowedthatinthewakeoftheCOVID-19pandemic,“only57%ofdoctorswouldchoosemedicineagain.”4Clinic
53、ianoftheFuture20239ManycliniciansareconsideringleavinghealthcareinthenearfutureInthisyearssurvey,wehaveseenanincreaseinthepercentageofrespondentsconsideringleavingtheirrolesinthenext2-3years,with37%consideringthisin2023;thecomparablefigurewas33%in2022.Thei
54、ncreasesincelastyearisbeingdrivenbymorenursesconsideringleaving(increasingfrom34%to42%),withtheproportionofdoctorsremainingat33%.Europe(51%)andNorthAmerica(52%)havethehighestratesofnursesconsideringleaving,bothsignificantlyhigherthantheglobalaverage.Itissimilar
55、fordoctorsinbothregions(39%and47%respectively).ThelargestshiftamongnursessincelastyearisinAsiaPacific(from17%to30%in2023).TheproportionconsideringleavingtheirrolesishighestfornursesintheUK(54%).Statement:Iamconsideringleavingmycurrentrolewithinthenext2-3year
56、sQuestion:B1.TowhatextentdoyouagreeordisagreewitheachofthefollowingstatementswithregardstohealthcarePleasethinkaboutyourcurrentexperienceworkinginhealthcare.RegionandCountry%NursesAgree(n=657)2022%2022%2022%DoctorsAgree(n=1,950)%CliniciansAgree(n=2,607)BaseSizesTOTAL2
57、,607AsiaPacific807Europe912NorthAmerica394SouthAmerica345Mid.East&Africa120China418UK272USA3653333232040454850333346151444494850524230515238LowBaseLowBase14544237274550411548503323394745211548Dr3417AP49AP,SA513314CH55CH51APAPAP,EUAP,SAAPAPCHCHCHCHSignificantlyhigherorlowerthantotalSignific
58、antlyhigherorlowerthan2022SignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)AsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=NursesWealsoaskedsurveyparticipantswhattheyaremostlikelytodo
59、next.Ofthe37%consideringleavingtheirroles,24%plantomovetoanotherroleinhealthcare,and13%plantoleavehealthcarealtogether,eitherbymovingtoanon-healthcare-relatedjoborretiring.(Pleaseseethefullresearchanalysisaccompanyingthisreportformoredetail.)Again,therearesignif
60、icantregionaldifferences.InNorthAmerica,where50%ofrespondentsareconsideringleavingtheirjobs,almosthalfofthem(24%)areplanningtoleavehealthcareorretire.SimilarlyintheUK,48%areconsideringleavingtheirjobsand24%plantoleavehealthcareorretire.Attheotherendofthespectr
61、um,cliniciansinAPACaremuchmorelikelythanthoseinotherregionstoremaininhealthcare,withonly5%sayingtheyplantoleave.Lookingatthedifferencesbetweenroles,nursesaremuchmorelikelytobeconsideringleavingtheirrolesandleavinghealthcare:33%ofdoctorsmayleavetheirroles,b
62、utonly11%plantoleavehealthcareorretire.Thisissignificantlyhigherfornurses,with42%consideringleavingtheirrolesand16%planningtoleavehealthcareorretire.(Youcanfindmoredetailinthefullresearchanalysisaccompanyingthisreport.)Notably,30%ofnursesintheUKand25%ofnurse
63、sintheUSAareconsideringleavinghealthcarealtogetherinthenearfuture.ClinicianoftheFuture202310Retirement,promotionorfrustration:whyarecliniciansplanningtoleaveTherearemanyreasonsforleavingarole,andinthecaseofclinicianslookingtomovewithinhealthcare,theycouldbe
64、pursuingthenextstepontheircareerladder.Forthosewhoareconsideringleavinghealthcare,thegrowingfrustrationwithsystemsunderpressurecouldbehavinganimpact.A2023studyconductedinChinarevealedthatlessthanhalfofthemedicalstaffstudiedexpressedjobsatisfaction,pointing
65、tosalaryandbenefitsasamajorcontributingfactor.5AccordingtotheNationalGovernorsAssociation,almost20%oftheUShealthcareworkforcelefttheirjobsatthestartofthepandemic,andanother20%wereconsideringdoingthesameinthesubsequentmonths.6TheresasimilarpictureintheUK,wh
66、ereGPsaremostlikelytoplantostopseeingpatientsinthenearfuture,accordingtotheCommonwealthFunds2022InternationalHealthPolicySurveyofPrimaryCarePhysicians.7Thesurveylinkedthisdirectlytostress:35%ofthedoctorswhowereextremelyorverystressedplannedtostopseeingp
67、atients,comparedto23%ofthosewhofoundtheirjobslessstressful.Thisisindicativeofabroaderpictureofjobmobility.Inthecross-sectorHopesandFearssurveyof54,000employeesin46countries,PwCfoundthat26%ofpeopleexpectedtochangejobswithinayearanincreasefrom19%in2022.8We
68、alsoknowthatmanycliniciansareplanningtoretire.IntheUSA,morethanaquarterofdoctorsareolderthan60,andtheaverageageofanurseis50.9IntheCommonwealthFundsurvey,doctorsagedover55weremorelikely(67%)toplantostopseeingpatientsregularlycomparedtothoseagedunder3
69、5(15%).10Statement:Iamconsideringleavingmycurrentrolewithinthenext2-3yearsQuestion:B1.TowhatextentdoyouagreeordisagreewitheachofthefollowingstatementswithregardstohealthcarePleasethinkaboutyourcurrentexperienceworkinginhealthcare.85%15%42%48%86%58%46%52%48%19%30%
70、22%25%13%10%23%24%26%27%2%4%1%0%5%8%8%8%2%LeaveHealthcare4%LeaveHealthcare19%LeaveHealthcare30%LeaveHealthcare22%LeaveHealthcare25%LeaveHealthcare1%4%14%22%14%17%63%37%24%4%RetireLeavehealthcareConsideringleavingroleStayinroleMovetoanotherhealthcarerole9%13%NotRetire14%54%52%ChinaTotalU
71、KUSA%Doctors%Nursesn=279n=139n=2,607n=164n=108n=232n=133ClinicianoftheFuture202311ThePhysiciansFoundationresearchechoedthis:amongthe21%ofdoctorswhowanttoretireinthenextyear,30%wereaged46andover,comparedto12%agedupto45.11AndintheUK,theBMJreportedthatthenumberofd
72、octorschoosingtoretireearlyhasincreasedby9.3%ayearonaverage,from376in2008to1,424in2023.12Intotal,thenumberofdoctorshasgrownfrom2,431in2008to3,277in2023ariseof35%in15years.Apositiveshiftinthecliniciansdailyrole“Whetherthroughreducedhoursorretirement,
73、thelossofexpertiseofourmostseniordoctorswhetherinhospitalsorGPpracticesisahugelossforpatients,colleagues,andthefutureoftheNHS.”VishalSharma,chairoftheBMAConsultantsCommitteeandpensionscommittee,talkingtotheBMJ.12IntheClinicianoftheFutureReport2022,weidentif
74、iedadjustingrolesasadriverofchange:manycliniciansfelttheirroleshadworsenedovertheprevious5to10years.However,overall,the2023surveyrevealsaslightlypositiveshiftinthewaycliniciansseetheirdailyrolesandresponsibilities.Clinicianshaveregisteredamovetowardpreventi
75、vecare;74%ofcliniciansthinkthereisnotenoughbeingdoneonpreventativecarein2023,animprovementon80%whothoughtthisin2022.Cliniciansarealsooverwhelminglyconfidentinthesourcesofinformationtheyareusingtomakeclinicaldecisions,at89%ofcliniciansfeelingconfidentglobally
76、.ThisissignificantlyhigheramongdoctorsintheMiddleEastandAfrica(95%),andnursesintheUK(94%)andUKcliniciansoverall(94%).MoreclinicianshavesufficienttimetoprovidegoodpatientcareGlobally,61%ofclinicianssaytheyhaveenoughtimetoprovidegoodpatientcare,upfromthecompara
77、blefigureof52%in2022.Itisworthnotingthatthe2022findingswerebasedonasurveyconductedclosertotheheightoftheCOVID-19pandemic,whenclinicianswerefocusedonmanagingthepandemic,overstretchedandlikelytohavealimitedamountoftimespendwithindividualpatients.Lookingat
78、theirrolestodaymorebroadly,cliniciansgloballyreportedspendingalmosttwo-thirds(65%)oftheirtimedirectlycaringforpatients,with19%oftheirtimespentonindirectpatientcareand16%onnon-care-relatedtasks.TheproportionoftimespentondirectcareislowerinEurope(58%)andSouthAme
79、rica(56%).Acrosstheremainingregions,cliniciansspentmoretimeondirectpatientcare.ThisissignificantlyhigherthantheglobalaverageinNorthAmerica(69%),particularlyamongdoctors(72%),andinAsiaPacific(70%),particularlyamongnurses(75%).At69%and68%,USAandUKcliniciansspendmoret
80、imethanaveragedirectlycaringforpatients.AndinChina,nursesreportspending90%oftheirtimeondirectpatientcare.InEuropeandSouthAmerica,cliniciansspendaboutone-fifthoftheirtime(18%and21%respectively)ontasksnotinvolvingpatientcare.Thereispotentialfordigitaltechnologyto
81、reducethis.Clinicianswork-balanceimprovesbutremainsachallengeIntheClinicianoftheFutureReport2022,wesawcliniciansoftenfeelingoverworked,overwhelmedandburnedout.Thefull-timeemployedclinicianssurveyedworked50hoursonaverageinatypicalweek,andonly57%agreedtheyhada
82、goodworklifebalance.Thishasimprovedinthelastyear,with63%ofcliniciansnowagreeingtheyhaveagoodworklifebalance.ThegroupsreportingthebestworklifebalancearenursesinChina(79%)andnursesintheUSA(75%).WorklifebalanceremainsagreaterchallengeinEurope,wherejustoverhalf(
83、51%)ofcliniciansagreetheirbalanceisgood;49%ofdoctorsand53%ofnursesagreed.Lookingathoursworkedforthoseworkingfull-time,therehasbeenadecreaseintheaverage,nowat49hoursonehourlessthaninthe2022report.TheaverageworkinghoursarealittlehigherinAsiaPacific,at50h
84、ours(thoughthisisareductioncomparedto52lastyear).Doctorsworklongerhoursthannurses,at52hoursfordoctorsand42hoursfornursesglobally,anddoctorsconsistentlyworkedlongeracrossallregions.ClinicianoftheFuture202312Althoughthissuggestsaslightpositivestepforwardforc
85、liniciansoverthelastyear,zoomingouttothebroaderevidencebase,clinicianshavebeenstrugglingespeciallyintheUKandUSA.Ina2022CHGHealthcaresurveyofover500physicians,43%changedjobs,8%retiredand3%lefthealthcareduringthepandemic.13InlinewithourcurrentClinicianoftheF
86、uturesurvey,13%ofCHGrespondentsplantoleavehealthcareinthenearfuture.Theirbiggestreasonfordoctorsmakingacareerchangeiswantingabetterworklifebalance.Clinicianshortages:amajorprioritySimilarly,McKinseyreportsthat20-38%ofnursesintheUSA,theUK,Singapore,Japan,France,and
87、Australiasaidtheywerelikelytoleavetheircurrentroleindirectpatientcareinthenextyear.14Theirreasonsforleavingincludedthepandemicandsalary,andreasonstostayincludedengagementwithmeaningfulwork.In2022,theClinicianoftheFuturesurveyshowedthatmostcliniciansexpec
88、tedstaffshortages,with74%ofcliniciansagreeingtherewillbeashortageofnursesand68%thattherewillbeashortageofdoctors.“Nurseshortagesandoverallstaffshortagesarethenormalnow.Mostareretiringwithinthenext10yearsandnewgraduatesseemtonothavethedrive.”Nurse(USA),20
89、23surveyClinicianspriorityconcernisneedingmorecolleaguesThoseshortagesarenowhavingasignificantimpactoncliniciansinmanyregions,andasaresult,thisisnumberoneconcernglobally.Theshortageofnursesranks#1(54%selecteditasatoppriority)onthelistofprioritiesforthenext
90、2-3yearsandtheshortageofdoctorsranks#5(45%).Statement:TacklingtheshortageofnursesQuestion:D1.Thinkingaboutyourexpectationsofwherehealthcareshouldbeinthenexttwotothreeyears,whatarethetop5priorityareastobeaddressedRegionandCountry%NursesSelectasaTopPriority(n
91、=657)%DoctorsSelectasaTopPriority(n=1,950)%CliniciansSelectasaTopPriority(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe912934345120China418UK272USA365NorthAmericaSouthAmericaMid.East&AfricaSignificantlyhigherorlowerthantotalSignificantlyhigherthanRole/Region/Country(indicated
92、byfirsttwoletterse.g.AP=APAC)AsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=Nurses7770559265LowBaseLowBase5193635441756943367870392858617822341859DrMEAAP,NA,SAAP,SACH,USCHSAAP,SAAP,SAAP,SAAP,SASACHCHCHCH,USNurseshortagesareaconc
93、ernformostclinicians(54%)globally,butsignificantlymorenurses(70%)thandoctors(39%)aresayingthisisatoppriority.Therearesignificantdifferencesbetweenregionstoo.InEuropeandNorthAmerica,nurseshortagesareabiggerconcernforclinicians,at75%and69%respectively.Again,significantl
94、ymorenursessaynurseshortagesareapriority,at92%(Europe)and78%(NorthAmerica).ClinicianoftheFuture202313However,thereisrelativelylittleprioritygiventonurseshortagesinChina,with36%ofcliniciansrankingitastoppriorityissue.Abouthalf(51%)ofnursesinChinasaytacklingnurs
95、eshortagesisapriority,comparedtojust18%ofdoctors.“Thedropinnursingstaffcomparedtotheincreaseinpopulationwillbeamajorprobleminthenext20years.”Doctor(France),2023survey“Thenursingshortagewillcontinuetobeacrucialproblemunlesseducationalprogramsincreaseenrolmen
96、t.”Nurse(USA),2023surveyWeseeasimilarpatternforprioritizingtheshortageofdoctors.Globally,45%ofclinicianssaytacklingtheshortageofdoctorsisapriorityissueforthenext2-3years,withmoredoctors(48%)thannurses(42%)sayingthis.FewercliniciansinAsiaPacificreportthisasapri
97、ority(35%).However,at68%,morecliniciansinEuropeprioritizethisissue,againwithmoredoctors(72%)thannurses(64%)agreeing.ThisisinfluencedbysignificantlyhigheragreementintheUK,where78%ofclinicians(81%ofdoctorsand74%ofnurses)agreetheshortageofdoctorsshouldbeprioritized.93%o
98、fnursesintheUKand77%ofnursesintheUSAsaytacklingnurseshortagesshouldbeapriority.Asorganizationsaddressshortages,itwillbeimportanttoconsiderrepresentation.IntheClinicianoftheFutureReport2022,63%ofclinicianssaidtheyexpectthehealthcareworkforcewillbemorediver
99、seinthefuturetobetterrepresentthelocalpopulation.AgreementishighestinAsiaPacific(75%),particularlyinChina(81%).ClinicianswantgreaterdiversityinthehealthcareworkforceWithongoinginequitiesinthehealthcareworkforceandtheimpactthatmighthaveonpatientcare,thisisapri
100、orityformanyclinicians.Aquarter(24%)ofrespondentstothe2023surveyconsiderencouraginggreaterdiversityinthehealthcareworkforcetobetterrepresentthelocalpopulationapriorityinthenext2-3years.Echoingexpectationsofthepreviousyear,thisishighestinAsiaPacific(30%),partic
101、ularlyamongdoctorsinChina(34%).Youcanexploreprioritiesfurtherintheaccompanyingfullresultsreleasedwiththisreport.WhatsbehindtheclinicianshortagesWeneedmorehealthcareworkersgloballytoworkwithouragingandgrowingpopulation,whichisestimatedtoreach9.7billionin2050
102、.Yetinmanycountries,weareseeingnegativetrends.Forexample,accordingtoWHOstatistics,intheUSA,therewerealmost1millionfewernursesin2020(4.19million)thantherewerein2018(5.13million).15AndintheUK,thenumberofGPshasfallensince2015,withtheshortageanticipatedtogrowt
103、o8,800by2031,accountingforonevacancyineveryfourpositions.16Predictionsforclinicianshortagesvary.Deloitteestimatesthatwewillneed80millionmorehealthcareworkersgloballyby2030tomeettheneedfor23skilledhealthprofessionalsper10,000people.17TheWHOestimateswewillb
104、eshort10millionhealthworkersinthesametimeframe.18IntheUSA,McKinseyestimatesanursingshortageof200,000to450,000(10-20%)by2025,19andaccordingtoAssociationofAmericanMedicalColleges(AAMC)projections,therewillbeashortageofbetween37,800and124,000physiciansby2034.20A
105、lthoughunemploymentinthesectorfelloverthelastyearfrom803,000inJune2022to733,000inJune2023,andjobsarebeingaddedrapidly,thepressureisstillon.21ClinicianoftheFuture202314AccordingtotheAAMC,ifhealthcareaccesswereequitableacrossrace,healthinsurancecoverage,andg
106、eographiclocationtoday,theUSAwouldneed180,400morephysicians.22AnddespitelessconcernaboutshortagesinChina,therehasbeenevidenceofshortagesduringtheCOVID-19pandemic.24Forexample,inonereport,cliniciansinBeijinghadtoworkwhileinfected,asupto80%ofstaffhadthevirus.2
107、5“Physicianshortages,alreadyprojectedtobeseverebeforeCOVID-19,havealmostbecomeapublichealthemergency.”Dr.GeraldE.Harmon,pastpresidentofAMA,speakingattheunveilingofanAMArecoveryplaninJune2023.26LackofcontrolinanunpreparedhealthsystemAccordingtoNHSworkforceprojec
108、tions,thegapof103,000cliniciansin2021/22willrisetoabout179,000by2024/25andsettleat156,000in2030/31,leavingtheworkforce9%short.23Withthepoliciescurrentlyinplace,theNHSmighthaveashortageof36,700nursesin2030/31.Asaresultoftheshortages,cliniciansmightbefeeli
109、ngtheimpactofbiggeradministrativeburden,andinsufficientcompensationandbenefits,asevidencedbythePhysiciansFoundations2022survey.27Theyarealsoconcernedaboutotheraspectsofhealthcarethatareoutoftheircontrol:namely,thesystemsinabilitytocopeinextremeeventsandthein
110、sufficientpractice-readinessofnewclinicians.ManycliniciansfeeltheyreworkinginanunpreparedenvironmentInthe2023ClinicianoftheFuturesurvey,globally,60%ofclinicianssaytheirinstitutionsarepreparedforhealthemergencies,withdoctors(55%)lesslikelythannurses(64%)toperceivepre
111、paredness.CliniciansinSouthAmerica(36%)andEurope(43%)areleastlikelytobelievetheirinstitutionsarepreparedforhealthemergencies.AgreementisalsolowamongdoctorsintheUK(43%)andUKcliniciansoverall(51%).Incontrast,agreementissignificantlyhigherintheUSA(69%)andhighestinChi
112、na(75%),with83%ofnursesinChinaagreeingtheirinstitutionsarepreparedforemergency.LessthanhalfofemployershavesustainabilityandenvironmentaltargetsGlobally,45%ofcliniciansagreethattheirinstitutionhadsetenvironmentalsustainabilitytargets.AgreementissignificantlylowerinS
113、outhAmerica(32%),NorthAmerica(36%)andEurope(39%).CliniciansinAsiaPacificaresignificantlymorelikelytoagree(55%)withagreementhighestinChina(58%).Thereisevidenceofthisaroundtheworldeveninenvironmentswheretherearefewertargets,institutionsarelayingthegroundworkforenvi
114、ronmentalsustainability.Forexample,intheUK,theNHShassetitselfthetargetofbecomingtheworldsfirstnetcarbonzerohealthservicethroughtheGreenerNHSprogramme.28Thisreflectsinstitutionsconcernforbroaderissues,whichmayalsobeindicativeofotherdimensionsofsustainability,in
115、cludingsocialaspectssuchasemployeeengagement.ClinicianoftheFuture202315NewlytrainedcliniciansareperceivedtobeunpreparedforclinicalpracticeStatement:Newlygraduatedclinicianslackhands-onpracticaltrainingduetoCOVID-19,whichisimpactingcareforpatientsQuestion:B1.Towhat
116、extentdoyouagreeordisagreewitheachofthefollowingstatementswithregardstohealthcarePleasethinkaboutyourcurrentexperienceworkinginhealthcare.RegionandCountry%NursesAgree(n=657)%DoctorsAgree(n=1,950)%CliniciansAgree(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe9129343451
117、20China418UK272USA365NorthAmericaSouthAmericaMid.East&AfricaSignificantlyhigherorlowerthantotalSignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)AsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=N
118、urses7072766474LowBaseLowBase7675596772556772676767636847637170705965DrEUEU,NAEUEUEU,NAEUEUEUMostcliniciansglobally(67%)believetheirnewlytrainedcolleagueslackhands-ontrainingduetoCOVID-19pandemicpreventingthemfromphysicallyattendingeducation.Agreementissignificantlyhigheramo
119、ngnurses(72%)thandoctors(63%).AlthoughopinioninEuropevariedbetweendoctors(47%)andnurses(64%),cliniciansinEuropeareleastlikelytoagree(55%).InAsiaPacificandSouthAmerica,asignificantlyhigherproportionofclinicians(72%)believenewlyqualifiedcolleagueslackhands-ontraining.“N
120、ursesaswellasnewdoctorsareveryundertrainedtoday.”Doctor(USA),2023surveyFutureproofingwithtrainingConsideringtheshortagesfacingcliniciansandthelackofhands-ontraininginnewgraduates,sufficient,appropriatetrainingiscriticaltofutureproofingthesector.Unpreparedgraduates
121、putadditionalstrainonsupervisors,whowanttoprotectthequalityofpatientcare.Andbyfast-trackingjuniordoctorstofillresourcegapsleftduetothepandemic,someinstitutionsaroundtheworldmayhaveexacerbatedthesituation.29DatafromtheAssociationofAmericanMedicalColleges(AAMC)
122、showsmedicalstudentsintheUSAwhoaresatisfiedwiththequalityoftheirmedicaleducationhadrisenbackto83%in2022afteradipduringCOVID-19.Importantly,nearlyallrespondentsin2022(97.7%),2021(97.7%)and2020(98.3%)plantohaveacareerprovidingpatientcare.30Sohowcanweensurethe
123、irtrainingisadequateClinicianoftheFuture202316Halfofcliniciansprioritizetraining,placingitat#2The#2near-termpriorityclinicianssetinthe2023ClinicianoftheFuturesurveyisimprovingthecontinuoustrainingofclinicians,with49%globallyconsideringthisapriorityforthenext
124、2-3years.Significantlymoredoctors(56%)thannurses(42%)agree.ConcernwashighestinSouthAmerica,with67%ofcliniciansconsideringthisapriority(74%doctors,60%nurses)andinMiddleEastandAfrica,with69%ofdoctorsconsideringthisapriority.Improvingthecontinuoustrainingofcliniciansisl
125、essofapriorityinChina,with37%ofcliniciansagreeing,especiallyfornurses(24%).WhileitislowerpriorityintheUK(39%),almosthalf(48%)ofcliniciansintheUSAconsideritapriority,withsignificantlymorenurses(55%)agreeing.Solution:AI-powerededucation“Thefutureisbrightespeciallywit
126、hadvancededucationandjobresponsibilitiesinthenursingprofession.”Nurse(USA),2023surveyThereisapotentialfacilitativerolefordigitaltechnology,particularlyAI,bothinthedeliveryofcontinuoustrainingandinhelpingimprovenewlyqualifiedcliniciansreadiness.Cliniciansseethebene
127、fitsofstudentsusingAItolearnnursingandmedicine.Inthe2023survey,50%considerusingAIdesirabletolearnnursing,comparedto28%undesirable.Similarly,51%considerAIdesirableformedicalstudents,comparedto28%undesirable.(Seechapter2fordetails.)TheynotethatAIasatrainingtoolco
128、uldhelpmakelearningtimeandcostefficient.“Medicalstudentsneedtohaveawiderangeofknowledge.AIcanexpertlygiveyoucomprehensiveknowledgeandcanmeetlearningneeds.Thistechnologyisconvenient,mobilephoneandcomputercanbeused,andthereisalmostnolearningcost.Itisverycon
129、venient.”Doctor(China),2023surveyHowever,cliniciansstressthatitshouldbeanadjunctnotareplacementtoface-to-facelearningexperiences.Someconsideritposingasadangerofreplacinghands-onexperience,andothersareconcerneditmayteachinaccurateorerroneousinformation,whilehinderi
130、ngcriticalthinkinganddecisionmakinginstudents.“Myconcernaboutthisishowdoweteachhealthcarestudentsnursing,medical,oralliedprofessionstoassesspatients&makejudgementsifwemerelyinstructthemtoinputdataintoanAItool.”Doctor(Australia),2023surveyAccordingtoDeloitte,31
131、healthcareprovidersareconsideringdigitaltechnologyasatooltoincreaseefficienciesandlowercosts,whilehelpingreducetheadministrativeburdenonclinicians.Inessence,digitaltechnology,includingAI,hasthepotentialtohelpcliniciansdomorewithless.Tomakethiswork,clinicianswill
132、needpropertraining.IntheClinicianoftheFutureReport2022,wesawthat69%ofcliniciansexpecteddigitalhealthtechnologiestobeachallengingburden,and69%alreadyfeltoverwhelmedbypatientdata.Anyupskillingthattakesplacewillneedtobedoneinawaythatdoesnotnegativelyaffectt
133、hemortheirwork.Cliniciansthemselvesarepositiveaboutdigitalupskilling.Inthe2023survey,73%ofcliniciansgloballyconsiderphysicianshavingmoreexpertiseindigitalhealthtechnologytobedesirable,comparedto9%consideringthisundesirable.Similarly,71%sayitisdesirablefornursesto
134、beexpertintheuseofdigitalhealthtechnology,comparedto10%consideringthisundesirable.(Pleaseseethefullresearchanalysisaccompanyingthisreportformoredetail.)ClinicianoftheFuture2023171MensikH.Thelargesthealthcareworkerstrikeswagedandavoidedin2022.HealthcareDive.17J
153、ologyandAIareempoweringcliniciansClinicianoftheFuture2023Chapter2TechnologyandAIareempoweringcliniciansClinicianssayitsdesirablefordoctors(73%)andnurses(71%)tobedigitalexperts11%ofclinicaldecisionsarecurrentlyassistedbyAItools48%finditdesirableforphysiciansto
154、useAIinclinicaldecisionmaking68%finditdesirablethatpatient-collecteddatainformsclinicaldecisions55%findtelehealthdesirableasthemainmechanismforroutinecheck-ups51%considerAIdesirablefortrainingdoctors,50%fortrainingnursesThedependencyontechnologyhasalwaysbeenhig
155、hamongclinicians,buttheappetiteforitasanenablingtoolisincreasing,asitisperceivedtohelpaddresstimepressures,createefficienciesandenhanceclinicalpractice.ThereisanappetitetousegenerativeAItoolstolearnandinformtheirdecisionmaking,andagrowingdesireamongclinic
156、ianstohavedigitaltechnologyexpertise,especiallyastheyanticipateusingpatientcollecteddatatohelpmakedecisions.TheFutureTech-SavvyClinicianiscloserthancliniciansmayhaveimagined:manyoftheirpredictionsforhealthcareadecadeinthefuturenowseemtobeonthe2-3yearhoriz
157、on.ThisincludesusinggenerativeAItools,thoughtherearedifferencesofopinionanddebatearoundfutureuseofAI.Digitaltechnologyinhealthcarecoversabroadrangeoftools,devicesandapproaches,includingtelehealth,monitoringdevicesandwearables,datasharing,andAI.Anditsmovingfast:th
158、edigitallandscapehaschangedsignificantlysincetheClinicianoftheFutureReport2022.Forexample,newlyappearingtechnologieswereevidentinaDeloitteUSCenterforHealthSolutionssurveyofover600physicians.1In2022,67%ofrespondentssaidtheyimplementedvideovisits,upfrom19%in20
159、20and14%in2018.Chatbotsappearedasanewchannelin2022,thoughonly4%ofphysiciansreportedintroducingthetechnology.Mostnotably,generativeartificialintelligence(AI)hasgrownexponentiallyinthelastyear.ChatGPT,thegenerativeAIplatformfromOpen.ai,reached100millionuserswithinju
160、sttwomonthsoflaunch.2Forcomparison,ittookYouTube1.5yearsandTwitter5yearstoreachthatnumber.AlthoughgenerativeAIisstillrelativelyyoungonthemarket,ithasattractedattentionacrosssectors,includinghealthcare,inparticularforitsabilitytoautomaterepetitivetasks,savecl
161、inicianstimeandcreateotherefficienciesinthehealthcaresystem.AsofJuly2023,AIadoptionratesamong7,502businessessurveyedbyIBMvariedgeographically,withChinafarahead58%ofbusinesseshadadoptedAIand30%wereexploringit.Incomparison,just25%ofbusinessesintheUSAand26%int
162、heUKhadadoptedAI.3ClinicianoftheFuture202320AdigitaltourofourfocuscountriesThepossibilitiesofdigitaltechnologyinhealthcarearealmostunlimited,soratherthanlookingindetailatthefullglobalpicture,welltakeasnapshotofsomeoftheprojectsandapproacheshappeninginour
163、threefocuscountries:China,theUKandtheUSA.ChinaAspartofChinas14thFive-YearPlanforNationalHealthInformatization,thegovernmentpublishedtheOpinionsonPromotingtheDevelopmentof“Internet+Healthcare”outliningitsapproachtobringinghealthandtechtogetherinabidtocounterthe
164、countrysweakprimarycaresystem.4,5TheintentionisforasingleplatformforChinatoprovidehealthinformationthatismoreunifiedandauthentic,aswellasinlinewithpoliticalrequirements.PatientsandcliniciansinChinaareveryfamiliarwithinternet-poweredhealthcare,havingusedinte
165、rnethospitalssince2015.6Justfiveyearslater,therewerealmost55millionactiveinternethealthcareusers,accessingthefullrangeofhealthcareservices.UKTheNationalHealthService(NHS)isrunningprojectsliketheNHSAILabtoextractthebenefitsofAIforpatients,cliniciansandthecoun
166、tryswiderhealthecosystem.7Inparticular,theprojectissupportingtechnologicaldevelopmentforpurposeslikeimprovingefficiencies,helpingtheworkforceandimprovingpatientsexperiencesoftheNHS.8TheNHSisalsoactivelyinvestigatingopinionsofAI,includingwithasurveyofmorethan1,
167、000peopleinEngland.9ThisrevealedtheimportanceofthepatientclinicianrelationshipindeployingAIsuccessfully.USAWithincreasinguseofdigitaltechnology,forexampleforscanning,diagnosingandmonitoringpatients,moreandmorepeopleencounterAIinhealthcare.However,therehasalsobeen
168、widespreadhesitancyreported:inaPewResearchCentersurveyofover11,000people,one-thirdsaidusingAItodothingslikediagnosediseaseandrecommendtreatmentswouldleadtoworseoutcomes.10Despitethis,theUSAisrampingupitsAIeffortsin2023,withtheU.S.GeneralServicesAdministrati
169、on(GSA)launchingtheAppliedAIHealthcareChallenge11andKaiserPermanentelaunchingits$3millionAIM-HIprogram.12ClinicianoftheFuture202321Theempoweredclinician“ItseemsincreasinglyclearthatAIsystemswillnotreplacehumancliniciansonalargescale,butratherwillaugmenttheireff
170、ortstocareforpatients.”13ThomasDavenportandRaviKalakota,FutureHealthcareJournalAswehaveseen,thereisconsiderablestrainonmanyhealthcaresystems,withcriticalstaffshortagesprojectedglobally(seechapter1).Byimprovingefficienciesacrossthesystem,fromadministrationtaskstop
171、atientmanagement,technologycanreducetheburdenonclinicians,potentiallyreducingstressandincreasingjobsatisfaction.Today,technologyishelpingclinicianslearnandmakedecisions.Itisnotdisplacingorreplacingcliniciansandtheirthoughtprocesses,butrathersupplementingandsupportin
172、gthem,enablingclinicianstoworkmoreefficientlyandeffectively.WhiletheyarecuriousandsometimeshesitantaboutthenewergenerativeAItools,cliniciansareopentothepossibilitiesoftheevolvingtechnologiesattheirfingertipsandwillingtoembracethemtoimprovepatientcare.Thisis
173、reflectedinthepatternofdesirabilityweseeacrosstheresponsestothisyearssurvey.Overall,cliniciansseeitaspositivetobeexpertsintheuseofdigitalhealthtechnology(73%forphysicianstobeexpertsand71%fornurses)arecognitionoftheacceleratingdevelopmentsinthisarea.Clinicia
174、nstendtobemorepositiveaboutapplicationsoftechnologyinwhichthetoolsaresupportingthemasexpertsandformoreroutinetasks.Forexample,68%finditdesirabletousedatafromwearablestoinformtheirclinicaldecisions,andnearlyhalf(48%)finditdesirabletousegenerativeAItohelp
175、themmakethosedecisions.Theyfinditdesirabletousetelehealthforroutinecheck-ups(55%),whichismorethanforinitialconsultationsanddiagnoses(50%),reflectingtheimportanceofclinicianpatientcontact.Question:D3.Thinkingabouthealthcarein2-3yearstimetowhatextentdoyoubelieveth
176、efollowingaredesirableornotdesirablePleaseconsiderthefutureofhealthcarewithintheprimarycountrythatyouworkin.Expectationsabouthealthcarein2-3yearstime%Undesirable%DesirablePhysiciansareexpertintheuseofDigitalHealthTechnologyNursesareexpertintheuseofDigitalHe
177、althTechnologyHealthdatacollectedbypatientsisusedtoinformclinicaldecisions(e.g.datafromwearablessuchasFitbit,AppleWatch)Telehealthisthemainmechanismforroutinecheck-upsMedicalstudentsuseAI-poweredtoolssuchasChatGPT/BardtolearnmedicineTelehealthisthemainmechanism
178、forinitialconsultationsanddiagnosingpatientsNursingstudentsuseAI-poweredtoolssuchasChatGPT/BardtolearnnursingPhysiciansuseAItoolssuchasChatGPT/Bardtohelpmakeclinicaldecisions9731071146828552851325028502848Thispointcomesthroughinmanyofthecommentsthatclinicianssha
179、redinthesurvey:concernthattheuseofdigitaltoolsdoesnotpushthehumanconnectionoutofclinicalwork,especiallywhenitcomestothepatientclinicianpartnership.Thissentimentisexpressedmorewidely,includinginDeloittes2023GlobalHealthCareOutlook:“Virtualhealthcanonlybeeffe
180、ctiveifitretainsahumanelementtocaredelivery.”14Thekeyisforpatientstoperceivethesetechnologiesthewaycliniciansusethem:“asanenhancementtocare.”“AItoolscanhelpprovideinformationandeffectivemanagementandnursingwork,butitcannotreplacepracticalexperience,interact
181、ionandcommunicationwithpatients.”Nurse(China),2023surveyn=2,607ClinicianoftheFuture202322DigitalexpertsClinicianshavebeendevelopingtheirdigitalskillsformanyyears,tokeepaheadoftheincreasinglydigitalizedenvironmentinwhichtheywork.Usingelectronichealthrecords(EHRs),anal
182、yzingdatafromwearablesandconnectingwithpatientsviatelehealthareallcommonactivitiesinacliniciansdailywork.MostcliniciansfinditdesirablefordoctorsandnursestohavedigitalexpertiseOverall,mostcliniciansconsideritdesirableforphysicians(73%)andnurses(71%)tobeexpertin
183、theuseofdigitalhealthtechnologies.Theysharedbenefits,suchasefficienciesintermsoftime,resourcesandcosts,andbetteroutcomesforpatients.Somebelievedigitalexpertiseindoctorscanmakeforbetterdecisionmaking.However,9%ofrespondentsfinditundesirabletohavedigitalexpertise
184、.Theysharedsomepotentialnegativeimpacts,suchasdoctorsbecomingtooreliantontechnologyandlosingempathyorthehumantouchanddetractingfromnursespatientinteractions.Somerespondentsalsopointedouttheburdenoflearning,raisingtheissuethatsomenursesareover-stretchedandlac
185、kdigitalknowledge.Notably,79%ofdoctorsintheMiddleEastandAfricaconsideritdesirablefordoctorstohavedigitalexpertise.NursesinNorthAmerica(78%)anddoctorsintheMiddleEastandAfrica(78%)finditdesirablefornursestohavedigitalexpertise.ThepictureislessclearcutinChina,
186、with81%ofdoctorsconsideringexpertiseinphysiciansindigitalhealthtechnologydesirableand4%undesirable,whileonly46%ofnursesconsideritdesirableinphysiciansand5%undesirable.“Savetime,improveefficiency,improvediagnosisandtreatment.”Doctor(China),2023surveyThesefindingsfollow
187、thetrajectoryweidentifiedinlastyearsClinicianoftheFuturereport,inwhich10%ofcliniciansrankeddataanalytics/statisticalknowledgeinthetop3skillsoftoday,risingto37%in10years.15The2023surveyrevealscliniciansexpectationsthattheywillusedigitalhealthtechnologiesmore
188、andmore.MostclinicianswelcomepatientssharinghealthdatacollectedonwearablesMostclinicians(68%)finditdesirablethathealthdatacollectedbypatientsisusedtoinformclinicaldecisions(e.g.datafromwearablessuchasFitbit,AppleWatch)inthenext2-3years.CliniciansinEuropealthoug
189、hsupportivefindthislessdesirable(61%)andalmostoneinfive(19%)finditundesirable.Conversely,cliniciansinNorthAmericaaremorepositiveaboutthemovetowardspatient-collecteddata,with71%findingitdesirableandonly11%undesirable.NursesintheUSA(74%)anddoctorsinChina(75%)aremost
190、likelytofindthisdesirable,whilenursesinChina(48%)aresignificantlylessenthusiastic.“Remotedataacquiredinrealworldsettingswithmorethanasnapshotofdataavailableinperson,alsoaccuratedataratherthanonlypatientreport.”Doctor(USA),2023surveyCliniciansinSouthAmericaarem
191、ostlikelytoconsidertheuseofwearablestocollectdataasundesirable,at19%ofdoctorsand24%ofnurses.Someofthemajorconcernsthatclinicianssharedarearoundtheinaccuracyofdatafromwearablesandtheriskofmisdiagnosis.“Possiblyincorrectlyacquireddata,throughincorrectlyapplied
192、toolsandthusincorrectinformationfalsediagnoses,falsetherapies-dissatisfactiononallsides.”Nurse(Austria),2023surveyNursesinChinaaresimilarlyunconvincedofthedesirabilityoftheirownexpertiseindigitalhealthtechnology,with48%consideringitdesirable,comparedtoaglobalaverag
193、eof71%ofclinicians.ClinicianoftheFuture202323Usingscientificresearcheffectivelyinclinicalpracticeisapriority,especiallyinChinaEvidenceishelpfulincounteringmisinformationandinaccuracy,andthisisreflectedinclinicianspriorities,TheriseoftelehealthInthewakeoftheCOVI
194、D-19pandemic,in-personappointmentsarepossibleagain,buttelehealthhasbecomeamainstayofmodernhealthcare.Inthe2022survey,63%ofcliniciansexpectmostoftheirconsultationstoberemotein10years.Thisyearssurveyshowsprogressionalongthatpath:76%ofinteractionsarestillin-person
195、,butcliniciansexpectthistobecloserto64%in5years.However,thisrecognitionisnotwithoutreservation:in2022,51%ofcliniciansagreedtelehealthwillnegativelyimpacttheirabilitytodemonstrateempathywithpatients.Halfofcliniciansfindtelehealthforcheck-upsdesirable,butopinionis
196、dividedComparedtotheuseofwearablesforcollectingpatientdata,clinicianopinionismoredividedovertheuseoftelehealth.Globally,55%ofcliniciansfinditdesirablefortelehealthtobethemainmechanismforroutinecheck-upsinthenext2-3years,while28%finditundesirable.Theincreasin
197、guseoftelehealthhasimplicationsbothpositiveandnegativeforaccessibility;seeChapter4forsurveyrespondentsviewsonthis.DivisionisgreatestinNorthAmerica,where44%finditdesirableand40%undesirable.AmongdoctorsinNorthAmerica,morefinditundesirable(45%)thandesirable(39%).Cli
198、nicianswhofindtelehealthasamainmechanismforroutinecheck-upsmostdesirablearenursesinSouthAmerica(65%)anddoctorsinChina(69%).Manyclinicianswelcometelehealthasanefficientwaytoconnectwithpatientsroutinely,buttheyaremindfulitwontbeaccessibleforallpatientsandmay
199、hinderrapport.Theyalsoseethebenefitsofconvenienceandefficiency.“Physicalexaminationcannotbedoneandthereisthelossofhumantouchwhichisvitalinhealthcare.”Doctor(Philippines),2023survey“Screeningofpatientsontelephoneswillreducetheburdenonhealthcareproviderandhealt
200、hsectortofocusonpatientsmoredesirableforhealthcare”.Doctor(India),2023surveyCliniciansarelessenthusiasticabouttelehealthfordiagnosisCliniciansareevenmoredividedabouttheuseoftelehealthasthemainmechanismforinitialconsultationsanddiagnosingpatientsinthenearfutur
201、e:50%ofcliniciansgloballyfindthisdesirableversus32%undesirable.Thishighlightssomeoftheconcernsoftelehealth,suchasmissingimportantinformationfordiagnosisthatcanonlybecollectedin-person.“Manysurgicalspecialtiesrequirefacetofaceconsultationforaccurateexaminationfind
202、ings.”Doctor(UK),2023survey“Theinformationobtainedremotelyisnotcomprehensive;doctor-patientrelationshipisntstrong.”Doctor(China),2023surveyThereisacleardifferenceofopinionbetweendoctorsandnursesinEuropeandNorthAmerica:doctorsfinditmoreundesirable(53%inEuropeand52%in
203、NorthAmerica)thandesirable(33%inEuropeand32%inNorthAmerica),whilemorenursesfinditdesirable(45%inEuropeandNorthAmerica)thanundesirable(36%inEuropeand39%inNorthAmerica).Similartotheuseoftelehealthforroutinecheck-ups,itsuseininitialconsultationsismostdesirableamong
204、nursesinSouthAmerica(65%)anddoctorsinChina(71%).ThismayreflectdevelopmentsinChinasinternethealthcare,whereremotetriageishelpingreduceburdenonthesystem.16withutilizingscientificresearchinclinicalpracticemoreeffectivelyranking#3onthelist.CliniciansinChinafindthis
205、mostimportant(52%),withconcernlowerintheUSA(42%)andUK(32%).Globally,46%ofcliniciansrankedthisasapriority,withdoctors(51%)morelikelytodosothannurses(41%).ClinicianoftheFuture202324“Throughtheinitialscreeningcangreatlyreducetheproblemofinsufficientmedicalresources.
206、”Nurse(China),2023survey“Triageandprioritisationofpatients.Optimisetimewithpatientandreducehospitalvisits.”Doctor(Spain),2023surveyCliniciansrecognizetheneedforvirtualconsultations.Despitesomereservationsabouttheimpactoftelehealthontheclinicianpatientpartnership,moreth
207、anaquarter(27%)ofcliniciansrecognizemanagingconsultationsbetweencliniciansandpatientsremotelyasatop-fivepriorityinthenext2-3years.Thisissignificantlyhigheramongdoctors(30%)thannurses(23%).AndinChina,almosthalf(48%)ofdoctorsconsiderthisapriority.Artificialintelligen
208、ceasanassistantindecisionmaking“TheeraofAIinmedicine,aswellasnewtreatmentoptionsiscoming.”Doctor(Serbia),2023surveyArtificialintelligence(AI)andmachinelearningaredevelopingatanunprecedentedrate.AItoolscanhelpcliniciansanalyzedata,includingmedicalimages,makediagno
209、sesandputpersonalizedtreatmentplanstogether.“AIcanempoweratrainedphysiciantoconsiderwiderdifferentialdiagnosisandmanagementplan”.Doctor(UK),2023surveyLastyear,abouthalf(56%)ofclinicianspredictedtheywouldbeusingAI-basedtoolsinclinicaldecisionmakinginadecade.Themo
210、stnotabledevelopmentsinceourlastreporthasbeeninthefieldofgenerativeAI.ChatGPT(OpenAI)17,18Bard(Google)19,20Launched:30November2022Launched:21March2023Users:100millionUsers:30millionCoverage:82%oftheworld(notChina)Coverage:180countries(includingChina)Topusers:USA(12.31%),Ind
211、ia(7.6%),Japan(4.26%)Topusers:US(62.6%),UK(8.29%),China(3.22%)Languagemodel:GPT-3.5Languagemodel:LaMDA(LanguageModelforDialogueApplications)Data:Upto2021Data:currentInformationcorrectasofJuly2023ResponsestothequestionsaboutgenerativeAIinthe2023ClinicianoftheFuturesurveyg
212、iveasenseofhowfastitisprogressing;11%ofclinicaldecisionsarecurrentlyassistedbygenerativeAI.ClinicianoftheFuture202325FewclinicaldecisionsaremadeusinggenerativeAI,butthiswillshiftinthefutureWearealreadyseeingdifferencesinhowcliniciansusegenerativeAItoolsli
213、keChatGPTandBard:useofthesetoolstohelpclinicaldecisionsissignificantlyhigheramongnurses(16%oftheirdecisions)thandoctors(7%oftheirdecisions)globally.Usealsodiffersgreatlybetweenregions.SignificantlyfewerclinicaldecisionsuseAIinEurope(6%)andNorthAmerica(7%).However,in
214、AsiaPacific,useofAIismuchhigher:19%ofclinicaldecisions,including28%ofnursesdecisions,usethesetoolstoday.Lookingatthethreefocuscountries,useofgenerativeAIforclinicaldecisionmakingismuchmorecommoninChina(19%ofclinicaldecisions)comparedtotheUKandUSA(8%).Although
215、useishigheramongnursesinallthreecases,itisnotablyhighinChina(26%ofclinicaldecisions).Statement:YourclinicaldecisionsareassistedbyAItoolssuchasChatGPT/BardQuestion:B5.Today,whatproportionof(Averagecalculatedfromresponsebands.)RegionandCountry%NursesCurrentExperien
216、ce(n=657)%DoctorsCurrentExperience(n=1,950)%CurrentExperience(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe912394345120China418UK272USA365NorthAmericaSouthAmericaMid.East&Africa91628713LowBaseLowBase26105111967919887946889126DrEU,NA,SAUK,USEU,NAEU,NA,SAEUEUEUUK,USUK,USSignificantlyhigher
217、orlowerthantotalSignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)AsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=NursesThiscouldindicatethepotentialthetechnologyhastoreduceadministrative
218、burdenonclinicians,especiallynurses.Fromvoice-activatedassistancesystemstoInternetofThings(IoT)devices,AI-poweredtechnologycouldmakeabigdifferencewhilenursescontinuetofaceshortages.21“Spendlesstimeonpapersdoingthebureaucraticpartandcanhaveabetterreadingaboutthe
219、patientsconditions.”Nurse(Brazil),2023survey“Sothatbythetimetheystartwork,theyarealreadyknowledgeableandequippedwiththeskillsneededinusingAI-poweredtools.”Nurse(UK),2023surveyLookingatdesirabilityofclinicianstouseAIintheirclinicaldecisionmaking,wecanexpectthec
220、urrentusagetoincreaseovertime.Indeed,theinfancyofthetechnologywasoneoftheconcernsrespondentsraised.“Thesetoolsarenotyetbasedonscientificevidence,donotprovidereferences,andarenotyetreliable.”Doctor(Brazil),2023surveyClinicianoftheFuture202326Abouthalfofclinician
221、sfinditdesirabletouseAIinfuturedecisionmakingInEurope,opinionismoredivided,with39%findingfutureclinicaluseofgenerativeAIdesirable,comparedto33%undesirable.MoreEuropeandoctors(45%)thannurses(33%)finditdesirable.Similarly,inNorthAmerica42%ofcliniciansfinditdesirable
222、and31%finditundesirable.However,inthisregion,doctors(39%)arelesslikelythannurses(45%)tofinditdesirable.ThisconcernamongcliniciansintheUSAisechoedinotherstudies,forexample,overthree-quartersconsideritveryimportant(56%)orsomewhatimportant(22%)fortechnologycompaniesan
223、dgovernmentstomanageAIapplicationsindiseasediagnosiscarefully.22Whenaskedaboutphysiciansusingthesetoolsinclinicaldecisionmakinginthefuture,almosthalf(48%)ofcliniciansgloballyfinditdesirable,whilemorethanone-quarter(28%)finditundesirable.Chinascliniciansaremostpos
224、itive:fewestcliniciansrespondedthattheyfindthefutureuseofAIundesirableinChina(17%),particularlyamongdoctors(15%),whoarealsosignificantlymorelikelytofinditdesirable(61%).“TechnologieslikeAIandbigdatausedasauxiliarytoolswillreducethechanceofmisdiagnosisanderror
225、s.”Doctor(China),2023surveyStatement:PhysiciansuseAItoolssuchasChatGPT/BardtohelpmakeclinicaldecisionsQuestion:D3.Thinkingabouthealthcarein2-3yearstimetowhatextentdoyoubelievethefollowingaredesirableornotdesirablePleaseconsiderthefutureofhealthcarewithinthepri
226、marycountrythatyouworkin.RegionandCountry%NursesConsidering(n=657)%DoctorsConsidering(n=1,950)%CliniciansConsidering(n=2,607)UndesirableUndesirableUndesirableDesirableDesirableDesirableBaseSizesTOTAL2,607AsiaPacific807Europe912394345120China418UK272USA365NorthAmericaSouthAmericaMid.Eas
227、t&AfricaSignificantlyhigherorlowerthantotalSignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)AsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=NursesLowBaseLowBase484947282829555259232324394533333
228、2334239453132305555545732323127536145171522343335333729424045303130NA,EUEUEUNA,EUNA,EUNA,EUNA,EUNA,EUUK,USUK,USUKSignificantlymorecliniciansfindthefutureprospectofAIusedesirableinAsiaPacific(55%)andSouthAmerica(55%),whilefewershowconcerninAsiaPacific(23%undesirable)thanSouthAm
229、erica(32%undesirable).ClinicianoftheFuture202327WhosincontrolOneoftheconcernsraisedwasrelatedtotheroleofAI.Cliniciansaremorepositivewhentalkingaboutitasanenablingtoolunderthecontroloftheclinician.Butifthatcontrolweretoshift,forexamplebyleadingthediagnosi
230、sorevenbeingusedastheclinicalexpertinpartnershipwithanon-expert,cliniciansaremorecritical.“EventuallyutilizingAIwillhelpimprovepatientflowandeffectivenessofvisits;butIamsomewhatconcernedthathealthcarecorporationswilluseAItosavecostsbypairingAIwithnon-phys
231、icians,ratherthanutilizingAIwithphysicians.”Doctor(USA),2023surveyThisconcernisechoedinpatientfeedback.TherewasbacklashintheUSAwhenitemergedthatsomehealthcareorganizationswereusingChatGPTtodraftclinicianmessageswithouttellingpatients.23Peoplearekeentoknowthey
232、areinsafehandsandmanypreferthosetobereal.AccordingtothePatientsAssociation,4in10patientsbelievedaface-to-faceconsultationwouldhavebeenbetter,comparedto1in10favoringtelehealth.24Althoughmanypatientsrecognizethevalueoftechnologyforimprovingtheirhealthorincre
233、asingsystemefficiencies,theyaremuchlessconvincedaboutitsupportingclinicaldecisions.InanNHSsurveyofover1,000patients,41%wouldtrustAItohelpdoctorsandnursesmakebetterdecisions.25Butrespondentsnumberoneoptionforincreasingtheirconfidencewas“Easyaccesstospeaktoa
234、doctorornurseifIdonttrusttheresults.”Similarly,inasurveyofpatientsinGermany,althoughhalf(56%)recognizedthebenefitofAI,20%wouldrefusetobetreatedusingAI-basedapplications,andalmostall(96%)agreedAIneedstobecontrolledbytheclinician.26WillAIsupportcliniciantrainin
235、ginthefutureCliniciansoftenlacktherighttrainingtokeepupwiththeevolvingdemandsinhealthcare,includingtheriseofdigitalhealthtechnologies.Aswesawinchapter1,manycliniciansnowconsidercontinuoustrainingapriority.IntheClinicianoftheFutureReport2022,wenotedthatth
236、ebodyofmedicalknowledgecontinuestogrow,andcombinedwithincreasingspecialization,whichisoftenoverwhelming,clinicianscannolongerstoreeverythingintheirmemories.Thishasimplicationsfortraining,whichAIcouldhelpaddress.Inthe2023survey,cliniciansidentifiedmanyadvantagesto
237、usingAItoolsinmedicalandnursingeducation,includingincreasedefficiencyanddecreasedcost,aswellassupportingin-depthknowledgeacquisition.ButinlinewithuseofAIinclinicaldecisionmaking,globalopinionissplitonitsdesirabilityincliniciantraining,bothformedicalstudentsa
238、ndnurses.FollowingthepatternofAIbeingmoreacceptedinChina,desirabilityofAIinmedicaltrainingishighestamongdoctorsinChina,at72%.ClinicianoftheFuture202328CliniciansinChinaaremuchmorelikelytofindAIineducationdesirableStatement:NursingstudentsuseAI-poweredtoolss
239、uchasChatGPT/BardtolearnnursingQuestion:D3.Thinkingabouthealthcarein2-3yearstimetowhatextentdoyoubelievethefollowingaredesirableornotdesirablePleaseconsiderthefutureofhealthcarewithintheprimarycountrythatyouworkin.RegionandCountryBaseSizesTOTAL2,607AsiaPacif
240、ic807Europe912394345120China418UK272USA365NorthAmericaSouthAmericaMid.East&AfricaSignificantlyhigherorlowerthantotalSignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)AsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=U
241、KUSA=USDr=DoctorsNu=Nurses%NursesConsidering(n=657)%DoctorsConsidering(n=1,950)%CliniciansConsidering(n=2,607)UndesirableUndesirableUndesirableDesirableDesirableDesirableLowBaseLowBase5050502828275955632121204044373435323833433642336057635227282726606555131117343435384332383443354132NA,EUNA,EUU
242、KNA,EUNA,EUNANA,EUNA,EUNAUK,USUK,USTheuseofAIinnursetrainingismostwelcomedbynursesinAsiaPacificandSouthAmerica(63%desirable)andwhenlookingatthefocuscountriesleastwelcomedbydoctorsintheUK(43%undesirable)andUSA(41%undesirable).Again,fewestcliniciansinChinafindtheus
243、eofAIinnursetrainingundesirable(13%),thoughtheenthusiasmismoretemperedthanformedicalstudenttraining(60%desirable).“MedicalstudentswillmakemaximumuseofAI;theywillsavetimeandmoneyandlearnmoreadvancedthingsthatmaynotbeavailableintheinstitution.”Doctor(Oman),2023
244、survey“MedicalstudentsshouldlearnthethinkingprocessinbasicMedicine.Theyshouldntonlyseektheresult.”Doctor(Japan),2023survey“Humancontactisessentialformedicaltrainingandtheexerciseofmedicine.”Doctor(Luxembourg),2023surveyGlobally,51%ofcliniciansconsidertheuseofAIdesi
245、rablefortrainingmedicalstudents,and50%fortrainingnurses.Inbothcases,28%ofcliniciansconsideritundesirable.Formedicalstudenttraining,opinionismostsplitinEuropeandNorthAmerica.Inbothcases,morecliniciansfinditdesirable(41%inEuropeand40%inNorthAmerica)thanundesirable(3
246、4%inEuropeand36%inNorthAmerica).Lookingatthefocuscountries,theUKisleastenthusiasticaboutthefutureuseofAIinmedicaltraining,withmorecliniciansfindingitundesirable(38%)thandesirable(33%).DoctorsinNorthAmerica(43%)andEurope(33%)findtheuseofAIinmedicaltrainingleast
247、desirableanddoctorsinChinafinditmostdesirable(72%).WhenitcomestouseofAIinnursingeducation,cliniciansinAsiaPacific(59%desirable)andSouthAmerica(60%desirable)aremostpositive,whilethoseinNorthAmerica(36%undesirable)andEurope(34%undesirable)aremostconcerned.Clinicianoft
248、heFuture202329Solution:clinician-controlledAIbuiltontrust“Wecanonlyachievehigherquality,lowercosthealthcarebyaugmentingthephysician-patientrelationshipwithAIatthepointofcare.”27RonenLavi,writinginRISEDigitalhealthtechnologyandAIwillcontinuetoevolve,andtheiruse
249、inhealthcarewillexpandinthecomingyears.Theirimpactwilldependonhowtheyaredevelopedandused.Inordertoreachthepossiblefutureweoutlinedwheredataisusedforbetterpatientoutcomes,thereislessadministrativeburdenandmoretimeforpatientsandlearning,andtheclinicianpat
250、ientrelationshipismaintainedvirtuallythereisstillworktodo.Trainingintheuseofdigitalhealthtechnologiesandinsoftskillswillcontinuetobecritical,forexample.IntherecentDigitalDoctorSurveyof3,428physicians,62%sharedtheirconcernabouthavingalackoftraining.28Current
251、ly,digitalhealthtechnologiesandAIarewelcomedmoreinChinathantheUKandUSA.Thisisreflectedacrossallsectors:accordingtoPwCsHopesandFearsresearch,peopleintheAsiaPacificregionareconsiderablymorepositiveaboutthebenefitsofAIcomparedtothoseintheUK:41%ofrespondents
252、inAsiaPacificsaidAIwillincreasetheirproductivityandefficiencyatwork,29comparedtojust19%intheUK.30Thiswasalsoapatterninthe2022ClinicianoftheFuturesurvey,whichrevealedlessenthusiasmforthepotentialofdigitalhealthintheUSAandEurope.Indeed,80%ofcliniciansint
253、heUSAagreeditwillbeachallengingburdenin10years.Improvedsystemsmayhelpaddressthis.Withefficient,integratedsystemsandthetimetolearnthemcliniciansaroundtheworldmaybeabletouseandbenefitmorefromtechnology.Toensureitisbeneficialforall,cliniciansneedtoremaini
268、k-hopes-and-fears-survey.htmlChapter2:ReferencesClinicianoftheFuture202331ClinicianoftheFutureHealthKnowledgeandtechnologyaretransformingtheclinicianpatientrelationshipClinicianoftheFuture2023Chapter3KnowledgeandtechnologyaretransformingtheclinicianpatientrelationshipClini
269、ciansthinkthat:Twoinfive(41%)patientsarehealthliteratetodayHalf(49%)ofpatientswillbehealthliteratein2028Knowledgeofsocialdeterminantsofhealth(SDOH):35%today48%in5yearsActivemanagementofhealth:38%today49%in5yearsUseofmonitoringtools:27%today45%in5years61%ofcli
270、nicianshaveenoughtimetoprovidegoodpatientcareThereisatrendtowardspatientempowerment,withcliniciansexpectingtheirhealthliteracy,knowledgeofsocialdeterminantsofhealth(SDOH)andproactivehealthmanagementtogrowinthecomingfiveyears.Astheuseofwearablesincreasesandint
271、eractionsbecomemorevirtual,cliniciansmayneedtoupskill.ThisprogresstowardtheFuturePartnerforHealththatweenvisionedintheClinicianoftheFutureReport2022willbesupportedbydevelopmentsindigitaltechnology,includingartificialintelligence(AI).“Theclinicianofthefuturewil
272、lencounterthepatientofthefuture,whowillbemoreinformed,engagedandempowered.”ClinicianoftheFutureReport2022IntheClinicianoftheFutureReport2022,wesawastrongtrendtowardpatientempowerment.Clinicianswerealreadyobservingashift,with56%globallyagreeingthatpatientshad
273、becomemoreempoweredtomanagetheirownconditionsovertheprecedingdecade.Thefuture,theypredicted,wouldseetheclinicianpatientrelationshipbecomemoreofapartnership.Despiteforeseeingthatpatientswouldbemorelikelytomanagetheirownhealth,cliniciansrecognizedthecontinuedimpor
274、tanceofsoftskillslikelisteningandbeingempathetic,andtheneedforsufficienttimewiththeirpatients.ClinicianoftheFuture202333TheriseofNCDswasoneofanumberofdriversofchangethatemergedintheClinicianoftheFutureReport2022.Withincreasingempowermentcomesgreatercons
275、umerbehavior,and90%ofcliniciansin2022agreedthatqualitymeasures,includingpatientsatisfaction,haddrivenchangeinhealthcareinthelastdecade.Mostclinicians(86%)alsoagreedthattheriseofpatientsinformedabouttheirhealthconditionswasdrivinghealthcarechange.Inthe2023survey,
276、wetookthepulseofhealthliteracyandotherindicatorsofpatientempowerment,showingtheprogressandprojections.Question:B5.Today,whatproportionof(Averagecalculatedfromresponsebands.)Question:D2.Withregardstoyourexpectationsaroundpatientsandhealthcareinthenext5years,whatpr
277、oportionof(Averagecalculatedfromresponsebands.)Proportionof.%Expectin5Years%TodayYourpatientinteractionsareface-to-faceYourpatientsarehealthliterateYourpatientsactivelymaintaintheirhealth(e.g.goodnutritionandregularexercise)YourpatientsareknowledgeableoftheirSocialDe
278、terminatesofHealth(SDOH)Yourpatientsusemonitoringtoolstoassesstheirhealthandwell-being(Including:wearables)64494948457641383527AswesawinChapter1,61%ofcliniciansbelievetheyhaveenoughtimetoprovidegoodpatientcare,upfrom52%in2022.Thisprovidesanimportantfoundationascl
279、iniciansmovetowardsastrongerpatientempowermentparadigm.Theshifttopatient-centeredorpatient-managedhealthcareisanecessaryresponsetothealreadyoverburdenedhealthcaresystemsaroundtheworld.Withourgrowing,agingpopulation,thenumberofpeoplewithchronichealthconditionsand
280、noncommunicablediseases(NCDs)isrising.Intheempoweredpatientscenario,inwhichtheclinicianisapartnerforhealth,patientsareoftenlookingfortwodistincttypesofsupport:Empatheticcliniciansemploytheirsoftskills,suchaslisteningandempathy,tosupportpatientsemotionallyandprovi
281、decomfortaswellasmoreclinicalsupportlikediagnosesandtreatments.Functionalpatientsareinformedandself-managing,andclinicianscansupportthemfunctionallywithregularcheck-ins(oftenfacilitateddigitally.n=2,607ClinicianoftheFuture202334ProgresstowardimprovedhealthliteracyHe
282、althliteracy:Inthisreportwedefineitasthedegreetowhichindividualshavethecapacitytoobtain,processandunderstandbasichealthinformationandservicesneededtomakeappropriatehealthdecisions.ClinicianssaytheresroomforimprovementinpatientshealthliteracyLookingatthesitua
283、tiontoday,onaverage,clinicianssay41%oftheirpatientsarehealthliterate.Doctorsestimatedthispercentagetobelower(37%)andnurseshigher(44%).InEurope(37%)andSouthAmerica(31%),cliniciansestimatedpatientstobealittlelesshealthliterate.CliniciansinAsiaPacificestimatedmoreoft
284、heirpatientsarehealthliteratetoday(45%),withnursesestimateshigh(51%).AgreementamongcliniciansisfairlyconsistentacrossthethreekeymarketsofChina(45%),theUK(45%)andtheUSA(42%).CliniciansexpecthealthliteracytoriseinthenextfiveyearsLookingtothefuture,cliniciansexpect
285、theirpatientswillbemorehealthliterate.Globally,cliniciansexpectnearlyhalf(49%)oftheirpatientstobehealthliterateby2028.Echoingthecurrentpattern,doctorsarelessoptimistic(45%)andnursesmoreoptimistic(52%)aboutfuturehealthliteracyglobally.CliniciansinEuropeareleastoptim
286、istic,expecting41%oftheirpatientstobehealthliterateinthenextfiveyears(38%fordoctorsand44%fornurses).CliniciansinAsiaPacificaremostoptimisticabouttheirpatientsfuturehealthliteracy,expecting56%oftheirpatientstobehealthliterate(doctorsestimating52%andnurses60%).St
287、atement:YourpatientsarehealthliterateStatement:PatientswillbehealthliterateQuestion:B5.Today,whatproportionof(Averagecalculatedfromresponsebands.)Question:D2.Withregardstoyourexpectationsaroundpatientsandhealthcareinthenext5years,whatproportionof(Averagecalculatedfrom
288、responsebands.)SignificantlyhigherorlowerthantotalAsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=NursesSignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)RegionandCountry%CliniciansCu
289、rrentExperience(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe912394345120China418UK272USA365NorthAmericaSouthAmericaMid.East&Africa4145374231454442LowBaseEU,SASAEU,SARegionandCountry%CliniciansExpectin5Years(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe912394345120China418UK272USA3
290、65NorthAmericaSouthAmericaMid.East&Africa4956414542574646LowBaseEU,NA,SAUK,USClinicianoftheFuture202335Theseestimatesofhealthliteracyreflectotherfindings.Ina2022studyofthelinkbetweenhealthliteracyandoutcomes,patientswereclassifiedadequatehealthliteracy(50%ofpatients),3
291、2%inadequateand18%marginal.1Patientswithinadequatehealthliteracyaremorelikelytovisittheemergencyroom,thusimprovinghealthliteracycanbeaneffectivestepnotonlytoimproveoutcomesforpatientsbutalsotopreventfurtheroverstretchinghealthcaresystems.Indeed,byoneestimate,s
292、ocialdeterminantsofhealth(SDOH)accountforabout80%ofhealthoutcomes.2Patientswiththelowest(andhighest)healthliteracyhavealsobeenshowntohavethelowesttrustinhealthcaresystems.3Raisingthelowerliteracylevelcouldthereforehelpincreasetrustandstrengthentheclinicianpatie
293、ntpartnership.Makingprogressinhealthliteracyfromtodays4in10tothefutures5in10healthliteratepatientsisnotonlyinpatientshandscliniciansplayanimportantroleinfacilitatingimprovement.Forexample,researchshowsthatclinicianscanhelpimproveapatientshealthliteracyby
294、usinglessjargon.4Improvinghealthliteracyisnotasimpleorindeedalinearprocess.AswenotedintheClinicianoftheFutureReport2022,therearemanyfactorsassociatedwithaccesstohealthcareandhealthliteracy,broadlydefinedassocialdeterminantsofhealthorsocialdriversofhealth(
295、SDOH).5UnderstandingSDOHtoboostempowermentResearchhaslinkedbetterhealthliteracytoyoungerage(below30),livinginurbanareas,andhavingahighereducation,andinadequatehealthliteracytoolderage(above59),primaryeducation,anddivorcedparents.6Thereareotherfactorsthatneedtobe
296、considered:astudyofhealthliteracydisparitiesinvolvingover80millionpeopleintheUSAshowedthatmoreparticipantsfromminorityimmigrantgroupshadlowerhealthliteracy.7“Immigrantstatushasastrong,negative,directeffectonHLproficiencyamongracial/ethnicminoritiesintheUSA.Thi
297、smaybearesultofbarriersthatpreventequitableaccesstoresourcesthatimproveproperHLhealthliteracyproficiency.”8BecomingmorehealthliteraterequiresabetterunderstandingofSDOH,andcliniciansexpectmoreoftheirpatientstohaveanawarenessoftheirownSDOHinthecomingfivey
298、ears.Thisinturnwillsupportthemovetomoreself-managementandempowerment.SocialDeterminantsofHealth(SDOH)aredefinedinthisreportasnon-medicalfactorsthatinfluencehealththeconditionsofdailylifethatimpactqualityoflifeoutcomes.CliniciansoftenhavelittleimpactonSDOH.For
299、thisreason,inthe2022ClinicianoftheFuturesurvey,22%ofrespondentsidentifiedbeingrestrictedtotreatingpatientswhentheyrealreadyillasatop-3prioritychallenge,makingthemovetovalue-basedcareevenmoreimportant.9Clinicianssayoneinthreepatientsareknowledgeableabouttheir
300、SDOHCliniciansgloballyestimateaboutone-third(35%)oftheirpatientsareknowledgeableabouttheirSDOH,withdoctorsestimatinglowerrates(31%)thannurses(39%).CliniciansinChinaestimateahigherproportionoftheirpatientsareknowledgeableoftheirSDOH(44%)thancliniciansglobally(doctors
301、inChinaestimate38%,nursesinChinaestimate53%).PatientknowledgeofSDOHisconsideredlowestinSouthAmerica(26%)andnursesestimatepatientsknowledgelowerstill(24%).ThereisasimilarpictureinEurope(30%),thoughthistimeitsthedoctorswhoestimatelowerknowledge(26%).Giventheimpor
302、tanceofunderstandingSDOHtobettermanageonesownhealth,itsgoodnewsthatcliniciansexpectanimprovementinthenextfiveyears.ClinicianoftheFuture202336CliniciansexpectabouthalfofpatientswillknowabouttheirSDOHby2028Fast-forwardto2028andcliniciansexpectalmosthalf(48%)
303、oftheirpatientstobeknowledgeableoftheirSDOH.Again,doctorsarelessoptimistic(44%)thannurses(51%).However,thisshiftofsome10%ismostlyinfluencedbycliniciansinAsiaPacific,andChinainparticular.InAPAC,cliniciansexpect56%oftheirpatientstobeawareoftheirSDOHby2028(doctors
304、51%,nurses61%),risingto59%inChina(doctors55%,nurses62%).ThepictureislessoptimisticintheUKandUSA(42%).Progresswillbecriticaltoimprovingthewiderhealthcaresystem,includingimprovingpatientoutcomesandworkingconditionsforclinicians.Inpartoneofthe2022SurveyofAmerica
305、sPhysicians,80%ofrespondentssaidtheUSAcanonlyimproveoutcomesandreducecostsbyaddressingSDOH.10NearlyallphysiciansreportedthattheirpatientshealthoutcomesareinfluencedbyatleastoneSDOH.Inthesurvey,physiciansidentifiedseveralmainstrategiestoaddressSDOH,includingcr
306、eatingopportunities(timeandfinancial)forphysicianstodirectefforts,andsupportingpatientstodomanagetheirownhealth,includingwithtechnology.AstepforwardinproactivehealthmanagementInthe2022ClinicianoftheFuturesurvey,56%ofcliniciansagreedtheirpatientswillbemoreempower
307、edtotakecareoftheirownhealthinthefuture.Withpositivemomentumevidentinthisyearspulsesurvey,proactivehealthmanagementismovingintherightdirection.Cliniciansthinkmorethanone-thirdofpatientsproactivelymanagetheirhealthCliniciansgloballyestimatethat38%oftheirpatie
308、ntsactivelymaintaintheirhealthtoday,thoughdoctorsestimatethistobesignificantlylower,at34%.Inasimilarpatterntohealthliteracy,cliniciansinAsiaPacificestimatehigherproactivehealthmanagementamongtheirpatients(43%),withnursesmostoptimistic(50%).EstimatesarehighestinCh
309、ina(clinicians46%,doctors42%,nurses50%).CliniciansinEuropearelesspositiveabouttheirpatientsself-managementtoday,estimatingonly33%ofpatientsactivelymaintaintheirhealth;thiswasevenlowerinSouthAmerica(27%).CliniciansinNorthAmerica(36%)arejustbelowtheglobalaverage.Clini
310、ciansexpectabouthalfofpatientstoembracemanagingtheirownhealthCliniciansexpectthepicturetoimprovesomewhatinthenextfiveyears:theyestimatethatabouthalf(49%)ofpatientswillactivelymaintaintheirhealthin2028,withdoctorsleastoptimistic(46%)andnursesmoreso(53%).Again,e
311、xpectationsaresignificantlyhigherinAsiaPacific,at56%ofpatients(doctorsestimate53%,nurses60%).TheestimateissimilarinChina(57%),withlessofadifferencebetweenroles(doctors57%,nurses58%).EnthusiasmforfutureproactivehealthmanagementamongpatientsinChinareflectsthecountry
312、smovetowardspreventivehealthcareinanincreasinglyvalue-basedsystem.11(Seechapter4fordetails.)ExpectationsarelowestinEurope(total42%,doctors39%,nurses45%)andSouthAmerica(total43%,doctors42%,nurses44%).Inourotherfocuscountries,cliniciansintheUKhadrelativelylowerexpec
313、tationsat43%.ResponsesaresimilaramongcliniciansintheUSA,whoestimatethat45%ofpatientswillmanagetheirhealth.Moredetailsareprovidedintheaccompanyingfullresultsreleasedwiththisreport.Thisprogresscouldhaveknock-oneffectsonoutcomes,ifcliniciansexpectationsfromthe20
314、22surveycometofruition.Whereapplicable,60%ofcliniciansbelievedthatpatientswhodemonstratethattheyactivelymaintaintheirhealthwillberewardedwithlowerhealthinsurancepremiums,whichwouldinturnincreaseaccesstohealthcare.12PassivehealthDisease-centeredPatient-centeredSingle
315、diseasecareHealth-centeredPeople-centeredMultipleservices(acrossSDOH)TotalhealthapproachSingleservice(medical)Proactivehealth13ClinicianoftheFuture202337AturningpointforwearablesThesetrendstowardsenhancedhealthliteracyandknowledgeofSDOHaredrivenandsupportedbytheincreas
316、eduseofhealthmonitoringtechnologies,suchaswearables.IntheClinicianoftheFutureReport2022,77%ofcliniciansexpectreal-timepatientanalyticstobecriticaltopersonalizedcareinthefuture.Takingthepulseofprogressnowshowstheuseofmonitoringtoolsisalsomovingintherightd
317、irectiontocontinueenablingpatientempowerment.WearablesareanincreasinglycommonfeatureofpatientshealthmanagementMorethanaquarter(27%)ofpatientsusemonitoringtools,includingwearables,toassesstheirhealthandwell-being,accordingtocliniciansglobally.Significantlymorepatients
318、arethoughttousemonitoringtoolsinAsiaPacific(33%),particularlyinChina(36%),andinbothcases,nursesestimateusetobesignificantlyhigherthantheaverage(46%APAC,48%China).CliniciansexpecttoseeeveryotherpatientusingmonitoringtoolsGlobally,cliniciansexpect45%oftheirpatientst
319、obeusingtoolslikewearablesinfiveyearstime,withdoctorsestimatingsignificantlyfewer(41%)andnursessignificantlymore(50%).Thereisasimilarpatterntothecurrentpictureofpatientsuseofwearables,withlowerusageexpectedinfutureinEurope(42%)andSouthAmerica(37%).InAsiaPacifi
320、c,expectationishigher(50%)andhighestinChina(52%).NursesintheAsiaPacificregionexpectmorepatientstousewearables(56%)thandoctorsdo(45%).“Monitoringheartrate,andglucosecouldbeveryadvantageoustomanagechronicheartdiseaseanddiabetes.”Doctor(USA),2023surveyItisworthnoting
321、thatinsomecases,thesepercentagesaredoublethecurrentestimatedusage.Forexample,cliniciansinEuropeexpecttwiceasmanyoftheirpatientstousewearablesinfiveyears(42%)thantoday(21%).Thisisindicativeofastrongtrendtowardspatient-managedhealth.Statement:Yourpatientsusemoni
322、toringtoolstoassesstheirhealthandwell-being(incl.wearables)Statement:Patientswillusemonitoringtoolstoassesstheirhealthandwell-being(incl.wearables)Question:B5.Today,whatproportionof(Averagecalculatedfromresponsebands.)Question:D2.Withregardstoyourexpectationsaroundpatie
323、ntsandhealthcareinthenext5years,whatproportionof(Averagecalculatedfromresponsebands.)RegionandCountry%CliniciansCurrentExperience(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe912394345120China418UK272USA365NorthAmericaSouthAmericaMid.East&AfricaSignificantlyhigherorlowerth
324、antotalRegionandCountry%CliniciansExpectin5Years(n=2,607)BaseSizesTOTAL2,607AsiaPacific807Europe912394345120China418UK272USA365NorthAmericaSouthAmericaMid.East&AfricaAsiaPacific=APEurope=EUMid.East&Africa=MEANorthAmerica=NASouthAmerica=SAChina=CHUK=UKUSA=USDr=DoctorsNu=NursesS
325、ignificantlyhigherthanRole/Region/Country(indicatedbyfirsttwoletterse.g.AP=APAC)4550424237524342LowBaseEU,NA,SAUK,US2733212421362224LowBaseEU,NA,SAUK,USConversely,patientsinEuropearethoughttousemonitoringtoolsmuchlesscommonly(21%);itisasimilarpictureinSouthAmerica(21%).Cl
326、inicianoftheFuture202338Thecriticalelementoftrustinthepatient-clinicianpartnershipAsaresultofthisshift,28%ofcliniciansgloballyconsidermanagingreal-timepatientanalyticsfromhealthcaredevicesmoreeffectivelyapriorityforthenext2-3years.Agreementissignificantlyhigher
327、inAPAC(36%),specificallyamongdoctorsinChina(47%).Conversely,significantlyfewerUK(16%)andUSA(22%)cliniciansconsiderthisapriority.Thisgrowingsignificanceofpatient-controlledmonitoringdevicesspecificallyandpatientempowermentmoregenerallyhasseveralimplications,bothforpatien
328、tsandclinicians.Oneareaofgrowingconcernforpatientsaroundproactivehealthmanagementistheproliferationofmisinformationandevendisinformation.Theriseofwearablesand,morebroadly,proactivehealthmanagementopensthedoortoinfluencersandself-labeledexpertsonlinewhomaynotbe
329、providingreliableinformationorguidance.Misinformationcannegatethebenefitsofpatientempowerment,resultinginpoordecisionsthathavenegativeoutcomes.14AswesawintheClinicianoftheFutureReport2022,internetaccessisrebalancingtheinformationasymmetrywehaveseeninthehealth
330、caresystemforsolong.15Providingaccurate,reliableinformationisnolongerenoughtocountermisinformation.Instead,cliniciansandpatientsneedtobuildatrustingandcollaborativepartnership,whichcouldbefacilitatedbyreliabledigitalhealthtechnologies.16Withthiskindoffoundational
331、partnershipinplace,patientscanalsoexperiencethefullbenefitsoftoolslikewearables.Forexample,increaseduseofwearableshasbeenshowntopositivelyinfluenceconfidenceandadherencetoself-managementofchronicconditions,dependingonthelevelofhealthliteracy.17Morebroadly,useof
332、wearablescansupportpatientempowerment,butthisrequiresclinicianswhoareskilledintechnologyuseanddataanalysis,aswellassupportiveofpatientsuseofthetechnology.18Embracinghybridcommunication“Imconcernedthattheneedtoreducehealthcarecostsandthedesirefrompolicymakers
333、foreverythingtogodigitalisimpactingpatientcare.Patientsarenolongeratthefocusofhealthcare.”Nurse(UK),2023surveyPatientsarebecomingmoreempowered,thanksinparttotechnology,andtheirproactivehealthmanagementislikelytoprogress.Inparallel,thereisashifttomoredigitalsolutionsandmodesofcommunication(seechapter2fordetails).Thisraisessomeconcernaboutwhatc