LOCAL CARE, GLOBAL CONCERNS THE VIEWS OF HEALTH CARE PROVIDERS AROUND THE WORLD ON COSTS, CARE AND

PROFESSIONAL CULTURE
APCO Insight conducted a global survey of health care providers in Latin America, Europe, Asia and the United States to understand their
perceptions of the industry, their profession and their predictions for the future of care. Our three-part series shares high-level insights that
elevate the viewsand needsof HCPs.

A CULTURE OF HIGH COSTS

Health care providers are acutely aware of the impact of rising costs on patients and the health care ecosystem.

Across the globe, the majority expressed

that the cost of prescription drugs in their
respective countries is unreasonable.

HCPs, however, do not see this as the primary driver of cost. Instead across regions
there are a variety of socio-political elements implicated. These include:

59%
9 in 10

access to latest
medical tools

With rising costs comes a growing concern for the impact of budgetary constraints
on the quality of care. 9 in 10 respondents are worried that budget pressure will
negatively impact quality of care. Half of HCPs say constraints will result in a
negative impact on:

availability of
future health care
providers

amount of
time spent
with patients

the ability to make

independent
decisions about
treatment plans

INCREASED
COMORBIDITY
RATES

DETERIORATING
SOCIAL
CONDITIONS

AGING
POPULATIONS

the development
of new prescription
medicines

CALL FOR A
GLOBAL RESPONSE
These insights create a call
to action that seeks a global
response. Seeking
collaborative solutions to
stem costs, increase provider
morale and consider
alternative routes of care will
yield patient-focused results.

PATIENT AUTONOMY & ALTERATIVE ROUTES OF CARE

Health care providers are acutely aware of the impact of socio-political shifts on costs of care,
which makes salient how HCPs view the "patient as partner" model.

4 in 5

agree patients have their own views about appropriate care.

As expected, HCPs had a heighted awareness of the Patient as Partner trend.

9 in 10

The growing trend of patients

searching for health care information
online has complicated the mission
of health care providers. Patients
seeking out health information online
can quickly go from self-diagnosis to self-harm. This
study explores how health care providers are
responding to this practice.

agree involving patients in treatment planning improves

compliance and health outcomes.

Further, HCPs value their patients input and see the partner model as
an efficacious route of care.

Rx

3 in 4

agree patients should make informed choices from options

identified by a doctor.

HCPs agreed that patients should indeed take care of themselves and
make informed choices about care, with the caveat that the choice
should be made from options identified by doctors.

SUSTAINING TRUST
The efcacy of the Patient as Partner model
will certainly be determined as health care
systems, advocacy groups and policy
organizations continue to develop and
evaluate alternative delivery frameworks. The
voice of HCPs, however, is clear: maintaining
providers centrality in the process will
sustain trust between patient and provider,
and continue to improve the quality of
self-care.

MORALE ON THE BRINK

There is a middling of morale amongst health care providers,

leaving questions about the future sustainability of the profession.

Less than half

say they feel somewhat positive about the current

state of the medical profession.

In recent years there have been

signicant shifts across the
global health care landscape.
In the United Kingdom, junior
doctors have been threatening
strikes following proposed
contract changes. In the United
States, the country is facing a
signicant shortage of primary
care providers. These examples
underscore the importance of
tending morale to better
retainand recruitan adequate
cadre of qualied health care
providers.

Few believe

that the quality of interaction or that their clinical

autonomy has gotten better with time.

Currently, some doctors feel they have

failed to be better recognized

for their contributions...

...and even more believe their work load has

disproportionately increased

THE FUTURE OF
HEALTH CARE

With doubts about the

sustainability of the sector
looming, bolstering
condence of our
front-line providers
becomes urgent. Without
their talent and
engagement, the ability of
health care systems to
improve the lives of
patients is drawn into
question. Thus, improving
morale is not only about
improving HCPs
perceptions of their work,
it is about securing the
stability and future of
health care overall.

Methodology: These results are based on a survey of 1,000 general practice doctors, 1,000 specialists, 500 nurses and 500 pharmacists across the U.S.,
Mexico, Brazil, U.K., France, Germany, Russia, China, India and Japan. The study was elded from July through August of 2016. For more information about
the study, please go to apcoworldwide.com/insight