06Jun

Americans see nurses as dedicated, caring professionals who risk their health because they care about the public welfare.

Doctors, whose favorable rating is rising, are seen by a majority of the public as interested in making money as much as working for the public good.

The most recent survey from the Kaiser Family Foundation found 60% of Americans says nurses are, “Mostly interested in working for the good of the public.” Just over a third – 35% — say they are equally interested in the public good and marking money.

While doctors fare less well than nurses in public opinion, the percentage of people who see them as primarily altruistic is an about face from a 2005 survey. In that survey only 17% said they viewed doctors as “Mostly interested in working for the good of the public.” 31% saw doctors as “Mostly interested in making a profit.”

Today, the Kaiser Family Foundation says 36% of Americans see doctors as mostly interested in working for the public good. Only 10% said they thought doctors were mostly interested in money.

Drew Altman, president and CEO of the foundation, says the pandemic is changing the public perception of doctors. (The public was not asked its opinion of nurses in the 2005 survey.)

“The many knowledgeable physician-scientists on national and local TV every day talking about the pandemic may also be enhancing the image of doctors with the public,” Altman writes.

The image of all medical workers has been burnished by video of workers heading into hospitals and nursing homes to care for the seriously ill despite the risks. Reports of nurses and doctors working long hours sometimes without all the proper protective equipment prompted an outpouring of public support, demonstrated by applause and signs and food deliveries for all healthcare workers.

On the other hand, the perception of insurance and drug companies hasn’t changed since 2005. Three-quarters of the public see both industries as mostly interested in making a profit.

Altman says that the appreciation and goodwill medical professionals are receiving is helping morale and might just “get young people more interested in specialties that aren’t usually the most lucrative.”

Photo by JESHOOTS.COM on Unsplash

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Healthcare Outlook: Many Challenges, No Quick Fixes

Already undergoing challenging and sometimes painful changes, the global healthcare sector can expect more of the same in 2020 and for some time beyond. But these changes also present opportunities says a 2020 outlook from Deloitte.

The drivers of the the sector’s transformation are many: “A growing and aging population, rising prevalence of chronic diseases, infrastructure investments, technological advancement, evolving care models, higher labor costs amid worker shortages, and the expansion of health care systems in developing markets.”

The Deloitte outlook examines four broad categories of change:

  1. Financial operations and performance improvement
  2. Digital transformation and interoperability
  3. Care model innovation
  4. Future of work

While each of these is already in play, some pose greater difficulty. Globally, and especially in the US, “health systems are struggling to maintain financial sustainability in an uncertain and changing environment.” While righting the financial picture will be different from country to country, Deloitte notes “a few of the options could be payment reform, universal health coverage, pricing controls, population health management (PHM), and public-private partnerships (PPPs). Industry consolidation and a changing regulatory landscape also are seen as influencing factors.

“Health system leaders will likely need to employ a balanced mix of these levers in 2020 to deliver high-quality care and achieve financial sustainability.”

Employers will continue to deal with a shortage of healthcare professionals. “A widening demand-supply gap of skilled professionals is creating immediate challenges for public and private health system,” says Deloitte, describing rising demand in developing countries and shortages almost everywhere.

Deloitte especially sees no easing of the demand shortfall of nurses and doctors, calling it “particularly acute.” If anything, the report suggests the shortage in the US and in Europe has the potential for getting worse.

Countries are experimenting with different approaches to easing the shortages including adoption of AI-enabled diagnostic tools, free medical school tuition in exchange for working in underserved areas and broader and faster adoption of remote medicine technology and even repatriation incentives.

Ultimately, “Health systems need to consider new methods to source, hire, train, and retain skilled workers to achieve.

Photo by Myriam Zilles on Unsplash

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