Patients are demanding a greater role in the management of their own health. The study cited below found that less than half of patients are satisfied with their level of control in medical decision making. Much has been written about this trend.
On the flip side, dramatically growing medical costs are forcing healthcare payors, both private and government, to look for significant cost savings. The US report, ‘Best Care at Lower Cost: The Path to Continuously Learning Health Care in America,’ from the Institute of Medicine, found that 30 percent of health care expenditures were squandered on needless tests and services!