Table 1.

Health Care Challenges in the 21st Century

DomainSpecific Challenges
Patient careInfluence of behavioral, psychological, and social factors on illnesses
Medically unexplained illnesses
POEM (patient-oriented evidence that matters)
Increasing need for patient participation
Increasing complexity of interventions
Patient-centered outcomes
Health services deliveryRising demand with limited resources
Accountability of services
Alternative methods and models of care
Integration of different services
Professional developmentVariation in practice
Adherence to management guidelines
Practice of evidence-based medicine
Critical appraisal
Information overload