Staffing shortages and rising prescription drug costs are two key challenges health care executives will face in 2017, according to a new survey.

Staffing shortages are the number one concern, replacing “health reform” as having the biggest impact on their ability to deliver care, according to a report in Fierce Healthcare. Forty-two percent of the 52 executives surveyed said the lack of staff is the biggest concern. Seventy-two percent say they don’t have enough primary care physicians to meet their needs over the next three years and slightly more than half say they don’t have enough nurses and physician assistants.

The Economic Outlook study by Premiere also found that drug costs and shortages are a big concern while interoperability is also a challenge. Nearly 60 percent of those surveyed say their organizations were not able to access data from their affiliated physician network and that reimbursement and regulatory hurdles prevent more use of telemedicine.

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