Insights

The Big Shift: Doctors' Pain Points in 2025

6.3.2025

Thanks to bold pre-election promises, drug supplies and shifting workforce patterns, the healthcare landscape is in a continual state of flux, but one thing remains constant, our healthcare professionals (HCPs) are facing increasing pressure from multiple directions. Data from the 2025 So What? Research Survey of Australian Doctors, reveals a big shift in what is frustrating Specialists and GPs.

In this article, we share insights from 400+ Australian doctors on:

  • How their pain points have transformed since last year
  • What is the biggest pain point by Specialty
  • How the healthcare system is failing GPs
  • What 3 actions pharma can take to help

This article is a must read for pharma who want to understand where their customers are hurting.

What has changed since 2024?

1. Paperwork: The Biggest Burden

Paperwork has now surpassed staff shortages as the top frustration for HCPs, moving up from third place in 2024. Regulatory approvals and administrative tasks are consuming valuable clinical time, making it harder for doctors to focus on patient care.

“There are still excessive amounts of PBS paperwork for biologics!” - Rheumatologist

2. Workload: A Persistent Challenge

Workload remains a major challenge, retaining its second-place status, where rising patient volumes and time pressures are taking a toll. The increasing administrative burden, time pressures and demand for timely patient care are pushing many HCPs toward burnout.

“The biggest pain point is the amount of administrative work. This includes chasing patient results, coordinating referrals, and acting on time-critical investigation results” - Cardiologist

3. Patient Needs & Demands: Higher Expectations, More Complexity

HCPs report that patients are becoming more demanding, both in terms of expectations and the complexity of their cases. This has jumped from fifth place in 2024 to third place in 2025, adding further stress to daily practice.

“Rapidly advancing technology and changes to treatment guidelines makes it hard to keep up with a demanding public and do everything perfectly” - Endocrinologist

4. Staff Shortages: A Declining but Ongoing Concern

Once the number one frustration in 2024, staff shortages have now dropped to fourth place. While less dominant, HCPs report ongoing gaps in doctors, nurses, and support staff, making it harder to manage growing patient volumes and coordinate care effectively.

“Managing ever-increasing numbers of patients through the public health system, with no increase of clinicians, beds, pharmacists, nurses, day centre accommodation or in-patient beds” - Haematologist

5. PBS Constraints: Slowing Access to Medications

HCPs feel that PBS limitations have worsened, with many struggling to access new medications due to restrictions and slow approvals. These barriers add pressure to already stretched resources and make it harder to provide optimal patient care.

“PBS approval process and drug availability on PBS. If a drug isn’t approved, then the administration time to get approval from health service is burdensome” - Haematologist

The Biggest Pain Point by Specialty

Each specialty faces unique challenges, but across the board, bureaucratic burdens and systemic inefficiencies are making day-to-day clinical practice difficult.

Specialty Top Pain Point Changes vs 2024
Immunology (Dermatology, Rheumatology, Gastroenterology) Paperwork Paperwork has significantly increased as a pain point, particularly for PBS approvals, prescribing, and regulatory requirements. The administrative burden has increased, with patient demands and case complexity also rising. Access to new medications is a growing frustration, along with affordability issues for patients.
Cardiology Workload Excessive workloads remain their biggest challenge as in 2024, with increasing patient numbers and complex cases.
Urology Workload Struggling with heavy workloads, too many patients and constant burnout.
Ophthalmology Patient needs & demands Complexity of cases is increasing, adding pressure to already stretched resources.
Psychiatry Staff shortages Staffing shortages remain the biggest challenge, limiting access to mental health services. Remuneration is also a concern, with many psychiatrists feeling undervalued and undercompensated.
Haematology PBS Constraints Paperwork has increased as a pain point, and PBS restrictions have increased driven primarily by not being able to access new therapies.
Oncology PBS Constraints Restrictions on new treatments continue to be a significant issue.
Endocrinology Drug shortages Frustration with drug shortages is still the biggest pain point as per 2024, driven by a lack of GLP-1s. Overall the issue has decreased as a pain point, but PBS constraints are a growing issue.

GP Pain Points: A System Failing Them

While specialists struggle with paperwork and workload, GPs are losing confidence in the healthcare system.

Their biggest pain points in 2025 include:

1. Remuneration

Low pay and stagnant Medicare rebates make it difficult to sustain their practices.

2. Overwhelming patient volumes & admin demands

GPs report feeling trapped between excessive paperwork and increasing patient loads, with little time left for actual care.

3. Paperwork

A frustrating amount of time is required to prescribe some drugs and manage administrative tasks within the healthcare system.

4. Government bureaucracy & lack of support

GPs feel abandoned, with red tape, regulations, and political inaction leaving them stuck between government policies and patient demands.

5. Public perception & bulk billing pressures

Many GPs feel vilified in the bulk billing debate, while the government avoids responsibility.

“Pain points? Everything!!! Pressure to work faster, poor pay scale and a constant flow of changing information around Medicare, medications (new ones, new uses for old ones and supply issues to name a few) and also new tests and pathways for diagnosis. All this with extra pressure to get people in for prompt specialist or hospital referrals (which is impossible!)” - General Practitoner

“Overburdened with lack of renumeration, respect and being valued in the community. The government allows everyone to have a go at us from nurses to pharmacists and allied health practitioners. No wonder no youth want to destroy their lives and reputation after working so hard to study and become the best medical professionals in the community. The GPs that remain are disillusioned and desperately work to survive in a losing battle” - General Practitoner

What Can Pharma Do to Help?

Pharmaceutical companies have an opportunity, and a responsibility, to try to ease some of these burdens. The survey data suggests three clear actions pharma can take:

1. Streamline PBS paperwork

  • Continue to minimise the administrative burden for HCPs by advocating for simplified PBS approval processes.
  • Develop user-friendly digital tools that make paperwork easier and more efficient.

2. Advocate for faster PBS approvals

  • Push for quicker access to new medications, especially in areas where delays are preventing optimal patient care (e.g., Oncology and Haematology).

3. Support GPs more effectively

  • Recognise that GPs are struggling with poor support, low remuneration, and public criticism.
  • Provide better engagement, education, and tools to help them navigate patient care while reducing unnecessary admin work. Consider empathy and more soft skills training for reps.  

Final Thoughts

With detailed information from over 400 Doctors across Australia, the 2025 So What? Research Survey of Australian Doctors tells a clear story:

The top challenges facing HCPs in 2025 are very different to 2024. Frustrations with paperwork, PBS access, and government inaction are only getting worse, and have overtaken staff shortages as key areas of concern.

What is significant for Pharma is that these pain points are something you may be able to help reduce for your stakeholders. Pharma has an opportunity to make a real difference by advocating for policy changes, reducing administrative burdens, and offering meaningful support to HCPs.

As the healthcare system continues to evolve, addressing these pain points won’t just help doctors, it will improve patient outcomes and strengthen the entire industry.

Want deeper insights into what’s frustrating your customers in 2025? Contact us today for a customised deep-dive into the key pain points shaping their challenges and how you can help

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The Big Shift: Doctors' Pain Points in 2025
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