Antecedent	Category	Contents
Changes in social conditions	Changes in medical conditions	· Increasing burden of disease because of global rise in non-communicable diseases · Development of advanced medicine [12] [26] [30] - [35]
Changes in social conditions	Changes in population structure	· Aging in developed countries · Rapid aging in Asian countries · [9] [11] [13] [16] [23] [26] [28] [29] [33] [38]
Increasing people’s ownership of their health	Diversification of subjective health views	· Diversification of options through the evolution of medical technology · Aims to maintain and promote health in society while having a disease · Growing concern and interest in health [2] [7] [9] [14] [16] [18] [23] [29] [30] [33] [34]
	Changes in the way people interact with health care	· The movement to take care of one’s own health Many people want to be more actively involved in their healthcare [7] [8] [9] [11] [13] [18] [24]
	Gap between people and healthcare providers	· Differences in perception of health problems between people and healthcare providers. · Differences in knowledge and information between people and healthcare providers · Difficulty for people to understand terms used by healthcare providers [2] [8] [9] [16] [25]
	Communication challenges between people and healthcare providers	· Miscommunication between people and healthcare providers. Many people do not feel like they are part of a team in healthcare [8] [11] [22]
Health issues in modern society	Remained challenges despite advances in medical care	· Some people have difficulty accessing healthcare. Variability in quality of care Patient safety may be at risk. Difficult for medical institutions to provide adequate individualized support [12] [28] [29] [30]
Health issues in modern society	People’s emerging needs for health and healthcare	· Needs for health counseling · Needs for support in decision-making · Care needs for elderly people living in the community · Needs of people with diseases and disabilities [2] [16] [20] [21] [23] [24] [29]
Care in a variety of settings	Expanding the role of healthcare providers	· Care for non-diseased subjects · Ability to assist with issues that were not covered by medical institutions · Function of connecting to medical institutions · New ways to interact with people in clinical settings [13] [14] [15] [16] [25] [37]
Care in a variety of settings	Diversification of fields of activity for healthcare providers	· Care in non-medical settings · Encounters between people and healthcare providers in the community [7] [8] [9] [11] [13] [14] [15] [16] [25] [37]