China Healthcare Market Analysis
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Healthcare system in China is witnessing series of transformation driven by government backed reform process and increasing private sector participation. Although China healthcare market is fraction of the developed markets, it is actually witnessing double digit growth in recent years. However, within the Chinese healthcare market landscape,there still exists huge difference between the tier one cities and the rural areas. Within the city, there exist huge difference in the level of healthcare services provided by the hospital and small clinics. Chinese healthcare market is very diverse in nature due to presence of multiple hierarchies of healthcare institutions offering services to largest population base in the world.
With improvement in the healthcare infrastructure, the Chinese Healthcare Industry is entering into a new era of development. Moreover, increased government spending, has accelerated the development of healthcare infrastructure in China. Large population base having large proportion of ageing people and continuously growing prevalence of lifestyle diseases are further supporting the advancement of the industry. With 1.3 Billion people, China has a huge opportunity in terms of potential patients. However, a closer look at the composition of China s populace reveals a much smaller, although still very large, likely patient pool. Approximately 600 Million people are considered urban residents, while over 700 Million are considered rural residents in China. The rural population is disadvantaged in terms of access to and quality of care. Nevertheless, even without significant uptake in rural patients, China health-care market could continue growing at an intense pace.
The total healthcare expenditure accounts for only about 5% of the total GDP in China, this percentage has increased over the past few years. Compared with developed countries, this 5% is relatively low. However, with the development of the economy, there is still a great potential for increasing the healthcare expenditure’s percentage of the GDP.
“China Healthcare Market Analysis” research report gives detailed overview on the multiple aspects related to healthcare system in China. It helps to understand the recent reform process started by the government and its impact on healthcare market in future. This research report also helps to analyze ongoing trends and the healthcare infrastructure and human resources in China.
Healthcare system in China is witnessing series of transformation driven by government backed reform process and increasing private sector participation. Although China healthcare market is fraction of the developed markets, it is actually witnessing double digit growth in recent years. However, within the Chinese healthcare market landscape,there still exists huge difference between the tier one cities and the rural areas. Within the city, there exist huge difference in the level of healthcare services provided by the hospital and small clinics. Chinese healthcare market is very diverse in nature due to presence of multiple hierarchies of healthcare institutions offering services to largest population base in the world.
With improvement in the healthcare infrastructure, the Chinese Healthcare Industry is entering into a new era of development. Moreover, increased government spending, has accelerated the development of healthcare infrastructure in China. Large population base having large proportion of ageing people and continuously growing prevalence of lifestyle diseases are further supporting the advancement of the industry. With 1.3 Billion people, China has a huge opportunity in terms of potential patients. However, a closer look at the composition of China s populace reveals a much smaller, although still very large, likely patient pool. Approximately 600 Million people are considered urban residents, while over 700 Million are considered rural residents in China. The rural population is disadvantaged in terms of access to and quality of care. Nevertheless, even without significant uptake in rural patients, China health-care market could continue growing at an intense pace.
The total healthcare expenditure accounts for only about 5% of the total GDP in China, this percentage has increased over the past few years. Compared with developed countries, this 5% is relatively low. However, with the development of the economy, there is still a great potential for increasing the healthcare expenditure’s percentage of the GDP.
“China Healthcare Market Analysis” research report gives detailed overview on the multiple aspects related to healthcare system in China. It helps to understand the recent reform process started by the government and its impact on healthcare market in future. This research report also helps to analyze ongoing trends and the healthcare infrastructure and human resources in China.
1. CHINA HEALTHCARE SYSTEM OVERVIEW
2. HEALTHCARE REGULATORY & POLICY FRAMEWORK
2.1 Ministry Of Health
2.2 National Essential Medicine System
2.3 New Social Insurance Law
3. HEALTHCARE REFORMS PROCESS
3.1 Healthcare Spending By Government
3.2 Efficient Delivery Of Healthcare Services
3.3 Availability Of Drugs
3.4 Strengthening Public Hospital Infrastructure
4. HEALTHCARE INFRASTRUCTURE AT NATIONAL & PROVINCIAL LEVEL
4.1 Public & Private Hospitals
4.2 Grass-Roots Healthcare Institution
4.3 Specialized Public Health Institution
4.4 Hospitals Beds
5. HEALTHCARE PROFESSIONALS AT NATIONAL & PROVINCIAL LEVEL
5.1 Doctor & Assistant Doctor
5.2 Nurse
5.3 Pharmacist
5.4 Laboratory Technician
5.5 Village Doctors & Assistants
6. HOSPITALS VISITS: INPATIENTS & OUTPATIENTS
7. INFECTIOUS DISEASE PROFILE
8. HOSPITAL INCOME & EXPENDITURE
9. HEALTHCARE SECTOR TRENDS
9.1 Ageing Population
9.2 Central & Local Government Healthcare Spending
9.3 Emergence Of Private Medical Insurance Sector
9.4 Health Insurance Subsidy By Government
9.5 Rising Venture Capital/Private Equity Investments
9.6 Private Clinics As Specialized Medical Centers
10. HEALTHCARE CITIES
10.1 Shanghai International Medical Zone
10.2 China Medical City
11. COMPETITIVE LANDSCAPE
11.1 Chindex International
11.2 Shanghai International Medical Center
11.3 Beijing Tongren Hospital
11.4 Zhongshan Hospital
11.5 Changzheng Hospital
11.6 Renji Hospital
2. HEALTHCARE REGULATORY & POLICY FRAMEWORK
2.1 Ministry Of Health
2.2 National Essential Medicine System
2.3 New Social Insurance Law
3. HEALTHCARE REFORMS PROCESS
3.1 Healthcare Spending By Government
3.2 Efficient Delivery Of Healthcare Services
3.3 Availability Of Drugs
3.4 Strengthening Public Hospital Infrastructure
4. HEALTHCARE INFRASTRUCTURE AT NATIONAL & PROVINCIAL LEVEL
4.1 Public & Private Hospitals
4.2 Grass-Roots Healthcare Institution
4.3 Specialized Public Health Institution
4.4 Hospitals Beds
5. HEALTHCARE PROFESSIONALS AT NATIONAL & PROVINCIAL LEVEL
5.1 Doctor & Assistant Doctor
5.2 Nurse
5.3 Pharmacist
5.4 Laboratory Technician
5.5 Village Doctors & Assistants
6. HOSPITALS VISITS: INPATIENTS & OUTPATIENTS
7. INFECTIOUS DISEASE PROFILE
8. HOSPITAL INCOME & EXPENDITURE
9. HEALTHCARE SECTOR TRENDS
9.1 Ageing Population
9.2 Central & Local Government Healthcare Spending
9.3 Emergence Of Private Medical Insurance Sector
9.4 Health Insurance Subsidy By Government
9.5 Rising Venture Capital/Private Equity Investments
9.6 Private Clinics As Specialized Medical Centers
10. HEALTHCARE CITIES
10.1 Shanghai International Medical Zone
10.2 China Medical City
11. COMPETITIVE LANDSCAPE
11.1 Chindex International
11.2 Shanghai International Medical Center
11.3 Beijing Tongren Hospital
11.4 Zhongshan Hospital
11.5 Changzheng Hospital
11.6 Renji Hospital
LIST OF FIGURES
Figure 1-1: Total Healthcare Expenditure (Billion Yuan), 2008-2014
Figure 1-2: Share of Government, Social and Out of Pocket Expenditure In Total Health Expenditure, 2011 & 2014
Figure 1-3: Government Health Expenditure (Billion Yuan), 2008-2014
Figure 1-4: Social Health Expenditure (Billion Yuan), 2008-2014
Figure 1-5: Out-of-Pocket Health Expenditure (Billion Yuan), 2008-2014
Figure 4-1: Number of Health Institution, 2008-2011
Figure 4-2: Number of Health Institution by Region, 2011
Figure 4-3: Number of Health Institution by Province, 2011
Figure 4-4: Number of Public Hospitals, 2008- 2011
Figure 4-5: Number of Public Hospitals by Region, 2011
Figure 4-6: Number of Private Hospitals, 2008-2011
Figure 4-7: Number of Private Hospitals by Region, 2011
Figure 4-8: Number of Hospital by Level, 2008-2011
Figure 4-9: Number of General, Specialized & TCM Hospitals, 2008-2011
Figure 4-10: Number of Hospitals by Bed Capacity, 2008-2011
Figure 4-11: Number of General Hospitals by Bed Capacity, 2008-2011
Figure 4-12: Number of TCM Hospitals by Bed Capacity, 2008-2011
Figure 4-13: Number of Grass Roots Healthcare Institution, 2008- 2011
Figure 4-14: Number of Grass Roots Healthcare Institution by Segment, 2011
Figure 4-15: Number of Grass Roots Healthcare Institution by Region, 2011
Figure 4-16: Number of Specialized Public Health Institutions, 2008-2011
Figure 4-17: Number of Specialized Public Health Institutions by Region, 2011
Figure 4-18: Number of Hospitals Beds in All Healthcare Institutions, 2008-2011
Figure 4-19: Number of Hospitals Beds in All Healthcare Institutions by Region, 2011
Figure 4-20: Number of Hospitals Beds in Public & Private Hospitals, 2008-2011
Figure 4-21: Number of Hospitals Beds in Public & Private Hospitals by Region,2011
Figure 4-22: Number of Hospitals Beds in Grass-Roots Health Care Institution, 2008-2011
Figure 4-23: Number of Hospitals Beds in Specialized Public Health Institution
Figure 4-24: Number of Hospitals Beds by Specialty, 2011
Figure 5-1: Number of Health Professionals, 2008-2011
Figure 5-2: Number of Health Professionals by Urban & Rural Areas, 2008-2011
Figure 5-3: Number of Registered Doctor & Assistant Doctor, 2008-2011
Figure 5-4: Number of Registered Doctor, 2008-2011
Figure 5-5: Number of Registered Assistant Doctor, 2008-2011
Figure 5-6: Number of Registered Doctor & Assistant Doctor by Urban & rural Area, 2008-2011
Figure 5-7: Number of Registered Doctor by Urban & rural Area, 2008-2011
Figure 5-8: Number of Registered Assistant Doctor by Urban & rural Area, 2008-2011
Figure 5-9: Number of Registered Doctor & Assistant Doctor per 1000 Population, 2008-2011
Figure 5-10: Number of Registered Doctor per 1000 Population,2008-2011
Figure 5-11: Number of Registered Doctor & Assistant Doctor by Region, 2011
Figure 5-12: Number of Registered Nurse, 2008-2011
Figure 5-13: Number of Registered Nurse by Urban & Rural Area, 2008-2011
Figure 5-14: Number of Registered Nurse per 1000 Population, 2008-2011
Figure 5-15: Number of Registered nurse by Region, 2011
Figure 5-16: Number of Registered Pharmacist, 2008-2011
Figure 5-17: Number of Registered Laboratory Technician, 2008-2011
Figure 5-18: Number of Registered Village Doctors & Assistants, 2008-2011
Figure 6-1: Number of Visits to Health Institutions (100 Million), 2008-2011
Figure 6-2: Number of Visits to Hospitals & Grass Root Health Institutions (100 Million), 2011
Figure 6-3: Number of Hospitals Visits (100 Million), 2008-2011
Figure 6-4: Number of Inpatients to Health Institutions (‘0000), 2008-2011
Figure 6-5: Number of Inpatients to Hospitals (‘0000), 2008-2011
Figure 6-6: Number of Inpatients in Public & Private Hospitals (‘0000), 2011
Figure 6-7: Number of Outpatients to Hospitals (‘0000), 2010 & 2011
Figure 6-8: Average Number of Days Stayed in hospitals, 2008-2011
Figure 6-9: Average Number of Days Stay in Public & Private Hospitals, 2008-2011
Figure 8-1: Average Income & Expenditure for Hospital (Million Yuan), 2011
Figure 8-2: Average Business, Medical & Drug Income for Hospital, (Million Yuan), 2011
Figure 8-3: Average Business, Medical & Drug Expenditure for Hospital, (Million Yuan), 2011
Figure 8-4: Average Medical Expense per Outpatient & Inpatient (Yuan), 2011
Figure 8-5: Average Income & Expenditure for Public Hospital (Million Yuan), 2011
Figure 8-6: Average Business, Medical & Drug Income for Public Hospital, (Million Yuan), 2011
Figure 8-7: Average Business, Medical & Drug Expenditure for Hospital, (Million Yuan), 2011
Figure 8-8: Average Medical Expense per Outpatient & Inpatient For Public Hospital (Yuan), 2011
Figure 8-9: Average Medical Expense per Outpatient & Inpatient in Hospital (Yuan), 2011
Figure 9-1: Number of 60+ Population (Million), 2011 & 2050
Figure 9-2: Central Government Healthcare Spending (Billion Yuan), 2011 & 2012
Figure 9-3: Local and Provincial Government Healthcare Spending (Billion Yuan), 2010 & 2011
Figure 9-4: Budget Allocation For medical & Health Care (Billion Yuan), 2012
Figure 9-5: Health Insurance Premium (Billion Yuan), 2009-2011 & Jan-Mar’12
Figure 9-6: Venture Capital & Private Equity Investment in Medical & Healthcare Sector ( US$ Million), 2009-2011*
Figure 9-7: Number of Venture Capital/ Private Equity Deals in Healthcare, 2009-2011
Figure 1-1: Total Healthcare Expenditure (Billion Yuan), 2008-2014
Figure 1-2: Share of Government, Social and Out of Pocket Expenditure In Total Health Expenditure, 2011 & 2014
Figure 1-3: Government Health Expenditure (Billion Yuan), 2008-2014
Figure 1-4: Social Health Expenditure (Billion Yuan), 2008-2014
Figure 1-5: Out-of-Pocket Health Expenditure (Billion Yuan), 2008-2014
Figure 4-1: Number of Health Institution, 2008-2011
Figure 4-2: Number of Health Institution by Region, 2011
Figure 4-3: Number of Health Institution by Province, 2011
Figure 4-4: Number of Public Hospitals, 2008- 2011
Figure 4-5: Number of Public Hospitals by Region, 2011
Figure 4-6: Number of Private Hospitals, 2008-2011
Figure 4-7: Number of Private Hospitals by Region, 2011
Figure 4-8: Number of Hospital by Level, 2008-2011
Figure 4-9: Number of General, Specialized & TCM Hospitals, 2008-2011
Figure 4-10: Number of Hospitals by Bed Capacity, 2008-2011
Figure 4-11: Number of General Hospitals by Bed Capacity, 2008-2011
Figure 4-12: Number of TCM Hospitals by Bed Capacity, 2008-2011
Figure 4-13: Number of Grass Roots Healthcare Institution, 2008- 2011
Figure 4-14: Number of Grass Roots Healthcare Institution by Segment, 2011
Figure 4-15: Number of Grass Roots Healthcare Institution by Region, 2011
Figure 4-16: Number of Specialized Public Health Institutions, 2008-2011
Figure 4-17: Number of Specialized Public Health Institutions by Region, 2011
Figure 4-18: Number of Hospitals Beds in All Healthcare Institutions, 2008-2011
Figure 4-19: Number of Hospitals Beds in All Healthcare Institutions by Region, 2011
Figure 4-20: Number of Hospitals Beds in Public & Private Hospitals, 2008-2011
Figure 4-21: Number of Hospitals Beds in Public & Private Hospitals by Region,2011
Figure 4-22: Number of Hospitals Beds in Grass-Roots Health Care Institution, 2008-2011
Figure 4-23: Number of Hospitals Beds in Specialized Public Health Institution
Figure 4-24: Number of Hospitals Beds by Specialty, 2011
Figure 5-1: Number of Health Professionals, 2008-2011
Figure 5-2: Number of Health Professionals by Urban & Rural Areas, 2008-2011
Figure 5-3: Number of Registered Doctor & Assistant Doctor, 2008-2011
Figure 5-4: Number of Registered Doctor, 2008-2011
Figure 5-5: Number of Registered Assistant Doctor, 2008-2011
Figure 5-6: Number of Registered Doctor & Assistant Doctor by Urban & rural Area, 2008-2011
Figure 5-7: Number of Registered Doctor by Urban & rural Area, 2008-2011
Figure 5-8: Number of Registered Assistant Doctor by Urban & rural Area, 2008-2011
Figure 5-9: Number of Registered Doctor & Assistant Doctor per 1000 Population, 2008-2011
Figure 5-10: Number of Registered Doctor per 1000 Population,2008-2011
Figure 5-11: Number of Registered Doctor & Assistant Doctor by Region, 2011
Figure 5-12: Number of Registered Nurse, 2008-2011
Figure 5-13: Number of Registered Nurse by Urban & Rural Area, 2008-2011
Figure 5-14: Number of Registered Nurse per 1000 Population, 2008-2011
Figure 5-15: Number of Registered nurse by Region, 2011
Figure 5-16: Number of Registered Pharmacist, 2008-2011
Figure 5-17: Number of Registered Laboratory Technician, 2008-2011
Figure 5-18: Number of Registered Village Doctors & Assistants, 2008-2011
Figure 6-1: Number of Visits to Health Institutions (100 Million), 2008-2011
Figure 6-2: Number of Visits to Hospitals & Grass Root Health Institutions (100 Million), 2011
Figure 6-3: Number of Hospitals Visits (100 Million), 2008-2011
Figure 6-4: Number of Inpatients to Health Institutions (‘0000), 2008-2011
Figure 6-5: Number of Inpatients to Hospitals (‘0000), 2008-2011
Figure 6-6: Number of Inpatients in Public & Private Hospitals (‘0000), 2011
Figure 6-7: Number of Outpatients to Hospitals (‘0000), 2010 & 2011
Figure 6-8: Average Number of Days Stayed in hospitals, 2008-2011
Figure 6-9: Average Number of Days Stay in Public & Private Hospitals, 2008-2011
Figure 8-1: Average Income & Expenditure for Hospital (Million Yuan), 2011
Figure 8-2: Average Business, Medical & Drug Income for Hospital, (Million Yuan), 2011
Figure 8-3: Average Business, Medical & Drug Expenditure for Hospital, (Million Yuan), 2011
Figure 8-4: Average Medical Expense per Outpatient & Inpatient (Yuan), 2011
Figure 8-5: Average Income & Expenditure for Public Hospital (Million Yuan), 2011
Figure 8-6: Average Business, Medical & Drug Income for Public Hospital, (Million Yuan), 2011
Figure 8-7: Average Business, Medical & Drug Expenditure for Hospital, (Million Yuan), 2011
Figure 8-8: Average Medical Expense per Outpatient & Inpatient For Public Hospital (Yuan), 2011
Figure 8-9: Average Medical Expense per Outpatient & Inpatient in Hospital (Yuan), 2011
Figure 9-1: Number of 60+ Population (Million), 2011 & 2050
Figure 9-2: Central Government Healthcare Spending (Billion Yuan), 2011 & 2012
Figure 9-3: Local and Provincial Government Healthcare Spending (Billion Yuan), 2010 & 2011
Figure 9-4: Budget Allocation For medical & Health Care (Billion Yuan), 2012
Figure 9-5: Health Insurance Premium (Billion Yuan), 2009-2011 & Jan-Mar’12
Figure 9-6: Venture Capital & Private Equity Investment in Medical & Healthcare Sector ( US$ Million), 2009-2011*
Figure 9-7: Number of Venture Capital/ Private Equity Deals in Healthcare, 2009-2011
LIST OF TABLES
Table 2-1: Number of Additional Medicines in Provincial List along With Essential Medicine List
Table 2-2: Number of Western Medicines in Provincial List along Essential Medicine List
Table 2-3: Number of Traditional Chinese Medicines in Provincial List along Essential Medicine List
Table 4-1: Number of Public Hospitals by Province, 2011
Table 4-2: Number of Private Hospitals by Province, 2011
Table 4-3: Number of Grass Roots Healthcare Institution by Province, 2011
Table 4-4: Number of Specialized Public Health Institutions by Province, 2011
Table 4-5: Number of Specialized Public Health Institutions by Segment
Table 4-6: Number of Hospitals Beds in All Healthcare Institutions by Province, 2011
Table 4-7: Number of Hospitals Beds in Public & Private Hospitals by Province, 2011
Table 5-1: Number of Registered Doctor & Assistant Doctor by Province, 2011
Table 5-2: Number of Registered Nurse by Province, 2011
Table 6-1: Number of Hospitals Visits by Province (Million), 2011
Table 6-2: Number of Inpatients in Hospital by Province (Million), 2011
Table 6-3: Percentage of 10 Main Diseases of Inpatients in City Hospitals, 2011
Table 6-4: Number of Outpatients Visits by Department (Million), 2010 & 2011
Table 7-1: Number of Reported Incidence of 28 Infectious Diseases, 2011
Table 7-2: Number of Reported Death of 28 Infectious Diseases, 2011
Table 2-1: Number of Additional Medicines in Provincial List along With Essential Medicine List
Table 2-2: Number of Western Medicines in Provincial List along Essential Medicine List
Table 2-3: Number of Traditional Chinese Medicines in Provincial List along Essential Medicine List
Table 4-1: Number of Public Hospitals by Province, 2011
Table 4-2: Number of Private Hospitals by Province, 2011
Table 4-3: Number of Grass Roots Healthcare Institution by Province, 2011
Table 4-4: Number of Specialized Public Health Institutions by Province, 2011
Table 4-5: Number of Specialized Public Health Institutions by Segment
Table 4-6: Number of Hospitals Beds in All Healthcare Institutions by Province, 2011
Table 4-7: Number of Hospitals Beds in Public & Private Hospitals by Province, 2011
Table 5-1: Number of Registered Doctor & Assistant Doctor by Province, 2011
Table 5-2: Number of Registered Nurse by Province, 2011
Table 6-1: Number of Hospitals Visits by Province (Million), 2011
Table 6-2: Number of Inpatients in Hospital by Province (Million), 2011
Table 6-3: Percentage of 10 Main Diseases of Inpatients in City Hospitals, 2011
Table 6-4: Number of Outpatients Visits by Department (Million), 2010 & 2011
Table 7-1: Number of Reported Incidence of 28 Infectious Diseases, 2011
Table 7-2: Number of Reported Death of 28 Infectious Diseases, 2011
