HEALTH SECTOR

Health sector in India

• India has 48 doctors per 100,000 persons which is fewer than in developed nations

• Wide urban-rural gap in the availability of medical services: Inequity

• Poor facilities even in large Government institutions compared to corporate hospitals (Lack of

funds, poor management, political and bureaucratic interference, lack of leadership in medical

community)
• Expenditure on health by the Government continues to be low. It is not viewed as an investment but
rather as a dead loss!
• States under financial constraints cut expenditure on health
• Growth in national income by itself is not enough, if the benefits do not manifest themselves in the form
of more food, better access to health and education: Amartyo K Sen
• Private practitioners and hospitals major providers of health care in India
• Practitioners of alternate systems of medicine also play a major role
• Concerns regarding ethics, medical negligence, commercialization of medicine, and incompetence
• Increasing cost of medical care and threat to healthy doctor patient relationship
 Current Trends in Health Sector
1. Govt. Initiatives.
2. The private sector takes the lead
3. Involvement of health insurance
4. Standardization – need for uniformities
5. Manpower: Reversing the Brain Drain
6. Technology takes centre stage
7. The Empowered Indian Patient
8. Public Private Partnership (Ex-Gujarat Govt.)
9. Medical value travel (the hype and the reality)
10. SEZ (The Hidden Opportunity)
11. Infusion of Private Equity: An unmistakable sign
of Growth
 Major players
• All India institute of medical science (AIIMS), New
Delhi.
• Apollo Hospital, Chennai
• Christian medical college, Vellore
• Lilavati hospital, Mumbai
• Sankar Netralaya, Chennai
• Jaslok hospital, Mumbai
• L.V. Prasad Eye institute, Hyderabad
• PGIMER ,Chandigarh
• Wockhardt hospitals limited
• Fortis healthcare
A day in hospital:
 Strengths
 India is very well placed to tap the growing potential of the
healthcare sector. It has the relevant skill-sets with adequate
human resources to become the preferred healthcare player in
emerging countries across the globe.
 Increasing urbanization, superior demographics, better health
consciousness and higher life expectancy has enhanced the
demand for quality healthcare.
 Lower delivery cost.
 World class facilities.
 Rising number of uninsured in Developed countries.
 Holistic approach-Homeopathic, Allopathic, Ayurvedic.
 Cost of Key HealthCare Procedures

Currency: USD US Thailand India India healthcare cost-% of US

Cardiac surgery 50,000 14,250 4,000 12.5

Bone marrow transplant 62,500 62,500 30,000 13.33

Liver transplant 500,000 75,000 45,000 11.11

Orthopaedic surgery 16,000 6,900 4,500 3.56

Source: IBEF Research

 Weaknesses
 Increasing cost of curative medical services.

 High tech curative services not free even in government hospitals.

 Limited health benefits to employees.

 Health insurance expensive.

 Curative health services not accessible to rural populations.

 Inadequate availability of skilled doctors and staffs.

 Limited number of quality medical institutions.

 Lack of R & D.
 Opportunities
 Healthcare industry is the world's largest industry with total revenues of approx US$
2.8 Trillion (2005).
 India's high population makes it an important player in the Healthcare Industry.
According to the IRDA, the Indian healthcare industry has the potential to show the
same exponential growth that the software industry showed in the past decade.
 With increasing number of non-insured population in western countries and
increasing healthcare expenditure to GDP resulting in people to opt for treatment
options out side their country.
 Medical Tourism in India will be one of the major sources for foreign exchange.
 Gradual corporatisation during the last decade.
 Direct Investments (FDI) has been allowed in this sector with automatic approval up
to 51%.
 FDI is going to be allowed in health insurance within 12 to 18 months.
 Threats
 In India, 80% of the healthcare expenditure is borne by the
patients and that borne by the state is 12%. The expenditure
covered by insurance claims is 3%. As a result, the price
sensitivity is quite high and the high-level healthcare facilities
are not in the reach of patients.
 Poor public infrastructure.
 Inflation.
 Medico legal jurisdictions.
 Country specific restrictions.
 Organ trafficking.
 Require equipments is too high in cost.
 Marketing Challenges
 Existing infrastructure for health care needs to be strengthened.

 Education, safe water and sanitation need priority.

 Vaccination coverage to be improved in rural areas.

 Educating rural people to choose science over superstitution.

 Better implementation of national health programs.

 Judicious use of the scant resources by promoting most cost-effective

strategies for disease prevention.
 The challenge of caring for a billion.

 Promoting healthy life style from early life is a ‘no cost’ intervention which
needs to be incorporated in school curricula. There is need for increasing
public awareness of the benefits of healthy life style.
Conclusion