印度医疗保健行业市场前景及投资研究报告-外文版培训课件恒河

INDUSTRIES

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MARKETSHealthexpenditureinIndiaCHAPTER

01GlobaloverviewHealthexpenditureasapercentageofgrossdomesticproduct(GDP)inselectedcountriesin2022HealthexpenditureasapercentageofGDPinselectcountries2022Percentageofgrossdomesticproduct6%

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10%0%2%4%12%14%16%18%UnitedStatesGermanyFrance16.6%12.7%11.9%JapanAustria11.5%11.4%11.3%11.3%11.2%11.2%11.2%UnitedKingdomSwitzerlandNewZealandNetherlandsCanadaBelgiumSwedenPortugal10.9%10.7%10.6%3Description:AmongOECDmembercountries,theUnitedStateshadthehighestpercentageofgrossdomesticproductspentonhealthcarein2022.TheU.S.spentnearly16percentofitsGDPonhealthcareservices.Germany,FranceandJapanfollowedtheU.S.withdistinctlysmallerpercentages.TheUnitedStateshadbothsignificantlyhigherprivateandpublicspendingonhealthcomparedwithotherdevelopedcountries.ReadmoreNote(s):Worldwide,OECD;2021Source(s):OECDTotalconsumerspendingonhealthcareworldwidefrom2014to2029(inmillionU.S.dollars)Totalconsumerspendingonhealthcareworldwide2014-20299,000,0008,000,0007,000,0006,000,0005,000,0004,000,0003,000,0002,000,0001,000,000020142015201620172018201920202021202220232024202520262027202820294Description:Theglobaltotalconsumerspendingonhealthcareinwasforecasttocontinuouslyincreasebetween2024and2029byintotal1.6trillionU.S.dollars(+26.41percent).Aftertheninthconsecutiveincreasingyear,thehealthcare-relatedspendingisestimatedtoreach7.9trillionU.S.dollarsandthereforeanewpeakin2029.ReadmoreNote(s):Worldwide;2014to2029;allvaluesareestimatesSource(s):Percapitaconsumerspendingonhealthcareworldwidefrom2014to2029(inU.S.dollars)Percapitaconsumerspendingonhealthcareworldwide2014-20291,2001,000800974.78941.26905.1870.21835.31802.01771.74735.35709.5670.21647.11647.36615.97587.65563.76

566.92600400200020142015201620172018201920202021202220232024202520262027202820295Description:Theglobalpercapitaconsumerspendingonhealthcareinwasforecasttocontinuouslyincreasebetween2024and2029byintotal172.8U.S.dollars(+21.55percent).Aftertheninthconsecutiveincreasingyear,thehealthcare-relatedpercapitaspendingisestimatedtoreach974.78U.S.dollarsandthereforeanewpeakin2029.ReadmoreNote(s):Worldwide;2014to2029;allvaluesareestimatesSource(s):Percapitahealthexpenditureinselectedcountriesin2022(inU.S.dollars)Percapitahealthexpenditureinselectedcountries2022PercapitaexpenditureincurrentPPPsUnitedStatesSwitzerlandGermanyNorway12,555.38,049.18,010.97,898NetherlandsAustria7,357.67,275.4Belgium6,6006,596.56,516.66,437.76,436.1AustraliaFranceSwedenLuxembourgCanada6,3196,279.8Denmark6Description:In2022,theUnitedStateshadthehighestpercapitahealthexpenditureamongOECDcountries.Atthattime,percapitahealthexpenditureintheU.S.amountedto12,555U.S.dollars,significantlyhigherthaninSwitzerland,thecountrywiththesecondhighestpercapitahealthexpenditure.Germany,Norway,andtheNetherlandsarealsowithinthetopfivecountrieswiththehighestpercapitahealthexpenditure.TheUnitedStatesalsospentthehighestshareofit’sgrossdomestic[...]ReadmoreNote(s):Worldwide;2022Source(s):OECDCHAPTER

02MarketoverviewGDPshareofhealthexpenditureinIndiafrom2014to2029GDPshareofhealthexpenditureinIndia2014-20294.03.623.63.53.53.02.52.01.51.00.50.02.942.942.962.972.952.922.892.862.862.832.82.772.7420142015201620172018201920202021202220232024202520262027202820298Description:ThecurrenthealthexpenditureasashareoftheGDPinIndiawasforecasttocontinuouslydecreasebetween2024and2029byintotal0.2percentagepoints.Aftertheeighthconsecutivedecreasingyear,theshareisestimatedtoreach2.74percentandthereforeanewminimumin2029.ReadmoreNote(s):India;2014to2029;allvaluesareestimatesSource(s):PublichealthexpenditureasashareofIndia'sGDPfromfinancialyear2010to2020India'spublicexpenditureonhealthasashareofGDPFY2010-20201.6%1.4%1.35%1.35%1.28%1.17%1.2%1.0%0.8%0.6%0.4%0.2%0.0%1.12%1.1%1.09%1.07%1.02%1%0.98%FY2010FY2011FY2012FY2013FY2014FY2015FY2016FY2017FY2018FY2019FY20209Description:Accordingtothebudgetestimatesforfiscalyear2020,about1.35percentofIndia'sGDPwasspentonpublichealth.Thiswasaslightincreasecomparedtothepreviousfiscalyearwhenabout1.28percentoftheGDPwasspentonhealthcare.

ReadmoreNote(s):India;FY2010toFY2020Source(s):MinistryofHealthandFamilyWelfare(India)SpendingpercapitaonhealthcareexpenditureinIndiafrom2014to2029(inU.S.dollars)SpendingpercapitaonhealthcareexpenditureinIndia2014-20291009094.9490.5586.5182.8679.458076.2273.0769.0867.117061.860.0759.6458.2857.1857.4956.466050403020100201420152016201720182019202020212022202320242025202620272028202910Description:ThecurrenthealthcarespendingpercapitainIndiawasforecasttocontinuouslyincreasebetween2024and2029byintotal18.7U.S.dollars(+24.53percent).Aftertheninthconsecutiveincreasingyear,thespendingisestimatedtoreach94.94U.S.dollarsandthereforeanewpeakin2029.ReadmoreNote(s):India;2014to2029;allvaluesareestimatesSource(s):ExpenditureonhealthcareinIndiafrom2014to2029(inmillionU.S.dollars)ExpenditureonhealthcareinIndia2014-2029200,000180,000160,000140,000120,000100,00080,00060,00040,00020,0000201420152016201720182019202020212022202320242025202620272028202911Description:ThecurrenthealthcarespendinginIndiawasforecasttocontinuouslyincreasebetween2024and2029byintotal57billionU.S.dollars(+48.03percent).Aftertheninthconsecutiveincreasingyear,thespendingisestimatedtoreach175.6billionU.S.dollarsandthereforeanewpeakin2029.ReadmoreNote(s):India;2014to2029;allvaluesareestimatesSource(s):ShareoftotalhouseholdexpenditureonhealthcareinIndiaasof2022,bytypeShareoftotalhouseholdexpenditureonhealthcareIndia2022,bytypeShareofexpenditureonhealthcare15%

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25%0%5%10%30%35%40%45%45.5%50%HealthenhancementMedicines42.3%Doctors/physiotherapistsfeeHealthinsurancepremiumMedicaltests5.6%2%1.6%1.6%1.4%MedicalaidsHospitalization12Description:In2022,thelargestshareofhealthcare-relatedexpenditurewenttohealthenhancementservicessuchasfitnesstrainingandspasinIndia.Thiswasfollowedbymedicines,whichaccountedforover42percentofspendingonhealthcare.Hospitalizationontheotherhandaccountedfor1.4percentshareoftotalhouseholdexpenditureonhealthcare.ReadmoreNote(s):India;asof2022;875,000+respondents;across178,677householdsSource(s):CentreforMonitoringIndianEconomy;TheWireCHAPTER

03GovernmentexpenditureGovernmenthealthcareexpenditureasashareofGDPinIndiafromfinancialyear2014to2023,withforecastfor2025IndiangovernmenthealthcareexpenditureasashareofGDPFY2014-20253.0%2.5%2.6%2.5%2.1%2.0%1.8%1.5%1.4%1.4%1.5%1.0%0.5%0.0%1.3%1.3%1.2%1.2%FY2014FY2015FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY2025*14Description:TheIndiangovernmentspent2.6percentofthecountry'sGDPonhealthcareinfinancialyear2023.Thegovernmenthealthcarespendingislikelytobe2.5percentoftheGDPinthefinancialyear2025.ReadmoreNote(s):India;FY2014toFY2023;*Forecast.Valueshavebeenroundedforclarity.Previousreportshavebeenaccessed.

ReadmoreSource(s):IndiaBrandEquityFoundationGovernmenthealthexpenditureinIndiainfinancialyear2022,withestimatesuntil2024,bymajorhead(inbillionIndianrupees)GovernmenthealthexpenditureinIndiaFY2022-2024,bymajorhead2022274.4884.592023*289.74103.482024**290.85173.23NationalHealthMissionAIIMS,JIPMER,PGIMER,andotherautonomousandstatutorybodiesCOVID-19164.4592.721.2631.1632.2882.74.9733.6530.872PradhanMantriSwasthyaSurakshaYojana(PMSSY)NationalAIDS&STDcontrolprogrammePradhanMantriJanArogyaYojana(PMJAY)Familywelfareschemes21.8264.124.745.1748.46PradhanMantriAyushmanBharatHealthInfrastructureMission(PMABHIM)7.6121.67Centralgovernmenthealthscheme(CGHS)ICMR27.4118.4146.438.4623.621.1715Description:Infinancialyear2022,thegovernmenthealthexpenditureinIndiastoodatapproximately845billionIndianrupees.About274billionIndianrupeeswerespentontheNationalHealthMission.Thetotalhealthexpenditureisexpectedtoreachabove891billionIndianrupeesbyfiscalyear2024aspergovernmentbudgetestimates.Moreover,TheMinistryofHealthandFamilyWelfareformulatespolicyforpublichealthapartfromdealingwithspecifichealthissuessuchasnutritiondeficiency.ReadmoreNote(s):India;FY2022;*Revisedestimates.**Budgetestimates.AIIMS-AllIndiaInstituteofMedicalSciences

ICMR-IndianCouncilofMedicalResearchOneIndianrupeeisequalto0.012U.S.dollarsand0.011euros(asofJuly2023).India's[...]

ReadmoreSource(s):Varioussources(UnionBudget(India),MinistryofHealthandFamilyWelfare(India),PRSLegislativeResearch)Governmenthealthexpenditure(GHE)asapercentofTotalHealthExpenditure(THE)inIndiafromfinancialyear2014to2020GovernmenthealthexpenditureasapercentofTHEinIndiaFY2014-202045%41.4%40.8%40.6%40%35%30%25%20%15%10%5%32.4%30.6%29%28.6%0%FY2014FY2015FY2016FY2017FY2018FY2019FY202016Description:Infiscalyear2020,thegovernmenthealthexpenditure(CHE)asashareofthetotalhealthexpenditure(THE)wasover41percent,thehighestascomparedtothepreviousyearsinIndia.Furthermore,anincreasingtrendhasbeenobservedsincethefinancialyear2014.ReadmoreNote(s):India;FY2014toFY2020Source(s):NationalHealthSystemsResourceCentre;VarioussourcesGovernmenthealthexpenditure(GHE)acrossIndiainfinancialyear2020,bystate(inbillionIndianrupees)GovernmenthealthexpenditureinIndiaFY2020,bystateExpenditureinbillionIndianrupees100050150200250UttarPradeshMaharashtraTamilNaduWestBengalRajasthan216.88206.06154.94131.91129.63Gujarat128.43KarnatakaMadhyaPradeshKeralaAndhraPradeshBihar109.2103.6490.6690.0584.7783.74TelanganaOdisha67.2317Description:Infiscalyear2020,thegovernmenthealthexpenditure(GHE)inIndiawasthehighestinUttarPradeshatabove216.8billionIndianrupees.Incomparison,thestateofJammuandKashmirhadthelowestexpenditureonhealthcarebythegovernmentforthesameperiod.ReadmoreNote(s):India;FY2020Source(s):NationalHealthSystemsResourceCentreDistributionofgovernmenthealthexpenditure(GHE)inIndiafromfinancialyear2015to2020,byhealthcareShareofgovernmenthealthexpenditureinIndiaFY2015-2020,byhealthcarePrimaryhealthcareSecondaryhealthcareTertiaryhealthcare54.7%60%50%40%30%20%10%0%55.9%29.6%55.2%30.5%52.1%51.3%51.5%31.5%23.1%10.8%21.9%14%22%13%6.4%6.4%5.9%FY2015FY2016FY2017FY2018FY2019FY202018Description:Infinancialyear2020,theshareofgovernmenthealthexpenditure(GHE)inprimaryhealthcareinIndiawasthehighestat55.9percent.Comparatively,theshareofGHEintertiaryhealthcarewasoversixpercentforthesameyear.Moreover,governmenthealthspendingdeclinedfortertiaryhealthcaresincefinancialyear2015.ReadmoreNote(s):India;FY2015TOFY2020Source(s):PIBCHAPTER

04PrivateexpenditureOut-of-pocketexpenditureaspercentageofcurrenthealthexpenditureacrossIndiafrom2001to2020Shareofout-of-pockethealthexpenditureIndia2001-202080%74.1%75%70%65%60%55%50%45%73.4%

73.4%73.1%72.5%72.3%70.8%69.1%69.07%67.01%66.8%65.2%64.66%63.21%63%62.2%55.32%55.11%54.78%50.59%2001

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202020Description:In2020,Indiansspentaround50.6percentoftheirtotalhealthspendingasout-of-pocketexpenditure.Thiswasat74percentinfiscalyear2001,showingagradualdecreaseintheshareofhealthcareexpensesthatpeoplepaydirectlytotheproviders.However,Indiarankedasoneofthepoorestintermsofthisindicatorandcommonpeopleincurredheavyexpensesduetohealthcare.

ReadmoreNote(s):India;2001to2020Source(s):WorldBankHealthspendingintheprivatefinalconsumptionexpenditure(PFCE)inIndiafromfinancialyear2012to2021(intrillionIndianrupees)HealthspendinginPFCEinIndiaFY2012-20214.03.743.663.483.53.02.52.01.51.00.50.03.223.092.742.482.171.991.81FY2012FY2013FY2014FY2015FY2016FY2017FY2018FY2019FY2020FY202121Description:Infinancialyear2021,thehealthexpenditureinprivatefinalconsumptionexpenditure(PFCE)inIndiastoodatover3.6trillionIndianrupees.Healthexpenditureacrossthecountryhasincreasedovertheyearsatanaveragerateofapproximatelyeightpercent.ReadmoreNote(s):India;FY2012toFY2021Source(s):Crisil;JupiterHospital;VarioussourcesOut-of-pocketexpenditureonhealthinIndiainfinancialyear2020,bystate(inbillionIndianrupees)Out-of-pockethealthexpenditureinIndiaFY2020,bystateExpenditureinbillionIndianrupees300

4000100200500600700UttarPradeshMaharashtraWestBengalKerala608.33341.77335.61252.22AndhraPradeshTamilNaduRajasthanMadhyaPradeshGujarat172.45154.55144.76124.5116.4113.68104.4499.486.66KarnatakaBiharPunjabOdisha22Description:Infinancialyear2020,theout-of-pocketexpenditureonhealthcareinIndiawasthehighestinUttarPradeshatabove608billionIndianrupees.Ontheotherhand,thestateofUttarakhandhadanout-of-pockethealthexpenditureofapproximately14.5billionrupees.ReadmoreNote(s):India;FY2020Source(s):NationalHealthSystemsResourceCentreDistributionofprivatehealthexpenditureinIndiafromfinancialyear2015to2020,byhealthcareShareofprivatehealthexpenditureinIndiaFY2015-2020,byhealthcarePrimaryhealthcareSecondaryhealthcareTertiaryhealthcare45%40%35%30%25%20%15%10%43.1%39.9%43%40%42.4%41.1%37.6%36.3%37.2%36.9%33.3%36.5%26.9%23.3%23.3%16.1%16.2%15.6%FY2015FY2016FY2017FY2018FY2019FY202023Description:Infinancialyear2020,theshareofprivatehealthexpenditureinprimaryhealthcareinIndiawasthehighestat37.2percent.Additionally,theprivatehealthspendingforprimaryhealthcaredecreasedovertheyears.Comparatively,theshareofprivatehealthexpenditureintertiaryhealthcarewasover23percent.ReadmoreNote(s):India;FY2015toFY2020Source(s):PIBCHAPTER

05HealthcareschemesBudgetallocationestimatesoftheNationalHealthMission(NHM)acrossIndiafromfinancialyear2013to2024(inbillionIndianrupees)EstimatedbudgetallocatedforNationalHealthMissioninIndiaFY2013-2024400359.47351.44344.46337.935030025020015010050334.25308.02306.83221.98219.12209.99205.42182.950FY2013FY2014FY2015FY2016FY2017FY2018FY2019FY2020FY2021FY2022FY2023FY202425/statistics/749051/india-national-health-mission-budget-estimatesInfinancialyear2023,thegovernmentofIndiaallocatedapproximately334billionIndianrupeestotheNationalHealthMissionintheUnionBudget.Itisexpectedtoreach359billionIndianrupeesbyfiscalyear2023asperthebudgetestimates.ReadmoreNote(s):India;FY2013toFY2024Source(s):CPR;MinistryofHealthandFamilyWelfare(India)CoverageofferedbygovernmenthealthinsuranceschemesinIndiaasofNovember2023(in1,000Indianrupees)CoverageofferedbygovernmenthealthinsuranceschemesinIndia2023CoverageinthousandIndianrupees100

2000300400500500600ChiefMinister’sComprehensiveInsuranceSchemeBhamashahSwasthyaBimaYojanaKarunyaHealthScheme500500500500YeshasviniHealthInsuranceSchemeAyushmanBharatYojanaRashtriyaSwasthyaBimaYojanaMukhyamantriAmrutamYojanaPradhanMantriSurakshaBimaYojanaMahatmaJyotibaPhuleJanArogyaYojanaAamAadmiBimaYojana30030020015075AWAZHealthInsuranceScheme1526Description:Asof2023,aboutfivegovernmenthealthinsuranceschemesprovidedcoverageof500thousandIndianrupeesinIndia.OutofwhichKarunyaHealthSchemeinKeralaprovidedhealthcaretolow-incomegroupsandseriouslyillpatientsofferingthemasuminsuredof500thousandrupeesperfamily.Meanwhile,AyushmanBharatYojanaprovideduniversalhealthcoverageforpeopleinlowsocio-economicgroups.

ReadmoreNote(s):India;asofNovember2023Sourc