Hospital Industry

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 INTRODUCTION
• A hospital is an institution for
health care providing patient
treatment by specialized staff
and equipment.

• In ancient culture, religion

medicine were linked. The
earliest known institute were
the Egyptian temples.

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• India had Ayurveda as the
Vedic system of healthcare
developed 5000years ago.
• Medical treatments codified
by Charka and Shushruta.
• Before independence many
infectious diseases were
prevalent.
• Health care market today is
almost $35 billion.

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 INDUSTRY PROFILE
• Size- $35 billion.
• $33.8 billion to be spent in next five
years
• Revenues from the industry account
5.2% of the GDP which is expected to
reach to 7.2% till 2012
• It employees almost 4million people.
• 15,067 hospitals spread all over the
country (second highest in world).
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• The country has 1.5 beds per1000 people; 4-8
beds per 1000 people in United State &
Western Europe.
• India has 0.6 doctors for 1000 people
compared to world average of 1.2 doctors &
2.6 nurses per 1000 people.
• Requirement of 50,000 beds till 2012.
• Investment of Rs. 1,000-1,400 billion is
needed by 2012.
• Indian health delivery through
- Public sector
- Private sector.

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 THE TOP TEN HOSPITALS IN
INDIA
1. All India Institute of Medical Science, Delhi.
2. Post Graduate Institute of Medical Education and
Research, Chandigarh.
3. Apollo Hospital, Chennai.
4. Christian Medical College, Vellore.
5. National Institute of Mental Health and Neuro
Sciences, Bangalore.
6. Bombay Hospital, Mumbai.
7. Indraprastha Apollo Hospital, Delhi.
8. Lilavati Hospital, Mumbai.
9. P.D.Hinduja National Hospital, Mumbai.
10. Sankara Nethralaya, Chennai. 8
MAJOR PRIVATE PLAYERS OF INDUSTRY

1. APPOLLO HOSPITAL ENTERPRISE LTD.

- 45 specialty hospitals.
- Rs.779 Crore annual revenue.
- J.V. with Parkway Group
Health Care Private Ltd.
2. WOCKHARDT HOSPITALS
- 12 hospitals
- 1400 beds
- Rs.210 Crore revenue annually.
-Tie up with Harward Medical
International.
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3. FORTIS HEALTH CARE LIMITED
– 31 hospitals
– Rs. 100 crore annual revenue.
4. MAX HEALTHCARE
- 6 hospitals in India.

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 SOME OTHER SIGNIFICANT
PLAYERS
• Escorts group

• Artemis healthcare institute

• Colombia Asia.

• Manipal health systems.

• Aditya Birla Memorial Hospitals.

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 MEDICAL TOURISM
• Concept whereby people from world over visit
India for their medical needs.
• Complete package of adventure relaxation,
enjoyment of scenic beauty along with cheap
healthcare facility.
• A Cardiac surgery in US & UK is of $30,000 to
50,000 & in India for $4000 to 9000.
• It enhances flow of foreign exchange.

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• Toll free helplines ,interactive websites &
time bound treatments provided to attract
medical tourist.
• Ministry of tourism in partnership with
private sector hospitals.
• Fast-track clearance for the medical
patients at the airport. 13
• Can contribute Rs.5,000-
Rs.10,000 crore revenue
by 2012 & will account for
3-5% of total healthcare
delivery market.
• Country ranks 2nd in
medical tourist visit with
Rs 4.5 lakh foreign
patients over Rs. 12 lakh
in Thailand.
• Share in global tourism is
expected to reach 1.5%
by 2010.

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•

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• The political establishment plays a critical
role in prioritizing the health care industry
in the development agenda of a country.

VARIOUS REGULATIONS:-
• Most of the medical equipment devices do
not need import duty.
• Latest researches and technological
advances do not have import duty.
• Life saving devices also exempted.

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• General reduction of tariff on imports.
• 100% FDI permitted.
• Income tax exempted for the hospitals in
rural areas for first five years.
• Fixed infrastructure allocated to hospitals
i.e. lower tariffs and higher depreciation on
medical equipment.
• Setting minimum standards through licensing
and restricting mergers.
• Provide essential drugs through central
funding.
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 MAJOR PUBLIC HEALTH
PROGRAMS
1. NATIONAL RURAL HEALTH MISSION:-
• Launched in April 12,2005.
• It aimed at establishing fully functional decentralized
health deliver system in the rural areas.
• A platform for community health action and over
thousand Accredited Social Health Activities (ASHA)
have been selected.
• Established mobile medical services and hired 4380
medical staff members for help.

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 2. UNIVERSAL
IMMUNIZATION
PROGRAMM:-
• Aims at providing
immunization towards all
possible diseases as polio,
hepatitis-B, diphtheria etc..

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 3. PULSE POLIO IMMUNIZATION
PROGRAM:-
• Since the last out break of a polio case in
2006 this program has gained pace.
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 4. NATIONAL VECTOR BORNE DISEASE
CONTROL PROGRAMME:-
• Implemented for vector borne diseases like
malaria, dengue, kala-azar etc.
• The government initiated a Mass Drug
Administration (MDA).

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 5. NATIONAL
AIDS CONTROL
PROGRAMMS:-
• Programs are
launched to
increase
awareness about
the disease.
• An amount of
Rs.8,023 crore is
provided.
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 SOME INITIATIVES IN THE
BUDGET 2008-09
• Rs.16,534 crore allotted for the health
sector.
• Rashtriya swasthya Bima yojna to provide
health care of Rs.30,000 for every worker in
the unorganized sector.
• National programme for the elderly
launched.
• Funds for integrated child development
services increased from Rs.5,29 crore to
Rs.6300 crore. 23
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• In developing countries health care services
play a very important role as a whole.
• Utilization of health services is positively
influenced by factors such as Female
literacy, Political awareness & so forth.
• Vaids, Hakims and even Ozha’s have been
given more priority than doctors.

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• Women in rural India do not seek medical
care.
• Home deliveries that are generally done by
“DAIS” is an old practice in India homes.
• The female literacy affected infant
mortality.

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 TRENDS AFFECTING HEALTH
CARE DELIVERY

a) NUCLEAR FAMILY:-
• Earlier the whole family came, cared for
the patient & performed nursing jobs.
Now they came for limited time.
• Hospitals must have well planned patient
relation services.

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b) THE AGEING POPULATION:-
• Segment that utilizes hospital services
more than any other segment.
• Hospitals must be planned and designed
to be user-friendly.

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c) THE EDUCATED PATIENT:-
• Trend of discussing in detail the diagnosis,
treatment plan and outcomes.
• Hospitals must provide adequate number of
rooms, well appointed for such discussions.
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 Technology has
revolutionized healthcare
over the last five decades.

 The primary objective of

technology is to improve
the quality of care.

 The impact of IT in
healthcare delivery which
has worked towards
bringing the healthcare
services closer to people.
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 It also aids and improves the disease management models
with the combination of medicine, devices and technology.

 Hospitals are moving with some advanced technology like

smart cards, RFID, Biometrics etc.

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 FOCUS OF INDIAN HOSPITALS
 India’s health sector have achieved high quality,
high volume & affordability. It focuses on its
heart hospitals and other private hospitals that
specialize in open heart surgery & angioplasty.

 Indian healthcare providers focused on a

particular high demand service, built a large
capacity to provide that service at an
affordable cost.

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• Healthcare has described a model of
“REVERSE ENGINEERING”.

• Services under this model include Computed

Tomography Scanning & Echocardiography.

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 Key issues in the introduction of
new healthcare technologies
 Government adoption of new technologies

 Implementation of new technology

 Medical equipment and supplies

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 MEDICAL INSTRUMENTS
 CARDIAC OUTPUT MONITOR-
Based on the principle of impedance. Main
function is to obtain stroke volume and
cardiac output.

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• MEDICAL ANALYZER-
Portable electronic device, used to study the
variabilities of physiological parameters such
as a Heart rate, Respiration rate and Cardiac
output.

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 CONT…
• IMPEDANCE CARDIO VASOGRAPH –
It is an innovative way to track
Cardiovascular ailments. Used for diagnosis of
aortic and arterial disorders & deep vein
thrombosis.

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 LATEST DEVELOPMENTS
 ZYOPTIX LASIK TECHONOLOGY FOR CORNEAL
SURGERY

 TELEMEDICINE

 PET- CT TECHNOLOGY

 HOSPITAL MANAGEMENT SYSTEM

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 ZYOPTIX LASIK TECHNOLOGY
-Equipment to treat conical cornea & corneal
transplant with a 100% blade free technology.

-This 100% blade free technique separates the

tissues where the tissues occur and then folds
back.

-When procedure is complete a flap

created is able to lock back into
place and eye begins to heal faster. 40
TELEMEDICINE

-Developing application of clinical medicine where medical information is transferred via

telephone, the internet or other networks for the purpose of consulting and remote
medical procedures or examinations.
-It is practiced on basis of 2 concepts-real-time concept and store & forward
concept.

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 PET-CT TECHNOLOGY
• Enables healthcare providers to diagnose
patients with life threatening diseases like
cancer, cardiac and neurological diseases.

• PET-CT Technology means Positron

Emission Tomography –Computed
Tomography.

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 HOSPITAL MANAGEMENT
SYSTEM
• XO-InfoTech ltd has developed a core
package –Hospital management system that
address all major hospitals .

• XO –HMS provides the benefits of strong

enhanced administration and control.

• It includes general and standardized

healthcare packages for the OPD patients.

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• Easy query handling for instant decision of
bed allocation for patients and request for
the bed transfer.

• Multiple store accounting

• Interface facility with a smart card

technology.
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