... HEALTHCARE SECTOR CONTENTS 1. INTRODUCTION 1.1. PRIVATIZATION 1.2 INDIAN HEALTHCARE INDUSTRY 1.2.1 DRIVERS FOR GROWTH OF HEALTHCARE 1.3 PUBLIC HEALTHCARE IN INDIA 1.4 PRIVATE SECTOR IN THE INDIAN HEALTHCARE DELIVERY SYSTEM 1.4.1 GOVERNMENT POLICIES TO SUPPORT THE GROWTH OF PRIVATE SECTOR 1.4.2 FDI IN THE INDIAN HEALTHCARE 1.4.2.1 STATUS AND PROSPECTS FOR FOREIGN INVESTMENTS IN HOSPITALS IN INDIA 1.4.2.2 CONSTRAINTS TO FOREIGN INVESTMENTS IN HOSPITALS IN INDIA 1.4.2.3 FOREIGN PRESENCE IN HOSPITALS IN INDIA 1.4.2.4 SUMMARY OF PROS AND CONS FOR FINANCING SOURCES OF HOSPITALS OBJECTIVES 2. LITERATURE REVIEW 3. ANALYSIS OF THE IMPACT OF PRIVATIZATION IN THE HEALTHCARE SECTOR 3.1 QUALITY AND PRIVATE HEALTHCARE SERVICES 3.2 IMPACT OF FOREIGN INVESTMENTS IN HOSPITALS IN INDIA 3.3 CONSUMER PERCEPTION OF PRIVATE SECTOR 3.4 EMERGING TRENDS IN HOSPITALS IN INDIA: CHALLENGES AND INTERVENTIONS 4. CONCLUSION 5. ACKNOWLEDGEMENT 6. BIBLIOGRAPHY 1. INTRODUCTION 1.1 PRIVATIZATION Privatization can also be called denationalization or disinvestment. All three terms describe a situation where a government decides to transfer control of a government, and thus public owned, resource to the private business sector,...
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...or refraining from acting, in relying upon the information contained in this report or for any decision based on it, or for any consequential, special, incidental or punitive damages to any person or entity for any matter relating to this report even if advised of the possibility of such damages. The member firms of the PricewaterhouseCoopers network (www.pwc. com) provide industry-focused assurance, tax and advisory services to build public trust and enhance value for its clients and their stakeholders. More than 140,000 people in 149 countries share their thinking, experience and solutions to develop fresh perspectives and practical advice. A growing healthcare sector Healthcare is one of India’s largest sectors, in terms of revenue and employment, and the sector is expanding rapidly. During the 1990s, Indian healthcare grew at a compound annual rate of 16%. Today the total value of...
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...across the globe. It includes primarily and predominantly healthcare facilities, combined with travel and tourism. The term medical tourism describes the rapidly growing practice of travelling across international borders to obtain cost-effective and high quality medical care. Various countries like Thailand, Malaysia, India, etc are promoting medical tourism aggressively. The key competitive advantages of India in medical tourism stem from the following: low cost advantage, strong reputation in the advanced healthcare segment (cardiovascular surgery, organ transplants, eye surgery etc.) and the diversity of tourist destinations available in the country. The key concerns facing the industry include: absence of government initiative, lack of a coordinated effort to promote the industry, no accreditation mechanism for hospitals and the lack of uniform pricing policies and standards across hospitals. Medical tourism or health care tourism is a rapidly growing multibillion-dollar industry around the world. It is an economic activity that comprises trade in medical services and represents the mixing of two of the largest world industries: medicine and tourism. The case identifies the strengths of India’s medical tourism service providers and points at a number of problems that may reduce the growth opportunity of this industry. This paper focuses on the key issues and opportunities possessed by Indian medical tourism sector that enable it to overcome domestic and international barriers...
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...Healthcare in India follows universal healthcare system run by the constituent states and territories if India. Every state in India promotes health and wellness by raising the level of nutrition and standard of living of its people and improves public health. Government hospitals, some of which are among the best hospitals in India, provide treatment at taxpayer expense where drugs are offered free of charge in these hospitals. Government hospitals provide treatment either free or at minimal charges. For example, according to Wikipedia, For example, an outpatient card at AIIMS (one of the best hospitals in India) costs a one-time fee of rupees 10 (around 20 cents US) and thereafter outpatient medical advice is free. In-hospital treatment costs depend on financial condition of the patient and facilities utilized by him but are usually much less than the private sector. For instance, a patient is waived treatment costs if he is below poverty line. Another patient may seek for an air-conditioned room if he is willing to pay extra for it. The charges for basic in-hospital treatment and investigations are much less compared to the private sector. The cost for these subsidies comes from annual allocations from the central and state governments. In the greater India, the hospitals are run by government, charitable trusts and by private organizations. The government hospitals in rural areas are called the (PHC) primary health center. Major hospitals are located in district head quarters...
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...Influence of the American healthcare system on Indian health services USA is the world’s largest economy. Its dominance in the sphere of arts, science, technology, culture and medicine is unparalleled today. Given its dominant socio-political and economic status, no country on earth can be said to be beyond the sphere of American influence in almost all aspects of life. While the pervasiveness of such American hegemony is a matter of debate today in many sociological discourses today, for the purpose of this paper, we will concentrate on influence of American healthcare on the healthcare system of India. The American way of life is typified by the example of “rugged individualism,” where each individual works to secure their own interest....
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...RAJOJYOTI BANIK SUBMITTED TO --- Prf. RAJESH VERMA 12/8/2009 Industry analysis of Apollo hospital Health care Industry in India In India, the Healthcare system is split into a public sector, a private sector and a wide network of informal healthcare providers operating together in a large and unregulated network. This irregularity has caused wide disparities in access, especially in regional and rural distribution of healthcare infrastructure. Currently, the Indian healthcare sector is valued at Rs.1, 360 (US $34) billion roughly 6 per cent of GDP. The healthcare business is projected to grow to over Rs.1, 600 (US $40) billion or 8.5 per cent of GDP by 2012, according to Price Waterhouse Coopers (PwC) report, 'Healthcare in India: Emerging market report 2007'. The Hospital Industry Some Facts • India‟s healthcare industry is currently worth Rs 73,000 crore which is roughly 4 percent of the GDP. The industry is expected to grow at the rate of 13 percent for the next six years which amounts to an addition of Rs 9,000 crores each year. • • • • • The national average of proportion of households in the middle and higher middle income group has The population to bed ratio in India is 1 bed per 1000, in relation to the WHO norm of 1 bed per 300. In India, there exists space for 75000 to 100000 hospital beds. Private insurance will drive the healthcare revenues. Considering the rising middle and higher middle Over the last five years, there has been an attitudinal change amongst...
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...from an administrator’s and a third-party payer’s perspectives. In your answer, be sure to not only discuss each strength, but provide an explanation as to why you feel the United States has this advantage over the other countries you chose. Abstract United States has many strengths and weaknesses within the healthcare system. In this case, we are going to focus on the strengths of the healthcare system in the United States and how they measure up to the healthcare system in two other countries. Those countries on India and Canada. The healthcare system within the United States is one of the best in the world. In order to receive a better understanding of the strength of the United States healthcare system, we have to dive into the healthcare systems of other countries. Real life questions were asked, from individuals from two different parts of the world in two different hospitals and how they felt about the healthcare system in the native countries. Once the healthcare systems of India and Canada have been explained, we can dive into the strength of the healthcare system in the United States. The life expectancy of individuals within India is 69 years, which is far lower than the United States average, which is 78 years. Access to medical care and malnutrition continue to be a major problem facing the Indian people. Although it is one of the fastest-growing economies with a thriving middle class, 26% of the population lives below poverty line. About...
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...Emerging Trends in Healthcare A Journey from Bench to Bedside 17 February 2011 © 2011 KPMG, an Indian Partnership and a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (“KPMG International”), a Swiss entity. All rights reserved. Acknowledgement India’s competitive advantage lies in the lower production and research cost, its large pool of low cost technical and scientifically trained personnel, and large number of compliance certified manufacturers and service providers, which make us different from others. ASSOCHAM feels that technology incubation is no longer confined to a few institutions; it is a responsibility that we have to share, if we wish to see a better and a healthy future ahead. There is an immense need to develop skilled manpower in the area of healthcare and modern as well as traditional medicines. I am glad that this Summit on Emerging trends in Healthcare will bring forth the journey from research desk to the bedside of patient, as we will look at healthcare at the frontline to identify some common challenges that may help explain the complex nature of healthcare and the scale of the “change” challenge. I wish to thank KPMG for unanimously contributing towards this Knowledge Paper, which gives a rich and comprehensive insight of the trend in healthcare. I would also take the opportunity to thank QCI for supporting this event. The case studies contributed providing the best of...
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...Global Health: India Healthcare offers many opportunities and challenges for several countries. The purpose of this paper is to summarize India’s health care structure, health care policy, access to care issues, cost related to how much is spent, where the money comes from, and how it is spent, the role of nursing, and strengths and weaknesses of the system. In India, there has been a promising change over the last decade as the government has introduced many structural reforms and a private sector that has shown unprecedented growth. Despite these advances, the shifting demographics, socio-economic status, and changes in disease patterns is making a challenging journey more difficult (Binnendijk, Koren, & Dror, 2012). Three main challenges of India’s health care can be broadly defined as access, capacity to pay, and quality care. Healthcare challenges will become progressively more difficult over time as India is expected to be the most populated country in the world by 2028 (Haub, Gribble, & Jacobsen, 2011). India’s health care structure includes public and private hospitals, voluntary health agencies, national health programs, as well as traditional Ayurvedic medicine (Shrivastava, Shrivastava, & Ramasamy, 2013). The majority of health care centers are government owned and regulated. These urban centers have private hospitals that provide excellent care. The fragmented health care delivery means lots of small hospitals and clinics scattered over enormous geographical areas...
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...Medical Tourism Industry - Advantage India C.B. Venkata Krishna Prasad* Traveling abroad for health is not a new phenomenon. Medical tourism is actually thousands of years old. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, asklepios; the god of healing was located at Epidaurus. In roman Britain, patients took the waters at a shrine at bath, a practice that continued for 2,000 years. During 18th century wealthy Europeans used to visit health resorts in North Africa. But in the past seven years or so, the movement has accelerated sharply. It is growing rapidly and turning out to be an immense business opportunity for nations which have the strategic advantage of having resources in terms of medical technology, infrastructure and right human resources. Cross-border travel for health reasons is a $40 billon market and growing at over 15% a year throws up huge opportunities for anyone smart enough to tap it. Broadly defined as a collaboration of medical services with the tourism industry, healthcare tourism offers cost effective medical services for individuals who cannot afford these services in their country due to high costs or to people who are tired by long waiting times. Also patients from countries, where treatment is not available, can avail the benefits of healthcare tourism. Countries that are actively promoting healthcare tourism include Belgium, Singapore, Malaysia, India, Thailand, Cuba, Costa Rica, Hungary...
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...Social Sci. Women Health in India: An Analysis Sunilkumar M Kamalapur1 and Somanath Reddy2 1 Women’s Studies, Gulbarga University, Gulbarga-06, Karnataka, INDIA 2 Social Work, Gulbarga University, Gulbarga-06, Karnataka, INDIA Available online at: www.isca.in, www.isca.me Received 29th August 2013, revised 21st September 2013, accepted 5th October 2013 Abstract If health is defined ‘as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’, it follows that existence is a necessary condition for aspiring for health. The girl child in India is increasingly under threat. In recent decades, there has been an alarming decrease in the child sex ratio (0-4 years) in the country. Access to technological advances of ultra sonography and India’s relatively liberal laws on abortion have been misused to eliminate female foetuses. From 958 girls to every 1000 boys in 1991, the ratio has declined to 934 girls to 1000 boys in 2001. In some states in western and north western India, there are less than 900 girls to 1000 boys. The sex ratio is at its worst in the states of Punjab, Haryana, Himachal Pradesh and Gujarat, where severe practices of seclusion and deprivation prevail. Often in contiguous areas in these states, the ratio dips distressingly below 800 girls to every 1000 boys (RGI, MOHFW, UNFPA, 2003). Annexure I gives the child sex ratio in different states and union territories of India as per the 2001 census. The Present...
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...Name Course/Number Date Instructor Name PART ONE Mumbai is a traditional Indian city regarded as the commercial hub of India and parts of Asia. The city is a collection of several islands with one of the largest population densities in the world. Administratively, the city is divided into smaller administrative regions such as Greater Mumbai and the Mumbai Metropolitan Region. The city is also the most populous in India, with over 12 million residents occupying the opportunities in industries and providing a massive labour reservoir for larger Asia (Census of India, 2011). The large number of people in the city has created numerous challenges in the Asian country. Demography of Mumbai The city boasts of a diverse mix of cultures and religions due to the influx of people looking for opportunities. Hindu still remains the predominant religion, with most cultural practices and lifestyle associated with Hinduism. Over 60% of the city’s population ascribe to Hindu as a religion and culture (Census of India, 2011). The rest is a mix of Muslims, Christians, Buddhists, and, to a lesser extent, Jain, Jewish and Sikh religions. This religious and cultural mix gives the city a rich and diverse mix of culture, despite the predominance of Hindu. According to the Indian census carried out in 2011, Mumbai features a sex ratio of 922 (Census of India, 2011). This suggests that the number of women is almost equal to the number of men in the city. This might be attributed to the fact...
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...the help of support system. The World Health Organization (WHO) defines medical tourism as tourism associated with travel to health spas or resort destinations where the primary purpose is to improve traveler’s physical wellbeing through a process comprising physical exercises and therapy, dietary control, and medical services relevant to health maintenance. India has become a destination of choice for patients from all hemispheres as the destination of choice for a wide range of medical services and surgical procedures. In addition to the tangible expertise of medical and nursing staff, allied health services staff, the intangible compassionate care of support services staff draws patients to tertiary care hospitals in India. Equally important is the lower cost of world class treatment at a fraction of what it costs in the Western or so-called developed countries. In addition, there is no waiting period for any of the major surgical interventional procedures in the corporate hospitals in India. There are several dynamic internal and external factors which hinder medical tourism in India. The future of medical tourism in India is exceptionally promising. There are abundant opportunities for corporate tertiary care hospitals to follow the example of hospitals in the Texas Medical Center is securing substantial gifts from selected Indian and international patients to improve the infrastructure and thus patient care and promote research. This can be accomplished...
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...Indian pharmaceutical industry is highly dynamic and offers great opportunities for both domestic and foreign companies. The industry is estimated to have generated revenue worth US$ 13.1 billion in FY 2011, according to a new Research and Market’s report, “Indian Pharma Sector Forecast 2014.” India will emerge as a leading global player in pharmaceutical industry by 2020, securing a place among the top five major global markets, according to Ikon Marketing Consultant (IMC). Also, Associated Chambers of Commerce and Industry (Assocham) has said it expects the Indian pharmaceutical industry to reach US$ 20 billion by 2015, making it one of the world's top 10 pharmaceuticals markets. India has a strong local manufacturing base and domestic players are developing substantial international presence. Healthcare is also one of the largest service sector industries in India, in terms of revenue and employment. Rising health awareness and increasing government expenditure on healthcare sector is driving growth in the sector. Medical tourism and health insurance are also on a rise, with significant growth in healthcare sector and establishment of large number of hospitals, both public and private. The Indian healthcare industry, estimated at US$ 50 billion, is expected to reach over US$ 75 billion by 2012, and US$ 100 billion by 2015. Talent Challenges While specialised talent is critical for any knowledge industry, it is more so within the pharmaceuticals industry. Companies gain competitive...
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...Promoting Healthcare Tourism in India Case Briefs With the world-class medical expertise, nursing care, and the low cost, which is almost one-sixth of treatment expense in developed countries, healthcare tourism in developing countries shows a great trend in the future. In the view of the huge and ever-expanding market, a number of countries were actively promoting healthcare tourism, including Thailand and Singapore, etc in Asia. How should India position itself as a healthcare tourist centre? There were several important strategies to be addressed in the proposal. India had strong competitive advantages to take on an increasingly important role in this sector. However, the current reliance on players in the private sector to foster and meet overseas demand was not sufficient to maximize business opportunities. Support from the Indian government in terms of a comprehensive, well-designed expansion plan was also needed. Furthermore, India should clarify following alternatives: Should India emphasis more on capabilities in complex medical treatments or its vacation aspect? Should it aim at attracting foreigners from nearby countries or long-haul visitors from America and Europe? India has a long history on the tourism in term of culture, architecture, yoga, pilgrimage. As new developing high-tech country, India also has advantage in medical treatment because of its competitive medical price and service quality. However, medical treatment needs strong support by the government...
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