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Population Growth
With a billion plus population the need for healthcare is universal for both Urban and Rural India. With an increasing incidence of life style diseases (approx. 33 percent of the total pie) and a growing geriatric and pediatric population, there is an emphasis on the need for specialty care
Public Healthcare
There has been a significant increase in public infrastructure over the years. While in 1947 the number of hospital beds was 3.2 per 10,000, the present number of 9 per 10,000 is commendable, but still far behind that of other developing countries The governments share in the healthcare delivery market is only 20 percent. The current NHP aims to increase the government contribution to healthcare to touch 2 percent of the GDP by the end of the five year tenure, an increase from the present contribution of 0.9 percent. Government Initiatives like NRHM,
Country Japan France Switzerland Australia United States of America Thailand Malaysia India
4
Beds/ 10000
Head
Budget FY10
INR Cr
141 National Rural Health 73 Mission 57 Institutes like AIIMS in Tier II cities 40 AYUSH 32 Rashtriya Swasthya Bima Yojana (RSBY) Medical education for OBC 29 18 National Programme for 9 Prevention and Control of Deafness (NPPCD)
Private Healthcare
India has one of the highest private spending in healthcare as compared to other countries. Nearly 80% of the total spend. In India, Out of pocket spending is one of the highest, constituting 94% of the total spend in the private health industry. Extensive landscape of private players with multi & super specialty hospitals, innovative rural models, and MediCities. Increasing Private Equity investment into the sector, with an affinity towards innovative rural models and super specialty care. With Infrastructure status, 100% FDI under the automatic route, Service Tax exemption and Rural and Tier II hospitals exempt from Income Tax for 5 yrs,
Medical Tourism
Growth Drivers
Challenges
Low Government funding & lack of efficient execution of schemes & initiatives Shortfall in Health care infrastructure and Workforce Inadequate accessibility to affordable quality services Financial constraints with respect to infrastructural needs
Recommendations
Step-up in Government funding and initiatives via a special task force Implementation of REITs and increased use of Private-Private Partnership Models Addressing geographic accessibility through PPP and harnessing local resources Creating a Global Source of Skill Efficient dissemination of healthcare related information Establishment of Industry Body with adequate representation from all stakeholders
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