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Industry Insight - Indian Hospital Industry

  • ID: 2017964
  • Report
  • November 2010
  • Region: India
  • 243 Pages
  • Cygnus Research
1 of 5


  • Apollo Group of Hospitals
  • Jaslok Hospital
  • Lilavati Hospital
  • P.D Hinduja Hospital
  • Sankara Nethralaya
  • Wockhardt Hospital
  • MORE
Hospital industry is an important component of the value chain in the Indian Healthcare sector. According to Cygnus, the total healthcare industry, which is estimated at US$ 50 billion in 2010, is further projected to grow at a CAGR of about 23% to cross the US$ 75 billion milestone by the year 2012. Of the total healthcare market size in 2010, near about 40-45% was contributed by the hospital industry. Newfound prosperity of many Indian households is spurring demand for high-quality medical care, transforming the healthcare delivery sector into a profitable industry. Medial tourism is changing the face of traditional healthcare industry in India. India's excellence in the field of modern medicine and its ancient methods of physical and spiritual wellbeing make it the most favourable destination for good health and peaceful living. India's cost advantage and explosive growth of private hospitals, equipped with latest technology and skilled healthcare professionals has made it a preferred destination for medical tourism. According to Ministry of Commerce and Industry, Indian medical tourism is estimated to grow into a US$2 billion industry by 2012.

The above background initiated need for a comprehensive Industry Insight on Hospital industry. Overview of the hospital industry in India with a brief preamble of global healthcare and hospital industry is discussed in the beginning along with its classification according to its objective, ownership and system of medicine. Application of technology, growth drivers, issues and challenges, regulatory environment and most importantly quality control and accreditation is discussed in total 10 chapters. The report will be useful for various international investors interested in hospital industry in India, entrepreneurs for setting up hospitals or hospitals in expansion mode, other components of value chain in healthcare contemplating to enter into healthcare delivery, banking sector and students enrolled in healthcare /hospital management.
Note: Product cover images may vary from those shown
2 of 5


  • Apollo Group of Hospitals
  • Jaslok Hospital
  • Lilavati Hospital
  • P.D Hinduja Hospital
  • Sankara Nethralaya
  • Wockhardt Hospital
  • MORE
1. Global Healthcare & Hospital Industry
1.1 Introduction
1.2 Global Overview of Hospital Industry in the US, Europe, Australia and Japan &
Major hospitals
1.3 Outlook
2. Indian Healthcare and Hospital Industry
2.1 Overview of Indian Healthcare Industry
2.2 Industry Structure &Segmentation
2.2.1 Classification of Hospitals Classification Based on Objectives Classification based on ownership Classification Based on System of Medicine
2.3 Market Overview
2.3.1 Introduction
2.3.2 Value chain- a Brief Analysis
2.3.3 Market Size and Growth Rate
2.3.4 Key Trends
2.4 Healthcare services segment
2.4.1 Public sector Hospitals Health Programmes and schemes
2.4.2 Private sector Corporate hospitals Nursing homes Private clinics Diagnostics centers
2.5 Major Players
2.5.1 Apollo Group of Hospitals
2.5.2 Fortis Healthcare Group
2.5.3 Fortis Escorts Heart Institute
2.5.4 Wockhardt Hospitals
2.5.5 Christian Medical College, Vellore
2.5.6 Bombay Hospital and Medical Research Centre
2.5.7 Lilavati Hospital
2.5.8 P.D Hinduja Hospital
2.5.9 Jaslok Hospital
2.5.10 L.V Prasad's Eye Institute
2.5.11Sankara Nethralaya
2.5.12 All India Institute of Medical Sciences
2.5.13 Post Graduate Institute of Medical Education & Research
2.5.14 National Institute of Mental Health and Neuro Sciences, Bangaluru
2. 6 Outlook
3. Application of Information Technology
3.1 Billing & Accounts Management
3.2 Records management
3.3 ERP solutions
3.4 Telemedicine & medical informatics
4. Growth Drivers
4.1 Medical Tourism
4.2 Medical Informatics & Telemedicine
4.3 Outsourcing
4.3.1 Diagnostic services
4.3.2 Clinical Trials
4.4 Enhancements in Planned lay outs &Public Expenditure
4.5 Increasing Health Awareness
4.6 Medical Insurance
4.7 Aging population
4.8. Growing Urbanisation
4.9 Low cost Treatment
5. Issues and Challenges
5.1 Lack of Coordination between Private Practitioners and Govt Doctors
5.2 Ethical Issues
5.3 Political Intervention
5.4 Selection of Right Location at Right Price for Setting up New Hospital
5.5 Low penetration of health insurance
5.6 Poor Public Healthcare Services
5.7 Medical Education
6. Regulatory Environment
6.1 National Health Policy
6.2 Regulatory Set Up
6.2.1 Ministry Of Health & Family Welfare
6.2.2 Role Of The Government
6.2.3 Other Regulators Medical council of India Dental Council of India Pharmacy Council of India Indian Nursing Council
6.3 Consumer Protection Act
6.4 Medico Legal Cases
6.5 Law Regarding Sale of Drugs & Medicine
6.6 Pollution & Bio-medical Waste Management
6.7 Role of WHO & International Agencies
7. Quality control & Accreditations
7.1 Quality Control in Hospital
7.1.1 Introduction
7.1.2 Quality in services
7.2. Quality Accreditations - Bodies and Their Role
7.3 ISO 9001:2000 - Quality Management Systems
7.4 Professional Ethical Standards
7.5 Norms
7.6 Challenges in Implementation of Quality Management
7.7 Human side of Medicine
8.1 Medical technology
8.2 Information technology
8.3 Rural penetration
8.4 Modernisation
8.5 Industry support
8.6 Service orientation
9. Marketing and Branding of hospital services
9.1 Marketing Strategy
9.2 Marketing Strategy of Few Hospitals
9.2.1. Fortis Healthcare, Noida
9.2.2. Jaslok Hospital, Mumbai
9.2.3. Apollo Hospital, Chennai
9.2.4. Wockhardt Hospital
9.2.5. Christian Medical College (CMC), Vellore
9.2.6 Branding of Hospital Services
10. Future Outlook
11. Annexure
11.1 Glossary of Terms
11.2 Abbreviations
11.3 Bibliography

Figure 1.1: Global healthcare market, 2007-11
Figure 1.2: Geographical share of Global Healthcare Market, 2010
Figure 1.3: future Projection of Global Healthcare Market, 2007-11
Figure 2.1: Healthcare Industry Structure
Figure 2.2: Structure of Hospital Industry
Figure 2.3: Value Chain in hospital industry in India
Figure 2.4: Pattern of Healthcare Expenditure, 2010
Figure 4.1 Projected age-wise population distribution in India
Figure 10.1: Future projection of Indian Healthcare

Table 1.1: Leading Hospitals in the US
Table 1.2: Healthcare Providers in UK
Table 1.3: Leading Hospitals in France
Table 1.4: Leading Hospitals in Germany
Table 1.5: Leading Hospitals in Australia
Table 2.1: Total Number of Hospitals in India, 2010
Table 2.2: Indian hospital statistics
Table 2.3 : Public healthcare Physical infrastructure(2010)
Table 2.4: Upcoming Health Cities
Table 2.5: Hospital with Food Major in Campus
Table 2.6: Major Hospitals in India,2009
Table 2.7: Department wise bed strength and III cities.
Table 4.1: Comparative Price List*
Table 5.1: Healthcare players, Expansion to smaller cities
Table 6.1: Number of Doctors Possessing Recognised Medical Qualifications (under
I.M.C Act, 1956) and Registered with State Medical Councils in India (2001-09)
Note: Product cover images may vary from those shown
3 of 5


  • Apollo Group of Hospitals
  • Jaslok Hospital
  • Lilavati Hospital
  • P.D Hinduja Hospital
  • Sankara Nethralaya
  • Wockhardt Hospital
  • MORE
The global healthcare industry was valued at US$7.72 trillion in 2007, estimated to reach US$10.31 trillion by the end of 2011. America accounts for 52% of the global healthcare market, followed by Europe (30%) and Asia (16%). The Middle East and Africa account for the remaining 2%. According to the World Health Organisation, the leading causes of death are lifestyle diseases such as diabetic, circulatory problems and cancer. The affluent western societies created a lifestyle which is outright unhealthy, and is leading to deterioration of health.

The healthcare industry figures among the fast-growing industries in India. It comprises hospitals, medical equipment manufacturers, health insurers and educational institutions. The healthcare services in India are provided through public hospitals; corporate hospitals with super-specialty facilities; private and charity hospitals; rehabilitation centres; small and medium nursing homes; private clinics; and diagnostic centres.

The healthcare infrastructure in the country has improved dramatically in the post-independence period. According to the Organisation of Pharmaceutical Producers of India (OPPI), India’s healthcare infrastructure includes 289 medical colleges, 757,377 registered doctors, 1532 Allopathic Doctor, 1524 Ayush Doctor, 12437 Dental Surgeon. There are 931500 numbers of beds in the country according to Cygnus estimates in 2009. The government has also promoted centres of excellence such as All India Institute of Medical Sciences in New Delhi and National Institute of Mental Health & Neuro-Sciences in Bangaluru

The Ministry of Health and Family Welfare is the central authority in the Indian healthcare system. Within the Ministry, the Department of Health is responsible for medical and public health issues, which include drugs control and prevention of food adulteration. The state governments are responsible for the formulation and implementation of healthcare services in their respective states. The Bureau of Indian Standards, meanwhile, is responsible for certification.

The corporate hospitals came into existence after the government allowed private participation and investment in hospitals in the early 1980s. The Apollo Hospital, established in Chennai in 1987, was the first of its kind in India. In the following years, a number of corporate groups such as Max, Escorts and Wockhardt entered the fray. These hospitals are now expanding at a frenetic pace. The entry of corporate sector into the Indian healthcare industry has improved infrastructure and raised the quality of services.

The Indian healthcare industry is growing at an annual rate of 13%. India’s healthcare sector is projected to grow at 23% annually to cross the US$ 75 billion milestone by the year 2012. The private sector accounts for nearly 80% of the Indian healthcare market while the public sector accounts for the remaining 20%. The 350 million Indian middle class is driving the demand for quality healthcare services higher. The consequent expansion of private hospitals and increased public spending on health could lift the growth rate further. Other factors that could drive the overall growth include ageing population, growing urbanisation, improving infrastructure, higher awareness, skilled professionals, low-cost treatments, health insurance, government support, bank funding, telemedicine, business process outsourcing and health tourism.

According to Cygnus estimates, the growth of this sector can contribute around to 6.5-7.0% of GDP and increase employment by at least 2.5 million by 2012. The study says the introduction of product patents in India will encourage multinationals to launch specialised life-saving drugs, which will improve the prospects of the healthcare market. India is capitalising on its low costs and highly trained doctors to appeal to the "medical tourists." Even with airfare, the cost of going to India for surgery can be markedly cheaper, and the quality of services is often better than that found in other country.

Although the changing healthcare scenario in the country has many positive outcomes, it also gives rise to the challenge of bringing healthcare services within the reach of the poor. The rising cost of healthcare, owing to a significant up-tick in quality, poses a challenge to the government. Other issues and challenges include ethical issues, political interpenetration, low awareness of diseases, skewed infrastructure facilities, low penetration of health insurance, increasing competition, poor quality service at public sector hospitals, medical education, and others. The critical success factors in the Indian healthcare industry are latest medical technology, information technology, rural penetration, rural penetration, service orientation, industry support and modernisation.

The Indian healthcare industry, serving a population of over one billion, is currently undergoing through a phenomenal transition. In the next five years (2008-12), major hospitals such as Apollo, Fortis and Narayana health are planning to come up with health cities in major metros by offering facilities such as hotels, residential facilities, recreational facilities of spa, gym and even golf courses. They are emphaisising the importance of education and R&D. While private hospitals are changing the face of healthcare services through technology and skilled staff, the share of lifestyle diseases in total diseases is increasing due to stress, sedentary lifestyles and changing environment.

While to encourage the healthcare industry, the Government of India has announced tax holiday for next five years for setting up new hospitals in Tier II and Tier III cities in 2008-09 budget. Interestingly, the Golden Quadrilateral has emerged as a golden opportunity for the healthcare industry in India. The government plans to invest Rs7.5 billion to develop health centres in partnership with Apollo Group and trauma care centres in partnership with Emergency Management and Research Institute. Around 140 trauma care centres will be developed along the 6,500km long north-south and east-west express highways. In other words, healthcare will be accessible to areas that hardly have any medical facilities now.

According to Union Budget 2010-11, the Finance Minister, increased the plan allocation for Ministry of Health and Family Welfare from US$ 4.2 billion in 2009-10 to US$ 4.8 billion in 2010-11.
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- Apollo Group of Hospitals
- Bombay Hospital and Medical Research Centre
- Christian Medical College (CMC), Vellore
- Fortis Escorts Heart Institute
- Jaslok Hospital
- L.V Prasad's Eye Institute
- Lilavati Hospital
- P.D Hinduja Hospital
- Sankara Nethralaya
- Wockhardt Hospital
Note: Product cover images may vary from those shown
5 of 5
Note: Product cover images may vary from those shown