HEALTHCARE SCENARIO OF INDIA 2018

Healthcare Scenario of India

Are you planning to build or restructure or venture in any healthcare venture in India? Looking for information about the major healthcare players in Government, Private diagnostic centers that are available in India? Are you looking to find out which part of the of the city’s is best to venture in or what all facilities are available and what all should be planned for new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of medical facilities and healthcare scenario in India.

1. COUNTRY OVERVIEW

India also called the ‘Republic of India’ is a country in South Asia. It is the seventh-largest country by area, the second- most populous country (with over 1.2 billion people), and the most populous democracy in the world. It is bounded by the Indian Ocean on the south, the Arabian Sea on the southwest, and the Bay of Bengal on the South-East. It shares land borders with Pakistan to the West; China, Nepal, and Bhutan to the North-East; and Bangladesh and Myanmar to the East. In the Indian Ocean, India is in the vicinity of Sri Lanka and the Maldives. India’s Andaman and Nicobar Islands share a maritime border with Thailand and Indonesia.

2. DEMOGRAPHICS

India’s 2018 population is estimated at 1.35 Billion (1,353,524,002) based on the most recent UN report and its world’s second most populous country. 1 of every 6 people on the planet live in India, and between the 2001 and 2011 censuses, the country grew by 17.7%, adding 181.5 million people. The country has doubled in size in just 40 years, and is expected to unseat China as the world’s most populated country in the next couple decades. India’s current yearly growth rate is 1.11%. The country as a whole has a population density of 412 people per square kilometre, which ranks 31st in the world. In Mumbai, the population density is 21,000 people per square kilometre (54,000/square mile).

Sex Ratio

The sex ratio of the total population was 1.070 (1,070 males per 1000 females) which is higher than global sex ratio. The global sex ratio in the world was approximately 1.016 males to 1000 females as of 2017.

Total life expectancy

Total life expectancy for both the sex, at the birth is 66.8 years, which is below to the average global life expectancy i.e.) 71 years. Division of life expectancy at the birth is: 65.8 year for Male Population and 68 years for female population.

Literacy rate

According to our estimates 686,446,576 persons or 72.14% of adult population (aged 15 years and above) in India are able to read and write. Accordingly about 265,087,645 adults are illiterate. Literacy rate for adult male population is 80.95% and for adult female its 62.84%.Youth literacy rates are 91.83% and 87.24% for male and female respectively. Overall literacy rate is 89.65%.

3. INDIAN ECONOMY

United Nations, The International Monetary Fund (IMF) reaffirmed that India will be the fastest growing major economy in 2018, with a growth rate of 7.4 per cent that rises to 7.8 per cent in 2019 with medium-term prospects remaining positive. Medium-term consumer price index inflation is forecast to remain within but closer to the upper bound of the Reserve Bank of India’s inflation-targeting banda of 4% with a plus or minus 2% change.

3. INDUSTRIES

 India’s telecommunication industry, the world’s fastest-growing, added 227 million subscribers during the period 2010– 11 and after the third quarter of 2017, India surpassed the US to become the second largest smartphone market in the world after China. The Indian automotive industry, the world’s second-fastest growing, increased domestic sales by 26% during 2009–10 and exports by 36% during 2008–09. India’s capacity to generate electrical power is 300 gigawatts, of which 42 gigawatts is renewable. At the end of 2011, the Indian IT industry employed 2.8 million professionals, generated revenues close to US$100 billion equalling 7.5% of Indian GDP and contributed 26% of India’s merchandise exports.

4. CONNECTIVITY WITH OTHER COUNTRIES

 India is well connected with other foreign countries through airways and waterways. India has a coastline of 7,517 km (4,671 mi) and thus ports are the main centres of trade. India also has an extensive network of inland waterways. In India about 95% of the foreign trade by quantity and 70% by value takes place through the ports.

5. HEALTHCARE SCENARIO OF INDIA

 India’s constitution guarantees free healthcare for all its citizens, but in practice the private healthcare sector is responsible for the majority of healthcare in India, and most healthcare expenses are paid out of pocket by patients and their families, rather than through insurance. All government hospitals are required to provide healthcare free of cost.

Healthcare has become one of India’s largest sectors – both in terms of revenue and employment. Healthcare comprises hospitals, medical devices, clinical trials, outsourcing, telemedicine, medical tourism, health insurance and medical equipment. The Indian healthcare sector is growing at a brisk pace due to its strengthening coverage, services and increasing expenditure by public as well private players.

India, a country with a centuries-old heritage of medical science, first became familiar with the modern systems of medicine in the 17th century. India’s competitive advantage lies in its large pool of well-trained medical professionals. India is also cost competitive compared to its peers in Asia and Western countries. The cost of surgery in India is about one-tenth of that in the US or Western Europe.

6. HEALTHCARE INFRASTRUCTURE

Indian healthcare delivery system is categorised into two major components – public and private.

a) Public Hospitals

 The Government, i.e. public healthcare system comprises limited secondary and tertiary care institutions in key cities and focuses on providing basic healthcare facilities in the form of primary healthcare centres (PHCs) in rural areas. Public healthcare is free for those below the poverty line. The public health sector encompasses 18% of total outpatient care and 44% of total inpatient care. Middle and upper class individuals tend to use public healthcare less than those with a lower standard of living. Additionally, females and elderly use public services more. The public health care system was originally developed in order to provide a means to healthcare access regardless of socioeconomic status.

b) Private Hospitals

The private sector provides majority of secondary, tertiary and quaternary care institutions with a major concentration in metros, tier I and tier II cities. With the help of numerous government subsidies in the 1980s, private health providers entered the market. In the 1990s, the expansion of the market gave further impetus to the development of the private health sector in India. After 2005, most of the healthcare capacity added has been in the private sector, or in partnership with the private sector. The private sector consists of 58% of the hospitals in the country, 29% of beds in hospitals, and 81% of doctors. According to National Family Health Survey-3, the private medical sector remains the primary source of health care for 70% of households in urban areas and 63% of households in rural areas.

7. MAJOR GOVERNMENT HOSPITALS IN INDIA

Healthcare facilities especially have improved so much that even people from other countries are looking at Indian hospitals and doctors. We are one of the best in the world in the field of medicine.

Here are the top 5 government hospitals in India:

a) AIIMS ( All India Institute of Medical Sciences), Delhi

Established in 1956, All India Institute of Medical Sciences (AIIMS) is run autonomously under the Ministry of Health and Family Welfare. It is a medical college, medical research public university and a government hospital, all rolled into one. Its ability to treat over 8 million people annually, offer excellent tertiary care and super speciality services in all fields of medicine and that too at a cost as low as Rs 10 (for the highly underprivileged) makes AIIMS, the best government hospital in India. Several national surveys revealed that the hospital offers unparalleled services in the branches of gynaecology, cardiology, neurology, gastroenterology, ophthalmology and dental surgery.

b) CMC, Vellore

Located in Vellore, Tamil Nadu, The Christian Medical College and hospital (CMC) is a highly reputable medical college and health care facility. An American missionary, Ida Scudder founded this institution in 1900 and slowly it turned out to be one amongst the top 5 government hospitals in India. With 39 major and 18 minor operation theatres, almost 3,000 beds, 95 wards, close to 3 million outpatients and 4 lakh inpatients, the CMC hospital in indeed a top ranking hospital in India. What makes it a tad different from the rest of the hospitals is its Department of Community Health that runs low cost care units and rural health units for the poor. The clinical immunology and rheumatology centre at CMC is touted to be the best in treating conditions like Lupus, Rheumatoid arthritis, Takayasu arteritis and Primary Sjogren’s syndrome.

c) PGMER, Chandigarh

What makes Chandigarh’s most prestigious Post Graduate Institute of Medical Education and Research (PGIMER) is its deep involvement in medical research for rural communities in the country. Though it is named as the best government hospital in India, it is equally good at imparting medical education and training young medicos to provide the best health care for people. The departments of psychiatry, haematology, obstetrics and gynaecology, community medicine, blood transfusion and clinical chemistry have been recognised by the World Health Organisation as its designated research centres in India.

d) King Edward Memorial Hospital, Mumbai

The earliest medical education and medical care providing institutions in India is The King Edward Memorial Hospital (KEM), located in Mumbai. Established somewhere during 1926, the hospital boasts of 1800 beds, 400 staff physicians, over a lakh inpatients and 2 million outpatients. For most of the underprivileged people in the society, the service is free. The hospital is funded mainly by the Municipal Corporation of Mumbai, it offers undergraduate, postgraduate and super specialty courses for young medical enthusiasts. If we dig deeper into history, the King Edward Memorial hospital is the first Indian Medical College to be fully staffed by qualified Indian doctors in India.

e) SGPGI, Lucknow

Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, is a Super-Speciality teaching and training Medical Institution. The Institute has 1050 beds, including 146 intensive/high dependency beds. It has 24 operation theatres with state of art facilities. It runs 115 outpatient clinics of different specialties every week.

7. MAJOR PRIVATE HOSPITAL IN INDIA

 Hospital industry is growing very rapidly due to advancement in technology and growth in various diseases across the country. Earlier people use to trust on Government Doctors and Hospital but due to globalization and availability of better facilities and treatment in Private Hospitals they became quite popular too. Across the country, there are various Private Hospitals which treats the patients not only from the country but are also famous for their experienced Doctors and treatment facilities across the globe.

a) Artemis Hospital

This private hospital was founded in year 2007 with world class technology and facilities in it. It has capacity of 380 beds with latest medical equipments .It uses latest medical technology to treat patients. It has a team of highly experienced and knowledgeably talented Doctors .It helps in creating new standards in the Industry. The medical treatment and procedures followed by the Doctors are research oriented .The hospital has great hygienic environment and great caring nursing staff.

b) Narayana Hrudayalaya

It is one of the famous specialty tertiary care hospital chains which is situated in Bangalore city. It offers affordable treatment to the patients which helped the hospital in getting “Good Company Award”. It was founded in the year 2000 and currently has 31 chains across the country with the bed capacity of 7181. The Hospital employs around 15000 staff members which includes Doctors and Nursing staff both.

c) Lilavati Hospital and Research Centre

It is one of the famous hospitals in Mumbai and country. It was founded in the year 1978 and is equipped with world class facilities. It has different diagnostic centres. The hospital won various awards and certification for the services offered by them to the society. It is famous for its diagnostic services, paediatrics, gynaecology and obstetrics, rehabilitative services, paediatric ophthalmology, maternity services, neurosciences, orthopaedics etc.

d) Kokilaben Hospital

It is a super specialty hospital of the country which made its name and reputation within a short period of time. It was initiated in year 1999 and since then the hospital has been providing medical treatment of its strong principles only. It provides high class facilities and medical equipment for the treatment of patients. The hospital has 950 beds.

e) Medica synergy

The 540 bedded Medica Super specialty Hospital is one of the largest in eastern India, developed by Medica Synergie Pvt Ltd, a body of healthcare professionals providing integrated healthcare solutions along various verticals – hospital architectural planning & building, managing hospitals, public health, quality accreditations & retail pharmacy.

f) Fortis

Head office of one of the famous private hospitals of the country is in Gurgaon .It was founded in the year 2001 and since that day it treats patients with care and dedication. It has hospitals in cities like Amritsar, Jaipur, Noida, Ludhiana, Kota, Odisha and many more. The hospital is famous for its neuroscience, cardiac sciences, critical care and bone and joint treatment. The hospital management is planning to open and extend the chain by opening hospital in other cities too. Fortis has 50 hospitals with total bed capacity of 10,000.

g) Apollo Hospital

The Hospital was established in the year 1983 by Dr .Prathap Reddy and later the chain opened hospital under the same umbrella in 25 more states. The headquarters of the hospital is in Chennai city and it has the best team of Doctors and world class facilities to treat the patients suffering from various diseases. The Hospital is famous for the treatment of various diseases related to Heart, Kidney, and Lungs etc. Apollo has 49 hospitals with total bed capacity of 6955.

h) Medanta (The Medicity)

It was established in the year 2009 as a super specialty hospital in Gurgaon city. The hospital is spread in an area of approx. 43 acres of land and has around 20 special departments for research and treatment. It has cutting edge technology to treat patients under the observation of highly trained Doctors and nursing staff. It has around 1250 beds and 45 OT to provide treatment to Indian and international patients both. It is famous for its Cardiac Surgeries and is the first hospital in Indian history to perform robotic surgery.

i) AMRI Hospitals

AMRI Hospitals Ltd is the premier private healthcare provider of Eastern India, with three super specialty hospitals at Dhakuria, Mukundapur, and Salt Lake, in Kolkata, a state-of-the-art day-care centre on Southern Avenue in Kolkata, and another super specialty hospital at Bhubaneswar, Odisha. The Group takes care of around 3.5 lakh patients annually, conducting more than 15,000 successful surgeries, with a roster of more than 5,000 healthcare professionals. An impressive roster of more than 600 doctors and a well-trained force of nursing staff work tirelessly across more than 1,000 beds across its four hospitals, backed by advanced technologies and latest equipment to treat people and save lives. With major changes and developments on its plate, the AMRI Group is headed towards a path of steady growth. AMRI Hospitals is all set to add around 700 beds in the near future.

j) Yashoda Hospital Hyderabad

Yashoda Group of Hospitals is a healthcare provider in India. It has 3 independent, specialty Hospitals in twin-cities located at Secunderabad, Malakpet and Somajiguda with post graduate courses and super specialty courses. The Group also operates 3 cancer institutes and 3 heart institutes all providing services. With a combined capacity of about 1200 beds, 600 specialists, 1,500 nurses and 6,600 paramedical and other support staff; Yashoda Group treats roughly about 250,000 people annually.

k) Manipal Hospital

Manipal Healthcare manages 11 hospitals, including 8 teaching hospitals. Asia’s largest healthcare management group. Manipal Hospital has total 4900 beds.

l) Sterling Hospital

Sterling Hospitals is the largest chain of corporate hospitals in Gujarat. It is owned and managed by Sterling Add Life India Ltd. The specialties in which it provides medical care include: Cardiology, Neurology, GI Medicine, Haematology, Oncology, Reproductive Medicine, Critical and Emergency treatment, Trauma and Orthopaedic, Neonatology and General Medicine. Surgery treatments include CVTS-, Neuro- and Onco-surgeries, Nephrology (with Kidney Transplant), GI surgeries and General Surgeries. Sterling’s multi-specialty hospitals has a presence across the four major cities of Gujarat with total bed capacity of 840.

m) Max Hospital

 We are one of India’s leading providers of comprehensive, seamless and integrated world class healthcare services. With a network of 14 hospitals with total 3800 beds, we offer treatment across all 29 specialties. We have 2300+ leading doctors with international level expertise who are committed to provide highest standards of medical excellence at a fraction of international costs. Our NABH and ISO accredited hospitals offer best in class services to our patients. We understand seeking medical treatment outside your home can be physically and mentally difficult.

n) Global Hospital

Global Hospitals is an Indian chain of multi-specialty tertiary care hospital headquartered at Hyderabad, India. Founded by Dr. K. Ravindranath in 1999, the hospital is renowned for its expertise in multi-organ transplants including kidneys, liver, heart and lungs Global Hospitals currently operates five specialized locations in Hyderabad, Chennai, Bangalore, and Mumbai. The Hospital Group currently has a 2000-bed capacity. The Global Hospitals Group currently caters to over 300,000 outpatients every year, besides 50,000 in-patients and performs over 18,000 surgeries every year.

o) Care Hospital

 The CARE Hospitals Group is a multispecialty healthcare provider, with 14 hospitals with 2554 beds, serving 6 cities across 5 states of India. The regional leader in tertiary care in South/Central India and among the top 5 pan-Indian hospital chains, CARE Hospitals delivers comprehensive care in more than 30 specialties in tertiary care settings.

p) Wockhardt Hospital

 Wockhardt Hospitals are one of the tertiary care, super speciality healthcare networks in India offering healthcare services. The chain of hospitals is owned by the parent company Wockhardt Ltd., India’s 5th largest Pharmaceutical and Healthcare company with a presence in 20 countries across the globe. Wockhardt hospitals, originally called First hospitals and Heart Institute, were one of the early movers among corporate health-care chains in India. Wockhardt has total 8 hospital in pan India with total number of beds 1628.

q) Hinduja Hospital, Mumbai

The P. D. Hinduja National  Hospital  and  Medical  Research  Centre is  a  multi-specialty,  tertiary  care  hospital  in Mumbai, India. P.D. Hinduja National Hospital and Medical Research Centre was founded by Parmanand Deepchand Hinduja. Hinduja hospital is 380 bedded.

7. MAJOR SINGLE SPECIALTY HOSPITALS IN INDIA

 a) Aravind Eye Hospital

 Aravind Eye Hospitals is a hospital chain in India. It was founded by Dr. Govindappa Venkataswamy (popularly known as Dr.V) at Madurai, Tamil Nadu in 1976. It has grown into a network of eye hospitals and has had a major impact in eradicating cataract related blindness in India.

b) Dr Agarwal’s Eye Hospital

 Dr. Agarwal’s Eye Hospitals are prominent eye care medical centres situated in different parts of our country. The group utilizes best-in-class bio-medical technologies across all its specializations to ensure cutting edge treatments. Neuro ophthalmology sub-specialty department uses antibiotics & corticosteroids to decrease immune ailments and avoid future nerve damage that affects your eyes.

c) Centre for Sight

Centre for Sight Hospitals are among top eye care institutes in India to provide world class ophthalmology services. This institute has an eye bank centre at its Delhi branch. Different centres are spread across India, equipped with handpicked ophthalmologists and eye surgeons making a team of more than 145 doctors across the nation.

d) Vasan Eye Care Hospitals

 Vasan Eye Care Hospitals are among the largest centres webbing their network across India. Overall this network provides treatments for 38 specialties that are used for patients of different age group. Each specialty is sub divided into invasive, non-invasive or robotic methods to provide specialized treatment for specific eye ailments. It follows world standard protocols to meet every individual’s needs.

e) Sahyadri Hospital,Pune

Sahyadri Hospitals are few of the oldest and most acclaimed of hospital chains. This hospital group has served more than 50 lakh patients successfully till date. The Orthopaedics department is helmed by highly-skilled bone and joint surgeons.

f) Shalby Hospitals

Shalby Hospitals is an Indian organisation which was established in Ahmedabad as a joint replacement centre in 1994 by Dr. Vikram Shah, operates a chain of multispecialty hospitals across India, holding an aggregate bed capacity of over 2000 hospital beds.

8. MAJOR DIAGNOSTIC CENTRES IN INDIA

  1. Metropolis
  2. Lucid Medical Diagnostics
  3. Lal Pathlabs
  4. Thermo Fisher
  5. Suburban Diagnostics Ltd
  6. Siemens
  7. Roche Diagnostics
  8. SRL Diagnostics
  9. BioMerieux
  10. Oncquest Laboratories Ltd
  11. Vijaya Diagnostics Centre
  12. Abbot

9. MEDICAL TOURISM IN INDIA

India’s medical industry is an ideal place to gauge the shifting trends in medical tourism and also serves as a window into what could drive this niche contributor into the much larger tourism ecosystem. Medical tourism (also called medical travel, health tourism or global healthcare) is a term used to describe the rapidly-growing practice of travelling across international borders to seek healthcare services. Services typically sought by travellers include elective procedures as well as complex surgeries, etc.

Factors advantageous for growth of Indian Medical Tourism:

  1. Facilities: India offers best in class medical health facilities duly accredited to NABH or
  2. Frontier Technology: India offers cutting edge technology to support medical diagnostics and medical procedures.Complicated heart surgeries, cancer care and surgeries, neuro and even general surgeries require high- end technology to continually better outcomes, minimize complications, enable faster recovery and reduce length of hospital  The recent advancements in robotic surgeries, radiation surgery or radio therapies with cyberknife stereotactic options, IMRT / IGRT, transplant support systems, advanced neuro and spinal options are all available in India.
  1. Doctors:The country has the largest pool of doctors and paramedics in South Asia (1.2 million Allopathic

0.17 million dental surgeons, 2 million nurses). Many of them have established their credentials as leaders around the world.

  1. Financial Saving: Quality of care is what attracts people. However, quality services should not be beyond the affordability of the patient who requires it. If quality comes at an affordable cost it is an unbeatable advantage. This confluence of highest quality and cost advantage is unique for India. The benefit is unimaginable when it comes to major treatments such as for leukaemia where the difference in cost is 10 to 20  If we see the below graph, we will observe that the cost is least in India as compared to other countries promoting medical tourism.
  2. Zero Waiting Time: It’s zero waiting time in India for any procedure, be it heart surgery, kidney care, cancer treatment, neuro-spinal procedure, knee/hip/joint replacements, dental, cosmetic surgeries, weight loss surgery etc.
  3. Language:Among the top medical destinations of the world, India has the highest percentage of English language speaking people. If other language options are essential, there are expert interpreters who will be arranged by the hospitals. All leading to reassuring hospitality and great after

 

a) Benefits of Medical Tourism for India:

  1. Foreign Exchange: Every patient spends around 3500-6000 USD in India which brings important foreign exchange in
  2. Goodwill: Medical tourism leads to creation of goodwill for India in foreign nations. This has helped create goodwill about India in African countries and even in  This goodwill helps in securing Indian investments abroad and improvement in bilateral relations.
  3. Boosting Economy Economy: States like Andhra Pradesh are boosting their economy due to inflow of large  of tourists seeking medical help.
  4. Employment Generation: Inflow of patients and money into healthcare system leads to creation of jobs and opportunities which help in solving the unemployment crisis of
  5. Promotion of alternative healthcare systems: It helps promotion of healthcare systems of India such as AYUSH.
  6. Start-up India: With many new Start Up’s like Practo, Portea, Advancells, Lybrate etc. emerging in the field of health sector, Medical tourism can boost the number of startups in

13. CONCLUSION

 India has made striking progress in health standards in the post-independence era. Still, many feel that the budgetary resources for the health sector should be increased. International developments in information technology need to be utilized at the national level in an attempt for health data documentation. The sustained efforts to control the country’s population and the political will to march towards the millennium development goals in health will help India to make a significant impact in the international health scene.

if you need any support in planning and designing of a new hospital you can contact us: Hospaccx healthcare business consulting Pvt. Ltd on: hospaccx.india@gmail.com. Or you can visit our website www.hhbc.in.

 

 

 

 

 

 

 

 

 

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