INDUSTRIAL PROFILE

Demand for hospital services is driven by demographics and advances in medical care and technology. The profitability of individual companies depends on efficient operations, since many hospitals offer similar services, and customer perception, since in many cities hospitals compete for patients. Hospitals also compete for physicians, and seek to attract doctors with state-of-the-art equipment and an attractive work environment. Large companies have advantages in buying supplies, sharing best practices, and negotiating contracts with health insurers. Large hospitals may offer a wider variety of services. Small hospitals can compete successfully by serving a limited 0geographical area or offering specialized services. Hospital industry is an important component of the value chain in India. The size of the Indian healthcare industry is estimated at Rs. 1,717 billion in 2007. It is estimated to grow by 2012 to Rs. 3,163 billion at the rate of 13%. The private sector accounts for nearly 80% of the healthcare market, while public expenditure accounts for 20%. The country had 15,393 (2005) hospitals, which had 8.75 lakhs hospital beds. According to the WHO report, India needs to add 80,000 hospital beds each year for the next five years to meet the demands of its growing population. Newfound prosperity of many Indian households is spurring demand for high-quality medical care, transforming the healthcare delivery sector into a profitable industry.

Classification of Hospitals and Other Health Facilities

Government or Private

a) Government operated and maintained partially or wholly by the national, Provincial, city or municipal government, or other political unit; or by any Department, division, board or agency thereof. b) Private privately owned, established and operated with funds through donation, Principal, investment, or other means, by any individual, corporation, association, or organization.

General or Special
a) General provides services for all types of deformity, disease, illness or injury. b) Special primarily engaged in the provision of specific clinical care and management. A primary care hospital, secondary care hospital, tertiary care hospital, or infirmary, may provide special clinical service(s).

Service Capability
Primary Care Hospital
a) Non-departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality b) Clinical services include general medicine, pediatrics, obstetrics and gynecology, surgery and anesthesia c) Provides appropriate administrative and ancillary services (clinical laboratory, radiology, pharmacy) d) Provides nursing care for patients who require intermediate, moderate and partial category of supervised care for 24 hours or longer

Secondary Care Hospital

a) Departmentalized hospital that provides clinical care and management on the prevalent diseases in the locality, as well as particular forms of treatment, surgical procedure and intensive care b) Clinical services provided in the Primary Care Hospital, as well as specialty clinical care c) Provides appropriate administrative and ancillary services (clinical laboratory, radiology, pharmacy) d) Nursing care provided in the Primary Care Hospital, as well as total and intensive skilled care.

Tertiary Care Hospital

a) Teaching and training hospital that provides clinical care and management on the prevalent diseases in the locality, as well as specialized and sub-specialized forms of treatment, surgical procedure and intensive care b) Clinical services provided in the Secondary Care Hospital, as well as sub-specialty clinical care c) Provides appropriate administrative and ancillary services (clinical laboratory, radiology, pharmacy) d) Nursing care provided in the Secondary Care Hospital, as well as continuous and highly specialized critical care

Other Facilities
Infirmary Birthing Home Acute-Chronic Psychiatric Care Facility Custodial Psychiatric Care Facility

People in Hospital
Physicians. Surgeons. Nurses. Other supporting staff Under hospital marketing mix people includes all the people involved in the service providing process which includes doctors, nurses, supporting staff etc. The earliest and best way of having control on the quality of people will be by approving professionally sound doctors and other staff. Hospital is a place where small activity undertaken can be a matter of life and death, so the people factor is very important. In Indian government hospitals except a few almost all the hospitals and their personnel hardly find the behavioral dimensions significant. They have pleasing manners and behave softly with the patients.

Indian Health Care Industry

The Indian economy is continuing to enjoy steady growth, and this is also reflected in the Indian healthcare industry. For the Indian Government, the healthcare sector is a priority area. This is augmented by an increased budgetary outlay and heavily slashed customs duty on imports of medical equipments. Also there are special incentives being provided for setting up new hospitals. Much of Indias healthcare expenditure comes from private patients pockets, primarily the higher-income households. The Government of India plans to improve health infrastructure by upgrading and increasing the total number of hospitals, clinics, and clinical laboratories in urban and rural areas. The health care sector in India offers abundant opportunities for businessmen, equipment makers and service providers to invest in curative and preventive services and possibilities of

investing in medical infrastructure and medical tourism.

The size of Indias health care industry is worth US $ 20 billion. In India 12% of the national annual expenditure is on health care, of this, 82% of the total health expenditure comes from the self-paid category, while employers account for 9% and insurance covers 5% of the total health care expenses. Indian expenditure on health is relatively high when compared to other developing countries.