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THE GEORGE INSTITUTE FOR GLOBAL HEALTH
Health Care in China Today:
Challenges and Opportunities
John Knight
5th August 201...
The George Institute
Australia’s high impact medical research organisation
SCIMAGO Research Impact Rankings 2011
The George Institute for Global Health
Why we are number one
We study human beings - people all round the world,
suffering...
The George in China
Office established in 2007
80 staff in Beijing
Research partners across China
Large scale studies of
k...
A visit to the doctor in Australia
Your GP: a 10 yr trained professional
Knows you and your family well
Access to online i...
A visit to the doctor in China
Large queues in outpatients:
a very long wait leads to a
very brief consultation
8yr traine...
China’s health care system:
a snapshot
STRENGTHS CHALLENGES
Good numbers of well trained doctors Lack of general practice ...
Key planning documents p
1. Five year plans
2. China Australia Free Trade Agreement
The 12th 5 year plan 2011-2015
Strengthen public healthcare
infrastructure
Strengthen healthcare service
network
Develop a...
The 13th 5 year plan 2016-2020*
1. More general practitioners
2. More hospital beds
3. More private sector services
4. De-...
The China Australia
Free Trade Agreement (ChAFTA)
Final version signed: text available at
DFAT website and awaiting
endors...
ChAFTA on Health Care
Pharmaceuticals, including vitamins and health products:
elimination of tariffs up to 10 per cent, e...
Opportunities for Australian business
Aged care / private hospitals Ramsay
General practice
training, systems, models
RACG...
• George Clinical is a wholly owned commercial subsidiary
of The George Institute
• We do high quality global commercial c...
Key points
1. The Chinese health care system is impressive and delivers
good health outcomes for the Chinese people
2. The...
Affiliated with the University of Sydney
and the Peking University Health Science Centre
THE GEORGE INSTITUTE FOR GLOBAL H...
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Health Care in China Today - Challenges and Opportunities

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Australian Business Forum helps Australian SMEs and businesses to understand the Chinese market and refine their China strategy.

http://abf.events/
ABOUT THE PRESENTATION BELOW

John Knight of The George Institute for Global Health discusses how the China Australia Free Trade Agreement and China's 12th Five Year Plan have created opportunities for Australian healthcare providers in China. The presentation also compares the healthcare systems of the two countries, using data from the University of Sydney and Peking University.

Originally presented at Australia-China BusinessWeek 2015 Sydney.

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Health Care in China Today - Challenges and Opportunities

  1. 1. THE GEORGE INSTITUTE FOR GLOBAL HEALTH Health Care in China Today: Challenges and Opportunities John Knight 5th August 2015 Sydney
  2. 2. The George Institute Australia’s high impact medical research organisation SCIMAGO Research Impact Rankings 2011
  3. 3. The George Institute for Global Health Why we are number one We study human beings - people all round the world, suffering from the major serious chronic diseases – Heart disease – High blood pressure – Diabetes – Stroke – Kidney failure – Accidents and injuries – Back pain – Diseases of poverty and disadvantage www.georgeinstitute.org
  4. 4. The George in China Office established in 2007 80 staff in Beijing Research partners across China Large scale studies of key health issues ORBIT 20,000 subjects type II diabetes SASS 20,000 subjects high salt diet Large registration and phase IV trials for top 10 pharma China Centre for mHealth Innovation www.georgeinstitute.org.cn the ORBIT study: 209 hospitals in 10 provinces
  5. 5. A visit to the doctor in Australia Your GP: a 10 yr trained professional Knows you and your family well Access to online information. Often bulk bills to Medicare Often a one stop shop - blood tests - imaging - physio / nurse - pharmacy Referral to specialist/hospital rarely Medications 100% high quality supply 3.3 doctors per thousand population one GP for every 900 Australians
  6. 6. A visit to the doctor in China Large queues in outpatients: a very long wait leads to a very brief consultation 8yr trained professionals - hospital based Connected to the web by their smart phones Drug treatment is very often prescribed – but the quality? 1.8 doctors per 1000 population one GP for every 17,500 Chinese
  7. 7. China’s health care system: a snapshot STRENGTHS CHALLENGES Good numbers of well trained doctors Lack of general practice structure / staff Poor doctor-patient relationships Universal health insurance with co-pay Good access to advanced Western medicine (in larger cities) Long delays – loss of productivity, frustration Service quality reduced in remote areas (rural health practitioners) Good HCP & consumer web access to health information via smartphones Outdated hospital infrastructure / technology Significant expenditure 5.4% of GDP* = US$540 billion Drug dispensing in hospitals – 15% surcharge – can comprise up to 40% of hospital income. Increasing number of hospitals building 20,000 new ones Lack of private sector facilities / choice Excellent numbers for clinical trials Slow registration of new drugs by China FDA *OECD average 9.3% Australia 9.4%
  8. 8. Key planning documents p 1. Five year plans 2. China Australia Free Trade Agreement
  9. 9. The 12th 5 year plan 2011-2015 Strengthen public healthcare infrastructure Strengthen healthcare service network Develop a comprehensive medical insurance system Improve drug supply system Reform the public hospital system Support the development of Chinese Medicine
  10. 10. The 13th 5 year plan 2016-2020* 1. More general practitioners 2. More hospital beds 3. More private sector services 4. De-link doctor and hospital incomes from drug prescriptions 5. Prevention and control of chronic disease TARGETS • Increase basic medical insurance cover from 320 to 380 RMB per person per year • Six hospital beds per 1000 people (up from 4.55 in 2013) • Double the number of primary care doctors per capita • Two hospital beds per 1000 provided by the private sector *not yet finalised
  11. 11. The China Australia Free Trade Agreement (ChAFTA) Final version signed: text available at DFAT website and awaiting endorsement by parliament Now the subject of a political battle : there will be two separate parliamentary enquiries, but China has said it will not accept any changes dfat.gov.au/trade/agreements/chafta
  12. 12. ChAFTA on Health Care Pharmaceuticals, including vitamins and health products: elimination of tariffs up to 10 per cent, either immediately on entry into force or within 4 years. Health and aged care services: China will permit Australian service suppliers to establish profit-making aged care institutions throughout China, and wholly Australian-owned hospitals in certain provinces. This will greatly expand the Australian private health sector’s offering of medical services through East Asia. dfat.gov.au/trade/agreements/chafta
  13. 13. Opportunities for Australian business Aged care / private hospitals Ramsay General practice training, systems, models RACGP, HealthScope, medical schools, corporatised polyclinics Pharmaceuticals CSL, Aspen Medical devices ResMed, Cochlear,
  14. 14. • George Clinical is a wholly owned commercial subsidiary of The George Institute • We do high quality global commercial clinical trials for big pharma – especially in Asia • 48 people in Beijing and Shanghai • We can do your clinical trial, and we can do it in China • And we can help you get your product registered in China, – we know the regulatory system and we have the contacts www.georgeclinical.com
  15. 15. Key points 1. The Chinese health care system is impressive and delivers good health outcomes for the Chinese people 2. There are still significant challenges in capacity, in health care delivery and in the business model 3. The 13th 5 year plan for health care (2016-20) will recognise the challenges and will set out to tackle them 4. The sheer size of the Chinese health marketplace, and the planned changes, create significant opportunity for Australian health care businesses 5. With our strong track record of scientific excellence and strong presence in China, the George Institute and George Clinical are well placed to help you achieve your business goals in China
  16. 16. Affiliated with the University of Sydney and the Peking University Health Science Centre THE GEORGE INSTITUTE FOR GLOBAL HEALTH
  • zahernourredine

    Dec. 8, 2018

Australian Business Forum helps Australian SMEs and businesses to understand the Chinese market and refine their China strategy. http://abf.events/ ABOUT THE PRESENTATION BELOW John Knight of The George Institute for Global Health discusses how the China Australia Free Trade Agreement and China's 12th Five Year Plan have created opportunities for Australian healthcare providers in China. The presentation also compares the healthcare systems of the two countries, using data from the University of Sydney and Peking University. Originally presented at Australia-China BusinessWeek 2015 Sydney.

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