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1Loudon Far EastLoudon Far East
Multi-client reports prepared for the healthcare industry
By
Date: June 2013
Introduction to “2013 China Broad Market Reports”
CHC & THC Markets Landscape Studies
2Loudon Far EastLoudon Far East
Contents
Report Objectives & Methodology
Sampling Plan
Illustrative Outputs
Contents of Report
Cost of Reports
3Loudon Far EastLoudon Far East
Key Questions to Identify China CHC & THC Market Opportunities
These questions are answered in the reports
• Size of CHC/THC segments, potential, growth & which provinces to target?
• Patients profile: healthcare coverage, objectives of the visits?
• What diseases are diagnosed in CHCs & THCs?
• What diseases are treated in CHCs & THCs? (e.g.: HRT?, BPH?, HBV?, etc)
• Hospital specialties & physicians’ unmet needs, what can MNCs do?
• Patients unmet needs & what can MNCs do?
• Prescription switching & brand loyalty ?
• Patients consulting processes: diagnosis, initiation, retention, leverage points for MNCs?
• Patients perception of imported/JV products by TAs & premium they are willing to pay?
• Is e-marketing the right approach in China to target CHCs & THCs?
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2
3
4
5
6
7
8
9
10
4Loudon Far EastLoudon Far East
What’s New in 2013 Reports?
Compared to 2010 reports “China CHC Market Landscape Studies”
• Add a brand new report about China THC Market
• Update the CHC & THC market facts based upon the latest data and information
• Incorporate the latest policies regarding CHCs & THCs ( i.e.: Listing, tendering, etc.)
• Increase the sample size of physicians and patients interviews:
– from 2,700 to 6,000 patients FTF Interviews
– from 270 to 290 physicians FTF Interviews
• Integrated “e-marketing opportunities report” into both CHC & THC individual reports
• Lower subscription fees vs 2010:
– China CHC & THC Market Overview – Supply & Demand Sides 100,000 RMB
incl. additional valuable information on THC market but same subscription as in 2010.
– China CHC Market Opportunities – Physicians & Patients Perspectives TBD
Integrate information on both Physicians AND Patients (2010 value 300,000 RMB)
and e-marketing opportunities report information (2010 value: 70,000 RMB)
– China THC Market Opportunities – Physicians & Patients Perspectives TBD
New report available (not available in 2010), integrate information on e-marketing opportunities
5Loudon Far EastLoudon Far East
Wide Range of Data Sources & Resources
Loudon’s Data Collection Loudon Databases
Hospital Database
• MOH hospital databases
• CHC database
• THC databases
• PLA hospital database
City Database
• Demography
• Social Economics
• Healthcare expenditure
• Healthcare data base
Primary and secondary marketing research
Desk Research
• Loudon database
• Public information in provincial MOH and other
domains
Qualitative In-Depth Interviews (IDIs)
• 12 IDIs with CHC physicians
• 12 IDIs with CHC patients
• 12 IDIs with THC physicians
• 12 IDIs with THC patients
Quantitative Face to Face Interviews (FTFs)
• 3,000 FTFs with CHC patients
• 3,000 FTFs with THC patients
• 290 FTFs with physicians
6Loudon Far EastLoudon Far East
• Patients caseload & Diseases type
• Key drivers to go to CHC and THC
• Satisfaction of CHC, THC services and unmet
needs
• Staff profile and specialties set up in CHC, THC
• Numbers of medicines (WM, TCMs) in pharmacies
• Typical CHC, THC physicians prescription
behaviors
• Physician information channel and unmet needs
• Number of CHC and hospitals, physicians,
hospital beds by provinces
• CHC, THC out patients caseload by provinces
• Population, aged population, GDP income
status , Healthcare expenditures by provinces
• CHC, THC out patient visit average
expenditure by provinces
• Segment of CHC and THC market by size,
key parameters of suppliers and demanders.
• Finalize
research and
analysis plans
• Review of
internal data
and reports
• Develop
analysis plan
Phase:
Module:
Deliverable: • Survey plans
• Guidelines
• Question-
naires
Physician interviews
• 12 In-depth interviews with CHC physicians
• 12 In-depth interviews with THC physicians
• 290 face to face interviews with physicians
a
Preparation Phase I: Market Landscape Phase II: Market Opportunities
The Landscape Study are Divided Into Two Phases
Public information, Loudon databases, interviews of physicians and patients
Patient interviews
• 12 In-depth interviews with CHC patients
• 12 In-depth interviews with CHC patients
• 6,000 face to face interviews with patients
Desk Survey
•Loudon database
•Public information in provincial MOH and other
domains
a
Data Base
• MOH hospital databases
• CHC database
• THC databases
• PLA hospital database
b b
7Loudon Far EastLoudon Far East
Contents
Report Objectives & Methodology
Sampling Plan
Illustrative Outputs
Contents of Report
Cost of Reports
8Loudon Far EastLoudon Far East
Data Collection Plan Physician and Patient Interviews (1/2)
290 IDIs with physicians and 6,000 FTFs with patients
THC
Tier I
Tier II
Physician
Numbers of Interviews
Beijing
Wuhan
15
8
5
8
8
CHC
Shanghai
Guangzhou
Shenyang
15
15
8
8
15
Physician
8Chengdu 8
8Xi’an
300
300
160
160
300
Patients
160
Patients
300
160
100
160
160
160
160
Nanjing
8
8
160
160 5 100
Tier III
Foshan 6
6Taizhou
6
6
6Baoding 6
6Taiyuan
120
120
120
120
120
120
1206 120
9Loudon Far EastLoudon Far East
Tier IV
Tier V
Data Collection Plan Physician and Patient Interviews (2/2)
290 IDIs with physicians and 6,000 FTFs with patients
Kunshan
Xianyang
6
6
6
5
6
Fushun
Huizhou
Suining
4
4
4
3
4
5Jingmen 3
5Yuyao
80
80
80
75
80
75
120
120
120
110
120
110
110
Dandong
3
3
75
75 5 110
Tier VI
Jieshou 3
3Penglai
2
2
3Honghu 2
3DJY
50
50
50
75
75
75
752 50
145Total 3,000145 3,000
THC
Physician
Numbers of Interviews
CHC
Physician Patients Patients
10Loudon Far EastLoudon Far East
Study Was Conducted In 24 Cities & 9 Provinces
Western Medicine Expenditure ranking from No. 1 to No. 626
Source: Loudon in house database
Shanghai
Wuhan
Chengdu
Tier I city
Urban pop: 13.5 Mn .
Urban disposable
income/cap: RMB 23.6 K
Tier II city
Urban pop.: 6.9 .
Urban disposable
Tier I city
Urban pop: 8.3 Mn .
Beijing
Tier I city
.
Urban disposable
Shenyang
Guangzhou
Nanjing
Tier II city
Urban pop.: 7.4 Mn .
Urban disposable
Suining
Tier II city
Urban pop: 14.1 Mn .
Urban disposable
Tier II city
Urban pop: 11.2 Mn .
Urban disposable
income/cap: RMB 16.9 K
Tier II city
Urban pop: 7.4 Mn .
Urban disposable
income/cap: RMB 13.9 K
Tier VITier VTier I Tier II Tier III Tier IV
Taiyuan
Taizhou
Baoding
Kunsan
Xi’an
Xianyang
Jingmen
Yuyao
Jieshou
DJY
Foshan
Fushun
Huizhou
Dandong
Penglai
Honghu
Tier I city
Pop(Mil.)
Ranking
WME
Shanghai 2.30 1
Beijing 1.96 2
Guangzhou 1.27 3
Tier II city
Pop(Mil.)
Ranking
WME
Wuhan 0.98 6
Nanjing 0.81 7
Chengdu 1.40 9
Shenyang 0.81 11
Xi'an 0.85 19
Tier III city
Pop(Mil.)
Ranking
WME
Foshan 0.72 29
Tiayuan 0.42 34
Taizhou 0.46 38
Baoding 1.12 50
Tier IV city
Pop(Mil.)
Ranking
WME
Huizhou 0.46 62
Kunsan 0.16 106
Xianyang 0.51 112
Fushun 0.21 158
Tier V city
Pop(Mil.)
Ranking
WME
Yuyao 0.10 182
Suining 0.33 184
Jingmen 0.29 203
Dandong 0.24 204
Tier VI city
Pop(Mil.)
Ranking
WME
Penglai 0.045 356
DJY 0.066 460
Jieshou 0.056 538
Honghu 0.082 626
11Loudon Far EastLoudon Far East
Contents
Report Objectives & Methodology
Sampling Plan
Illustrative Outputs
Contents of Report
Cost of Reports
12Loudon Far EastLoudon Far East
25.0
2.0
33.8
16.0
46.2
25.0
15.5
9.0
23.0
13.0
9.0
33.8 24.0
46.2
30.0
15.5
7.0
17.0
8.0
3.0
33.0 24.0
46.0
36.0
16.0
11.0
18.0
Pharma Market & Hospital Segments in Shanxi
CHC only accounts for 2.0% of total Shanxi pharma market
Shanxi Hospital Segments
Illustrative
Source: Loudon Analysis, MOPH & CHC Database, Dummy slides
PLA Hospitals (S3) (N=5)
IMS Hospital Audit
RMB
(Bn.)
MS
MOH Hos
<100 Beds
(S2) (N=720)
Community
Health Center
(Station)
(S4) (N=530)
S1
S3S2 S4
MOH Hos ≥100 beds
(S1) (N=300)
TOT
Size (beds)
Patient Caseload by Segments
WME by Segments
Shanxi Pharma Market Segments
Hospital Beds Number by Segments
>=800
500-799
300-499
<300
CHC (Station)
THC
Size (beds)
>=800
500-799
300-499
<300
CHC (Station)
THC
Size (beds)
>=800
500-799
300-499
<300
CHC (Station)
THC
2.50 0.51 0.10 0.07 0.20 3.38
74.0% 15.1% 3.0% 2.1% 5.9% 100.0%
1.0
2.0
2.0
16.0
46.0
33.0
(% of hospitals) (% of beds)
(% of hospitals) (% of patient caseload)
(% of hospital) (% of WME)
1.0
2.0
2.0
16.0
46.0
33.0
1.0
2.0
2.0
16.0
46.0
33.0
Township
Health Center
(S5) (N=1500)
S5
13Loudon Far EastLoudon Far East
Top 400 CHCs Account for 50% of CHC Market
Market concentration is in line with primary care chronicle disease market
0%
20%
40%
60%
80%
100%
0 20 40 60 80 100 120 140 160 180 200 220 240 260
Hyperlipidemia
HRT
A rare disease
Oncology
HBP
CHC Market Compared with 5 TA Markets
% of WME
Rank by Hospital Potential
Market Share of Top 50 hospitals Top Hospitals to Cover 50% Market
HBP 15.1% 349 hospitals
Hyperlipidemia 14.5% 330 hospitals
HRT 33.0% 112 hospitals
Oncology 52.8% 43 hospitals
A rare disease 72.3% 20 hospitals
CHC 19.6% 400 CHCs
0%
20%
40%
60%
80%
100%
0 20 40 60 80 100 120 140 160 180 200 220 240 260
HBP
% of WME
Rank by Hospital Potential
MOH Hos <100 Beds
MOH Hos ≥100 beds
CHC Market Compared with MOH Hos Markets
CHC CHC
HRT
Illustrative
14Loudon Far EastLoudon Far East
CHC WME Potential Is Deviated Very Much Geographically
Normal Distribution Graph of CHC Market Size
Prioritized Market 1
Total CHC Market
Prioritized Market 2
Prioritized Market 3
Prioritized Market 4
Normal Distribution Graph of CHC Market SizeOptimize Your Sales Force Resource
0
4
8
12
16
0
10
20
30
40
50
60
Group I II III IV V Others
Number of sales call
#ofsalescalls
Maximize ROI of sales from
high potential CHCs
Sales, product prescriptions
Optimize the sales call
to most potential CHCs
WME(Mn.RMB)
1.080.700.680.57 0.85 WME (Mn. RMB)
Illustrative
15Loudon Far EastLoudon Far East
Shanghai
WuhanChengdu
Beijing
Shenyang
Nanjing
Hangzhou
Tianjin
Chongqing
Ningbo
Shenzhen
Changsha
Jinan
Harbing
Zhengzhou
Fuzhou
Qingdao
Wenzhou
Xi’An
Kunming
Changchun
Guangzhou
Suzhou
Total #
of CHCs
WME
(Bn. RMB)
Top 23 cities
% of Total
CHC market
75.0%7,500 6.30
Shanghai
WuhanChengdu
Beijing
Shenyang
Nanjing
Hangzhou
Tianjin
Chongqing
Ningbo
Shenzhen
Changsha
Jinan
Harbing
Zhengzhou
Fuzhou
Qingdao
Wenzhou
Xi’An
Kunming
Changchun
Guangzhou
Suzhou
Total #
of CHCs
WME
(Bn. RMB)
Top 23 cities
Top 23 cities + 50 KM
% of Total
CHC market
75.0%
85.0%
7,500
14,900
6.30
7.00
Shanghai
WuhanChengdu
Beijing
Shenyang
Nanjing
Hangzhou
Tianjin
Chongqing
Ningbo
Shenzhen
Changsha
Jinan
Harbing
Zhengzhou
Fuzhou
Qingdao
Wenzhou
Xi’An
Kunming
Changchun
Guangzhou
Suzhou
Total #
of CHCs
WME
(Bn. RMB)
Top 23 cities
Top 23 cities + 50 KM
Top 23 cities + 2hr fast train
% of Total
CHC market
75.0%
85.0%
88.0%
7,500
14,900
16,900
6.30
7.00
7.50
Sources: Loudon analysis
China CHC Territory Management Strategy Scenario III: Focus on Top 23 Cities
CHC potential Analysis on its 2hrs economic circle
Illustrative
16Loudon Far EastLoudon Far East
CHC Departments and Patient Size
Department
% of
CHCs
# of half
day
practice
per week
Weekly
Patient
Size in
OPD
Monthly
Patient
Size in
IPD
IM/General practice
大内科 / 全科
100.0 11.3 423.4 0.0
Precaution and health care
预防保健科
87.2 8.7 125.0 0.0
TCM (TCM&WM )
中医科(中西医结合科)
83.0 9.8 207.9 0.0
Gynecology (Obstetrics)
妇科(产科)
78.1 9.9 155.0 0.0
Surgery 外科 76.6 10.3 230.6 19.5
Dentistry 牙科 72.1 9.9 73.0 0.0
Acupuncture & massage
针灸推拿科
69.1 9.3 26.5 0.0
Physical therapy
理疗科
66.4 9.4 80.0 0.0
Pediatric 儿科 63.0 9.7 180.0 0.0
ENT 耳鼻喉科 53.2 8.8 113.0 0.0
Child care
儿童保健科
40.8 9.2 102.0 0.0
WM 西医科 1.5 10.3 347.5 0.0
Orthopedics 骨科 1.1 10.0 163.3 15.0
Dermatology 皮肤科 0.8 10.0 135.0 0.0
Pain management
疼痛科
0.4 10.0 250.0 20.0
ER 急诊科 0.4 14.0 118.3 0.0
Average Number of Departments Per CHC
In-patient Department Setting in CHC
CHCs Have an average of 8 Depts and 48% of CHCs Have In-Patient Dept.
All CHCs have set up IM/general practice
47.5
36.7
44.4
62.4
Total Tier I Tier II Tier III
% of CHC
with IPD
47.5% 36.7% 44.4% 62.4%
# of beds
per CHC
51.8 81.2 56.3 30.1
7.9 8.9 8.1 6.8
Source: Loudon analysis, Physician FTF interview SA, A1,A2, A4
More than 50% of hospitals have these Top 10 depts
Total Tier I Tier II Tier III
# of physicians/
CHC
31 40 35 17
# of physicians/
dept.CHC
3.9 4.5 4.3 2.5
Illustrative
17Loudon Far EastLoudon Far East
Convenient Location is the Main Reason for Patients to Go to CHCs
Key Drivers for Visiting CHCs (% of patients)
Close to home
Medicines are cheaper than level II or III hospitals
Little illness, no necessary to visit big hospitals
Fewer patients, less time for queuing
Free registration fee
CHC physicians is nice and patient
Familiar with CHC physicians
Consult firstly, see if the disease is serious
Can ask for appointed drugs
Vaccination, no necessary to visit big hospitals
The service quality CHC been improved
Injection, no necessary to visit big hospitals
Take examination, no needs to visit big hospitals
Not strict, you can use the family member's card
Not strict, you can use several cards to avoid
medical insurance cap
8.7
7.2
5.7
5.2
4.3
84.7
31.1
30.0
24.9
18.4
17.3
13.5
11.0
1.5
1.3
Tier I Cities Tier II Cities Tie III Cities
87.2 84.1 82.7
35.7 37.9 19.7
23.7 36.3 29.9
30.2 29.7 14.7
15.9 23.3 15.9
12.7 23.0 16.3
15.3 11.4 13.8
8.2 14.0 10.8
18.4 4.6 3.0
8.2 7.9 5.4
5.0 6.3 5.9
1.9 8.3 5.2
3.6 5.2 4.1
2.2 1.6 0.7
2.7 0.8 0.3
Illustrative
18Loudon Far EastLoudon Far East
Diagnosis % of Patients
Disease 1 60.0
Disease 2 10.0
Disease 3 5.0
Disease 4 4.8
Disease 5 3.8
Disease 6 3.6
Disease 7 3.2
Disease 8 3.0
Disease 9 1.1
50% of Patients Come for Diagnosis
75% patients are suffering from Disease 1, 2 and 3.
Source: Loudon analysis, patient FTF interview Q6, B1
Diagnosis % of Patients
Disease 10 1.0
Disease 11 0.9
Disease 12 0.7
Disease 13 0.7
Disease 14 0.6
Disease 15 0.6
Disease 16 0.5
Disease 17 0.4
Disease 18 0.4
Come for injection
4.0%
Bandage wound
3.0%
Total Patient
100%
Get vaccination in
POV
15.0%
Follow-up visit to
fill prescription
20.0%
Physician
examination
1.0%
Diagnosis
50.0%
Pregnancy and
Maternal care
2.0%
Routine exam only
5.0%
Others
10.0%
Indication or disease
Illustrative
19Loudon Far EastLoudon Far East
Indication/TA % of Patients
Disease 1 30.0
Disease 2 15.0
Disease 3 9.0
Disease 4 6.0
Disease 5 3.4
Disease 6 3.4
Disease 7 3.2
Disease 8 2.1
Disease 9 1.8
20% of Patients Come to CHC for Filling Prescription
Major patients have chronic disease: Disease 1,2 and 3
Source: Loudon analysis, patient FTF interview Q6, B1
Diagnosis % of Patients
Disease 10 1.8
Disease 11 1.6
Disease 12 1.3
Disease 13 1.3
Disease 14 1.3
Disease 15 1.1
Disease 16 1.1
Disease 17 1.1
Disease 18 0.8
Indication or disease
Come for injection
4.0%
Bandage wound
3.0%
Total Patient
100%
Get vaccination in
POV
15.0%
Follow-up visit to
fill prescription
20.0%
Physician
examination
1.0%
Come for
diagnosis
50.0%
Pregnancy and
Maternal care
2.0%
Routine exam only
5.0%
Others
10.0%
Illustrative
20Loudon Far EastLoudon Far East
27% of Physicians Feel Dissatisfied about their Career Development
Physicians required more Continuous Medical Education (CME)
Dissatisfied
Dissatisfied Neural Satisfied
Neural Satisfied
Dissatisfied Neural Satisfied
Tier I
Tier II
Tier III
• Dissatisfied organization chart of the
departments
• Insufficient investment on training
• Few opportunities of academic activities and
events
• Lack of expertise in specialized areas
• Too busy to learn
• Difficult to be promoted
• Help doctors to improve diagnosis experience
• Healthcare resource sharing with large hospitals
• More continuous education and academic
meetings
• Software application training
• Establish more expert consultation
• Medical information services of the latest
clinical development
• Attract more medical undergraduates
• More interactions of pharmaceutical companies
Satisfactions of Career Development Unmet needs
Suggestions
Dissatisfied Neural Satisfied
26.8%
22.2%
31.1%
27% of Physicians Feel
Dissatisfied
27.8%
Source: Loudon analysis, Physician FTF interview B20-21
Illustrative
21Loudon Far EastLoudon Far East
18.4
63.0
63.0
81.4
18.6
3.6
93.0
93.0
96.6
3.4
Local Western Medicines Occupies CHC Market
A visit in CHC costs an average of 78 RMB
% of Imported and Local Medicines
(% of patients)
% of Western Medicines and TCM
(% of patients)
Medicine Expenditure and Medical Reimbursement
Total WM and Both WM
77.5
48.4
Total
Value of Rx
Out of
Pocket
Total
Value of Rx
Out of
Pocket
Total
Value of Rx
Out of
Pocket
Total
Value of Rx
Out of
Pocket
103.1
40.1
78.6
67.2
49.0
37.8
37.5%
61.2%
14.5%
22.8%
Total Patients Tier I Tier II Tier III
Both
TCM
WM
Total Local and Both Local
Both
Imported
Local
Illustrative
22Loudon Far EastLoudon Far East
54.7 45.3
45% Physicians Switch Medicine when the Pre-determined are Unavailable
Most physicians consider “Medicine efficacy” when switch medicine
When Pre-determined Medicine
Unavailable
Medicine Switch Pattern
(% of patients)
Same category
different generic name
40.0%
Same generic name
different brand name
35.2%
Different category 24.8%
Switch different
brands among local
medicines
44.7%
Switch imported to
local medicine s
25.1%
Switch local to
imported medicines
17.4%
Switch different
brands among
imported medicines
12.8%
Follow the Prescription of High Level
Hospital
Not Rx and give other advices
Switch medicine
Not switch medicine
Switch medicine
63.2
60.3
45.6
32.4
29.4
22.1
19.1
10.3
4.4
Local or Imported
(% of patients)
Key Consideration When Switching Drugs
(% of physicians)
74.3 25.7
Medicine efficacy
Patient's disease status
Patient's economic
level
Medicine side effects
Clinical experience
Reimbursement
limitation
Patient's willingness
Prescription behavior
Medical rep's
promotion
Illustrative
23Loudon Far EastLoudon Far East
More Examinations and High Treatment Skills are Required By CHC Patients
Satisfaction Level of CHC Service
(% of patients)
Extramely
Dissatisfied
10.2%
Extramely
Dissatisfied
0.6%
Somewhat
Satisfied
57.5%
Somewhat
Dissatisfied
4.7%
Neutral
27.0%
Satisfaction Level=3.7
Unmet Needs of CHC Service
(% of patients)
• Some examinations is not available and lack of
examination facilities in CHCs
28.9%
• CHC physicians' skill is a bit low, only to treat small
diseases.
28.8%
• No OPD practice at weekend or after work 14.0%
• No emergency room 13.5%
• Not RX many medicine as medical insurance
limitation
9.4%
• Appointed drugs are always unavailable 7.8%
• Bad attitude of physicians 4.4%
Illustrative
24Loudon Far EastLoudon Far East
77.9
55.0
39.4
6.9
1.3
0.4
0.4
0.4
78% Physicians Think the State Investment Will Increase After “ 零差价” Policy
62% physicians in tier II cities assume more drug categories in CHC after EDL applied
Change of Drug Categories Number When EDL Applied
(% of physicians)
Perceived Worries And Impact Of “ 零差价” Policy
(% of physicians)
No enough subsidy and government
investment will increase
More treatment will be available in
CHC
CHC staff salary will decrease
CHC income/profit will decrease or
have deficit
No assurance of medicine quality
Who will pay for the balance
Good for patient size increase
Personal career will be influenced
14.0
38.1
47.9
Will
increase
Will not
increase
Not sure
# of Drug
Categories
Tier I Cities Tier II Cities Tier III Cities
Will increase 28.9 62.2 52.9
Will not increase 14.4 12.2 15.3
Not sure 56.7 25.6 31.8
Illustrative
25Loudon Far EastLoudon Far East
Contents
Report Objectives & Methodology
Sampling Plan
Illustrative Outputs
Contents of Report
Cost of Reports
26Loudon Far EastLoudon Far East
China CHC & THC Market Overview - Supply & Demand
Contents of Report (1/2)
1. Market Overview
− The supply side
Market size, out patients caseload, physicians, number of community centers/hospitals including
number of hospital beds by provinces. Their growth trends including patient caseload during the
past years.
− The demand side
Population demographics, the population is covered by three types of healthcare programs. The
healthcare expenditure.
2. Market Overview - CHC/THC Supply Side
− CHC pharma market: by hospital type and by province
− Number of CHC/THC hospitals by province
− Number of CHC/THC physicians by province
− Number of CHC/THC hospital beds by province
− CHCs & THCs’ outpatient caseload by province
27Loudon Far EastLoudon Far East
China CHC & THC Market Overview - Supply & Demand
Contents of Report (2/2)
3. Market Overview - CHC/THC Demand Side
− Total CHC/THC catchment population demographic breakdown by province
− CHC/THC population covered by which reimbursement schemes by province
− CHC/THC catchment population’s GDP income status by province
− CHC/THC hospital physicians and their hospital beds ratio by province
− CHC/THC expenditures by province as % of total market spend
− CHC/THC outpatient numbers & visits and average outpatient expenditure by province
4. CHC Market Analysis and Territory Management Strategy
− Concentration of CHC market segments
− Concentration of THC market segments
− Territory management of CHC and THC markets
28Loudon Far EastLoudon Far East
China CHC Market Opportunities - Physicians & Patients Perspectives
Contents of Report (1/2)
1. Patients & Diseases
− What diseases are treated for in-patients and out-patients
− Key drivers to consult in CHCs rather than big hospitals
(e.g. diagnosis, retention of prescriptions, recheck of lab tests, etc.)
− Current level of doctor and patient satisfaction with CHC services and gap analysis
− Current trends for future services for the CHC market and CHC stations
2. CHCs and CHC Stations
− Analysis of current specialties and those in future to be developed in CHCs
− Analysis of typical current CHC resourcing setup: equipments, lab exams, staff, dispensary
traffic and how current resourcing will look in the future
− Number of medicines in the CHC dispensaries (both Western and TCMs)
− Current pattern of CHC hospital purchasing: direct use of an exclusive or several distributors
− Analysis of the prescriptions of medicines not on the current CHC hospitals’ formulary
2. Physicians
− Number of CHC hospitals’ physicians segmented by their specialties
− CHC staff profile: age, working years, education background, gender and family status.
29Loudon Far EastLoudon Far East
China CHC Market Opportunities - Physicians & Patients Perspectives
Contents of Report (2/2)
− Typical CHC physicians’ prescription attitudes and behaviors towards patients
− Various formats used for CME (continuous medical education)
− Key issues and current unmet needs of CHC physicians
− CHC physicians’ awareness and perceptions of local brands and MNCs’ brands
4.E-marketing Opportunity of CHC Physicians
− CHC physician’s internet surfing habits
a) Frequency, location
b) Main purposes of internet surfing
c) Regularly visited websites to get medical information
− CHC Physician’s Preference for Online Medical Information
a) Online CME (continuous medical education)
b) Net conference organized by pharma companies
− E-marketing Opportunity for CHC Physician
a) Experience of attending e-marketing activities
b) Willingness to attend e-marketing activities
c) Favorite e-marketing activities (net conference, email, e-detailing, etc)
d) Evaluation and attitude towards e-marketing activities
30Loudon Far EastLoudon Far East
China THC Market Opportunities, from Physicians and Patients Perspectives
Contents of Report (1/2)
 
1.Patients & Diseases
− What diseases are treated for in-patients and out-patients
− Key drivers to consult in THCs rather than big hospitals: (e.g. diagnosis, retention of
prescriptions, recheck of lab tests, etc.)
− Current level of doctor and patient satisfaction with THC services and gap analysis
− Current trends for future services for the THC market
2.Basic Facts of THCs
− Analysis of current specialties and those in future to be developed in THCs
− Analysis of typical current THC resourcing setup: equipments, lab exams, staff, dispensary
traffic and how current resourcing will look in the future
− Number of medicines (Western and TCMs) in the THC dispensaries
− Current pattern of THC hospital purchasing: direct use of an exclusive or several distributors
− Analysis of the prescriptions of medicines not on the current THC hospitals’ formulary
3.Physicians
− Number of THC hospitals’ physicians segmented by their specialties
− THC staff profile: age, working years, education background, gender and family status.
31Loudon Far EastLoudon Far East
China THC Market Opportunities, from Physicians and Patients Perspectives
Contents of Report (2/2)
− Typical THC physicians’ prescription attitudes and behaviors towards patients
− Various formats used for CME (Continuous Medical Education)
− Key issues and current unmet needs of THC physicians
− THC physicians’ awareness and perceptions of local brands and MNCs’ brands
4.E-marketing Opportunity of THC Physicians
− THC physician’s internet surfing habits
a) Frequency, location
b) Main purposes of internet surfing
c) Regularly visited websites to get medical information
− THC Physician’s Preference for Online Medical Information
a) Online CME (continuous medical education)
b) Net conference organized by pharma companies
− E-marketing Opportunity for THC Physician
a) Experience of attending e-marketing activities
b) Willingness to attend e-marketing activities
c) Favorite e-marketing activities (net conference, email, e-detailing, etc)
d) Evaluation and attitude towards e-marketing activities
32Loudon Far EastLoudon Far East
Contents
Report Objectives & Methodology
Sampling Plan
Illustrative Outputs
Contents of Report
Cost of Reports
33Loudon Far EastLoudon Far East
Cost of Reports
Report Wave 2010 Wave 2013
1. China CHC & THC Market Overview Report
Supply & Demand
100,000 CNY
16,500 USD
100,000 CNY
16,500 USD
2. China CHC Market Opportunities Report
Physicians & Patients
300,000 CNY
45,000 USD
200,000 CNY
33,000 USD
3. China THC Market Opportunities Report
Physicians & Patients
NA 200,000 CNY
33,000 USD
E-marketing opportunities with CHC Physicians 70,000 Cost included in
Report 2
Early bird 10% discount for subscribing :
- to Report 1 before July 15
- to Reports 2 & 3 before August 15
Clients who had subscribed to version 2010 will be offered with special discounts
Please contact your account service managers.
34Loudon Far EastLoudon Far East
For more information, please contact your Senior Account Service Manager:
Bruno Vayssié
Tel. : +86 21 6290 2121 x 171
Mobile : +86 134 728 725 67
E-mail : bruno.vayssie@loudon-research.com
Thank You!

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Intro china chc & thc market reports 2013

  • 1. 1Loudon Far EastLoudon Far East Multi-client reports prepared for the healthcare industry By Date: June 2013 Introduction to “2013 China Broad Market Reports” CHC & THC Markets Landscape Studies
  • 2. 2Loudon Far EastLoudon Far East Contents Report Objectives & Methodology Sampling Plan Illustrative Outputs Contents of Report Cost of Reports
  • 3. 3Loudon Far EastLoudon Far East Key Questions to Identify China CHC & THC Market Opportunities These questions are answered in the reports • Size of CHC/THC segments, potential, growth & which provinces to target? • Patients profile: healthcare coverage, objectives of the visits? • What diseases are diagnosed in CHCs & THCs? • What diseases are treated in CHCs & THCs? (e.g.: HRT?, BPH?, HBV?, etc) • Hospital specialties & physicians’ unmet needs, what can MNCs do? • Patients unmet needs & what can MNCs do? • Prescription switching & brand loyalty ? • Patients consulting processes: diagnosis, initiation, retention, leverage points for MNCs? • Patients perception of imported/JV products by TAs & premium they are willing to pay? • Is e-marketing the right approach in China to target CHCs & THCs? 1 2 3 4 5 6 7 8 9 10
  • 4. 4Loudon Far EastLoudon Far East What’s New in 2013 Reports? Compared to 2010 reports “China CHC Market Landscape Studies” • Add a brand new report about China THC Market • Update the CHC & THC market facts based upon the latest data and information • Incorporate the latest policies regarding CHCs & THCs ( i.e.: Listing, tendering, etc.) • Increase the sample size of physicians and patients interviews: – from 2,700 to 6,000 patients FTF Interviews – from 270 to 290 physicians FTF Interviews • Integrated “e-marketing opportunities report” into both CHC & THC individual reports • Lower subscription fees vs 2010: – China CHC & THC Market Overview – Supply & Demand Sides 100,000 RMB incl. additional valuable information on THC market but same subscription as in 2010. – China CHC Market Opportunities – Physicians & Patients Perspectives TBD Integrate information on both Physicians AND Patients (2010 value 300,000 RMB) and e-marketing opportunities report information (2010 value: 70,000 RMB) – China THC Market Opportunities – Physicians & Patients Perspectives TBD New report available (not available in 2010), integrate information on e-marketing opportunities
  • 5. 5Loudon Far EastLoudon Far East Wide Range of Data Sources & Resources Loudon’s Data Collection Loudon Databases Hospital Database • MOH hospital databases • CHC database • THC databases • PLA hospital database City Database • Demography • Social Economics • Healthcare expenditure • Healthcare data base Primary and secondary marketing research Desk Research • Loudon database • Public information in provincial MOH and other domains Qualitative In-Depth Interviews (IDIs) • 12 IDIs with CHC physicians • 12 IDIs with CHC patients • 12 IDIs with THC physicians • 12 IDIs with THC patients Quantitative Face to Face Interviews (FTFs) • 3,000 FTFs with CHC patients • 3,000 FTFs with THC patients • 290 FTFs with physicians
  • 6. 6Loudon Far EastLoudon Far East • Patients caseload & Diseases type • Key drivers to go to CHC and THC • Satisfaction of CHC, THC services and unmet needs • Staff profile and specialties set up in CHC, THC • Numbers of medicines (WM, TCMs) in pharmacies • Typical CHC, THC physicians prescription behaviors • Physician information channel and unmet needs • Number of CHC and hospitals, physicians, hospital beds by provinces • CHC, THC out patients caseload by provinces • Population, aged population, GDP income status , Healthcare expenditures by provinces • CHC, THC out patient visit average expenditure by provinces • Segment of CHC and THC market by size, key parameters of suppliers and demanders. • Finalize research and analysis plans • Review of internal data and reports • Develop analysis plan Phase: Module: Deliverable: • Survey plans • Guidelines • Question- naires Physician interviews • 12 In-depth interviews with CHC physicians • 12 In-depth interviews with THC physicians • 290 face to face interviews with physicians a Preparation Phase I: Market Landscape Phase II: Market Opportunities The Landscape Study are Divided Into Two Phases Public information, Loudon databases, interviews of physicians and patients Patient interviews • 12 In-depth interviews with CHC patients • 12 In-depth interviews with CHC patients • 6,000 face to face interviews with patients Desk Survey •Loudon database •Public information in provincial MOH and other domains a Data Base • MOH hospital databases • CHC database • THC databases • PLA hospital database b b
  • 7. 7Loudon Far EastLoudon Far East Contents Report Objectives & Methodology Sampling Plan Illustrative Outputs Contents of Report Cost of Reports
  • 8. 8Loudon Far EastLoudon Far East Data Collection Plan Physician and Patient Interviews (1/2) 290 IDIs with physicians and 6,000 FTFs with patients THC Tier I Tier II Physician Numbers of Interviews Beijing Wuhan 15 8 5 8 8 CHC Shanghai Guangzhou Shenyang 15 15 8 8 15 Physician 8Chengdu 8 8Xi’an 300 300 160 160 300 Patients 160 Patients 300 160 100 160 160 160 160 Nanjing 8 8 160 160 5 100 Tier III Foshan 6 6Taizhou 6 6 6Baoding 6 6Taiyuan 120 120 120 120 120 120 1206 120
  • 9. 9Loudon Far EastLoudon Far East Tier IV Tier V Data Collection Plan Physician and Patient Interviews (2/2) 290 IDIs with physicians and 6,000 FTFs with patients Kunshan Xianyang 6 6 6 5 6 Fushun Huizhou Suining 4 4 4 3 4 5Jingmen 3 5Yuyao 80 80 80 75 80 75 120 120 120 110 120 110 110 Dandong 3 3 75 75 5 110 Tier VI Jieshou 3 3Penglai 2 2 3Honghu 2 3DJY 50 50 50 75 75 75 752 50 145Total 3,000145 3,000 THC Physician Numbers of Interviews CHC Physician Patients Patients
  • 10. 10Loudon Far EastLoudon Far East Study Was Conducted In 24 Cities & 9 Provinces Western Medicine Expenditure ranking from No. 1 to No. 626 Source: Loudon in house database Shanghai Wuhan Chengdu Tier I city Urban pop: 13.5 Mn . Urban disposable income/cap: RMB 23.6 K Tier II city Urban pop.: 6.9 . Urban disposable Tier I city Urban pop: 8.3 Mn . Beijing Tier I city . Urban disposable Shenyang Guangzhou Nanjing Tier II city Urban pop.: 7.4 Mn . Urban disposable Suining Tier II city Urban pop: 14.1 Mn . Urban disposable Tier II city Urban pop: 11.2 Mn . Urban disposable income/cap: RMB 16.9 K Tier II city Urban pop: 7.4 Mn . Urban disposable income/cap: RMB 13.9 K Tier VITier VTier I Tier II Tier III Tier IV Taiyuan Taizhou Baoding Kunsan Xi’an Xianyang Jingmen Yuyao Jieshou DJY Foshan Fushun Huizhou Dandong Penglai Honghu Tier I city Pop(Mil.) Ranking WME Shanghai 2.30 1 Beijing 1.96 2 Guangzhou 1.27 3 Tier II city Pop(Mil.) Ranking WME Wuhan 0.98 6 Nanjing 0.81 7 Chengdu 1.40 9 Shenyang 0.81 11 Xi'an 0.85 19 Tier III city Pop(Mil.) Ranking WME Foshan 0.72 29 Tiayuan 0.42 34 Taizhou 0.46 38 Baoding 1.12 50 Tier IV city Pop(Mil.) Ranking WME Huizhou 0.46 62 Kunsan 0.16 106 Xianyang 0.51 112 Fushun 0.21 158 Tier V city Pop(Mil.) Ranking WME Yuyao 0.10 182 Suining 0.33 184 Jingmen 0.29 203 Dandong 0.24 204 Tier VI city Pop(Mil.) Ranking WME Penglai 0.045 356 DJY 0.066 460 Jieshou 0.056 538 Honghu 0.082 626
  • 11. 11Loudon Far EastLoudon Far East Contents Report Objectives & Methodology Sampling Plan Illustrative Outputs Contents of Report Cost of Reports
  • 12. 12Loudon Far EastLoudon Far East 25.0 2.0 33.8 16.0 46.2 25.0 15.5 9.0 23.0 13.0 9.0 33.8 24.0 46.2 30.0 15.5 7.0 17.0 8.0 3.0 33.0 24.0 46.0 36.0 16.0 11.0 18.0 Pharma Market & Hospital Segments in Shanxi CHC only accounts for 2.0% of total Shanxi pharma market Shanxi Hospital Segments Illustrative Source: Loudon Analysis, MOPH & CHC Database, Dummy slides PLA Hospitals (S3) (N=5) IMS Hospital Audit RMB (Bn.) MS MOH Hos <100 Beds (S2) (N=720) Community Health Center (Station) (S4) (N=530) S1 S3S2 S4 MOH Hos ≥100 beds (S1) (N=300) TOT Size (beds) Patient Caseload by Segments WME by Segments Shanxi Pharma Market Segments Hospital Beds Number by Segments >=800 500-799 300-499 <300 CHC (Station) THC Size (beds) >=800 500-799 300-499 <300 CHC (Station) THC Size (beds) >=800 500-799 300-499 <300 CHC (Station) THC 2.50 0.51 0.10 0.07 0.20 3.38 74.0% 15.1% 3.0% 2.1% 5.9% 100.0% 1.0 2.0 2.0 16.0 46.0 33.0 (% of hospitals) (% of beds) (% of hospitals) (% of patient caseload) (% of hospital) (% of WME) 1.0 2.0 2.0 16.0 46.0 33.0 1.0 2.0 2.0 16.0 46.0 33.0 Township Health Center (S5) (N=1500) S5
  • 13. 13Loudon Far EastLoudon Far East Top 400 CHCs Account for 50% of CHC Market Market concentration is in line with primary care chronicle disease market 0% 20% 40% 60% 80% 100% 0 20 40 60 80 100 120 140 160 180 200 220 240 260 Hyperlipidemia HRT A rare disease Oncology HBP CHC Market Compared with 5 TA Markets % of WME Rank by Hospital Potential Market Share of Top 50 hospitals Top Hospitals to Cover 50% Market HBP 15.1% 349 hospitals Hyperlipidemia 14.5% 330 hospitals HRT 33.0% 112 hospitals Oncology 52.8% 43 hospitals A rare disease 72.3% 20 hospitals CHC 19.6% 400 CHCs 0% 20% 40% 60% 80% 100% 0 20 40 60 80 100 120 140 160 180 200 220 240 260 HBP % of WME Rank by Hospital Potential MOH Hos <100 Beds MOH Hos ≥100 beds CHC Market Compared with MOH Hos Markets CHC CHC HRT Illustrative
  • 14. 14Loudon Far EastLoudon Far East CHC WME Potential Is Deviated Very Much Geographically Normal Distribution Graph of CHC Market Size Prioritized Market 1 Total CHC Market Prioritized Market 2 Prioritized Market 3 Prioritized Market 4 Normal Distribution Graph of CHC Market SizeOptimize Your Sales Force Resource 0 4 8 12 16 0 10 20 30 40 50 60 Group I II III IV V Others Number of sales call #ofsalescalls Maximize ROI of sales from high potential CHCs Sales, product prescriptions Optimize the sales call to most potential CHCs WME(Mn.RMB) 1.080.700.680.57 0.85 WME (Mn. RMB) Illustrative
  • 15. 15Loudon Far EastLoudon Far East Shanghai WuhanChengdu Beijing Shenyang Nanjing Hangzhou Tianjin Chongqing Ningbo Shenzhen Changsha Jinan Harbing Zhengzhou Fuzhou Qingdao Wenzhou Xi’An Kunming Changchun Guangzhou Suzhou Total # of CHCs WME (Bn. RMB) Top 23 cities % of Total CHC market 75.0%7,500 6.30 Shanghai WuhanChengdu Beijing Shenyang Nanjing Hangzhou Tianjin Chongqing Ningbo Shenzhen Changsha Jinan Harbing Zhengzhou Fuzhou Qingdao Wenzhou Xi’An Kunming Changchun Guangzhou Suzhou Total # of CHCs WME (Bn. RMB) Top 23 cities Top 23 cities + 50 KM % of Total CHC market 75.0% 85.0% 7,500 14,900 6.30 7.00 Shanghai WuhanChengdu Beijing Shenyang Nanjing Hangzhou Tianjin Chongqing Ningbo Shenzhen Changsha Jinan Harbing Zhengzhou Fuzhou Qingdao Wenzhou Xi’An Kunming Changchun Guangzhou Suzhou Total # of CHCs WME (Bn. RMB) Top 23 cities Top 23 cities + 50 KM Top 23 cities + 2hr fast train % of Total CHC market 75.0% 85.0% 88.0% 7,500 14,900 16,900 6.30 7.00 7.50 Sources: Loudon analysis China CHC Territory Management Strategy Scenario III: Focus on Top 23 Cities CHC potential Analysis on its 2hrs economic circle Illustrative
  • 16. 16Loudon Far EastLoudon Far East CHC Departments and Patient Size Department % of CHCs # of half day practice per week Weekly Patient Size in OPD Monthly Patient Size in IPD IM/General practice 大内科 / 全科 100.0 11.3 423.4 0.0 Precaution and health care 预防保健科 87.2 8.7 125.0 0.0 TCM (TCM&WM ) 中医科(中西医结合科) 83.0 9.8 207.9 0.0 Gynecology (Obstetrics) 妇科(产科) 78.1 9.9 155.0 0.0 Surgery 外科 76.6 10.3 230.6 19.5 Dentistry 牙科 72.1 9.9 73.0 0.0 Acupuncture & massage 针灸推拿科 69.1 9.3 26.5 0.0 Physical therapy 理疗科 66.4 9.4 80.0 0.0 Pediatric 儿科 63.0 9.7 180.0 0.0 ENT 耳鼻喉科 53.2 8.8 113.0 0.0 Child care 儿童保健科 40.8 9.2 102.0 0.0 WM 西医科 1.5 10.3 347.5 0.0 Orthopedics 骨科 1.1 10.0 163.3 15.0 Dermatology 皮肤科 0.8 10.0 135.0 0.0 Pain management 疼痛科 0.4 10.0 250.0 20.0 ER 急诊科 0.4 14.0 118.3 0.0 Average Number of Departments Per CHC In-patient Department Setting in CHC CHCs Have an average of 8 Depts and 48% of CHCs Have In-Patient Dept. All CHCs have set up IM/general practice 47.5 36.7 44.4 62.4 Total Tier I Tier II Tier III % of CHC with IPD 47.5% 36.7% 44.4% 62.4% # of beds per CHC 51.8 81.2 56.3 30.1 7.9 8.9 8.1 6.8 Source: Loudon analysis, Physician FTF interview SA, A1,A2, A4 More than 50% of hospitals have these Top 10 depts Total Tier I Tier II Tier III # of physicians/ CHC 31 40 35 17 # of physicians/ dept.CHC 3.9 4.5 4.3 2.5 Illustrative
  • 17. 17Loudon Far EastLoudon Far East Convenient Location is the Main Reason for Patients to Go to CHCs Key Drivers for Visiting CHCs (% of patients) Close to home Medicines are cheaper than level II or III hospitals Little illness, no necessary to visit big hospitals Fewer patients, less time for queuing Free registration fee CHC physicians is nice and patient Familiar with CHC physicians Consult firstly, see if the disease is serious Can ask for appointed drugs Vaccination, no necessary to visit big hospitals The service quality CHC been improved Injection, no necessary to visit big hospitals Take examination, no needs to visit big hospitals Not strict, you can use the family member's card Not strict, you can use several cards to avoid medical insurance cap 8.7 7.2 5.7 5.2 4.3 84.7 31.1 30.0 24.9 18.4 17.3 13.5 11.0 1.5 1.3 Tier I Cities Tier II Cities Tie III Cities 87.2 84.1 82.7 35.7 37.9 19.7 23.7 36.3 29.9 30.2 29.7 14.7 15.9 23.3 15.9 12.7 23.0 16.3 15.3 11.4 13.8 8.2 14.0 10.8 18.4 4.6 3.0 8.2 7.9 5.4 5.0 6.3 5.9 1.9 8.3 5.2 3.6 5.2 4.1 2.2 1.6 0.7 2.7 0.8 0.3 Illustrative
  • 18. 18Loudon Far EastLoudon Far East Diagnosis % of Patients Disease 1 60.0 Disease 2 10.0 Disease 3 5.0 Disease 4 4.8 Disease 5 3.8 Disease 6 3.6 Disease 7 3.2 Disease 8 3.0 Disease 9 1.1 50% of Patients Come for Diagnosis 75% patients are suffering from Disease 1, 2 and 3. Source: Loudon analysis, patient FTF interview Q6, B1 Diagnosis % of Patients Disease 10 1.0 Disease 11 0.9 Disease 12 0.7 Disease 13 0.7 Disease 14 0.6 Disease 15 0.6 Disease 16 0.5 Disease 17 0.4 Disease 18 0.4 Come for injection 4.0% Bandage wound 3.0% Total Patient 100% Get vaccination in POV 15.0% Follow-up visit to fill prescription 20.0% Physician examination 1.0% Diagnosis 50.0% Pregnancy and Maternal care 2.0% Routine exam only 5.0% Others 10.0% Indication or disease Illustrative
  • 19. 19Loudon Far EastLoudon Far East Indication/TA % of Patients Disease 1 30.0 Disease 2 15.0 Disease 3 9.0 Disease 4 6.0 Disease 5 3.4 Disease 6 3.4 Disease 7 3.2 Disease 8 2.1 Disease 9 1.8 20% of Patients Come to CHC for Filling Prescription Major patients have chronic disease: Disease 1,2 and 3 Source: Loudon analysis, patient FTF interview Q6, B1 Diagnosis % of Patients Disease 10 1.8 Disease 11 1.6 Disease 12 1.3 Disease 13 1.3 Disease 14 1.3 Disease 15 1.1 Disease 16 1.1 Disease 17 1.1 Disease 18 0.8 Indication or disease Come for injection 4.0% Bandage wound 3.0% Total Patient 100% Get vaccination in POV 15.0% Follow-up visit to fill prescription 20.0% Physician examination 1.0% Come for diagnosis 50.0% Pregnancy and Maternal care 2.0% Routine exam only 5.0% Others 10.0% Illustrative
  • 20. 20Loudon Far EastLoudon Far East 27% of Physicians Feel Dissatisfied about their Career Development Physicians required more Continuous Medical Education (CME) Dissatisfied Dissatisfied Neural Satisfied Neural Satisfied Dissatisfied Neural Satisfied Tier I Tier II Tier III • Dissatisfied organization chart of the departments • Insufficient investment on training • Few opportunities of academic activities and events • Lack of expertise in specialized areas • Too busy to learn • Difficult to be promoted • Help doctors to improve diagnosis experience • Healthcare resource sharing with large hospitals • More continuous education and academic meetings • Software application training • Establish more expert consultation • Medical information services of the latest clinical development • Attract more medical undergraduates • More interactions of pharmaceutical companies Satisfactions of Career Development Unmet needs Suggestions Dissatisfied Neural Satisfied 26.8% 22.2% 31.1% 27% of Physicians Feel Dissatisfied 27.8% Source: Loudon analysis, Physician FTF interview B20-21 Illustrative
  • 21. 21Loudon Far EastLoudon Far East 18.4 63.0 63.0 81.4 18.6 3.6 93.0 93.0 96.6 3.4 Local Western Medicines Occupies CHC Market A visit in CHC costs an average of 78 RMB % of Imported and Local Medicines (% of patients) % of Western Medicines and TCM (% of patients) Medicine Expenditure and Medical Reimbursement Total WM and Both WM 77.5 48.4 Total Value of Rx Out of Pocket Total Value of Rx Out of Pocket Total Value of Rx Out of Pocket Total Value of Rx Out of Pocket 103.1 40.1 78.6 67.2 49.0 37.8 37.5% 61.2% 14.5% 22.8% Total Patients Tier I Tier II Tier III Both TCM WM Total Local and Both Local Both Imported Local Illustrative
  • 22. 22Loudon Far EastLoudon Far East 54.7 45.3 45% Physicians Switch Medicine when the Pre-determined are Unavailable Most physicians consider “Medicine efficacy” when switch medicine When Pre-determined Medicine Unavailable Medicine Switch Pattern (% of patients) Same category different generic name 40.0% Same generic name different brand name 35.2% Different category 24.8% Switch different brands among local medicines 44.7% Switch imported to local medicine s 25.1% Switch local to imported medicines 17.4% Switch different brands among imported medicines 12.8% Follow the Prescription of High Level Hospital Not Rx and give other advices Switch medicine Not switch medicine Switch medicine 63.2 60.3 45.6 32.4 29.4 22.1 19.1 10.3 4.4 Local or Imported (% of patients) Key Consideration When Switching Drugs (% of physicians) 74.3 25.7 Medicine efficacy Patient's disease status Patient's economic level Medicine side effects Clinical experience Reimbursement limitation Patient's willingness Prescription behavior Medical rep's promotion Illustrative
  • 23. 23Loudon Far EastLoudon Far East More Examinations and High Treatment Skills are Required By CHC Patients Satisfaction Level of CHC Service (% of patients) Extramely Dissatisfied 10.2% Extramely Dissatisfied 0.6% Somewhat Satisfied 57.5% Somewhat Dissatisfied 4.7% Neutral 27.0% Satisfaction Level=3.7 Unmet Needs of CHC Service (% of patients) • Some examinations is not available and lack of examination facilities in CHCs 28.9% • CHC physicians' skill is a bit low, only to treat small diseases. 28.8% • No OPD practice at weekend or after work 14.0% • No emergency room 13.5% • Not RX many medicine as medical insurance limitation 9.4% • Appointed drugs are always unavailable 7.8% • Bad attitude of physicians 4.4% Illustrative
  • 24. 24Loudon Far EastLoudon Far East 77.9 55.0 39.4 6.9 1.3 0.4 0.4 0.4 78% Physicians Think the State Investment Will Increase After “ 零差价” Policy 62% physicians in tier II cities assume more drug categories in CHC after EDL applied Change of Drug Categories Number When EDL Applied (% of physicians) Perceived Worries And Impact Of “ 零差价” Policy (% of physicians) No enough subsidy and government investment will increase More treatment will be available in CHC CHC staff salary will decrease CHC income/profit will decrease or have deficit No assurance of medicine quality Who will pay for the balance Good for patient size increase Personal career will be influenced 14.0 38.1 47.9 Will increase Will not increase Not sure # of Drug Categories Tier I Cities Tier II Cities Tier III Cities Will increase 28.9 62.2 52.9 Will not increase 14.4 12.2 15.3 Not sure 56.7 25.6 31.8 Illustrative
  • 25. 25Loudon Far EastLoudon Far East Contents Report Objectives & Methodology Sampling Plan Illustrative Outputs Contents of Report Cost of Reports
  • 26. 26Loudon Far EastLoudon Far East China CHC & THC Market Overview - Supply & Demand Contents of Report (1/2) 1. Market Overview − The supply side Market size, out patients caseload, physicians, number of community centers/hospitals including number of hospital beds by provinces. Their growth trends including patient caseload during the past years. − The demand side Population demographics, the population is covered by three types of healthcare programs. The healthcare expenditure. 2. Market Overview - CHC/THC Supply Side − CHC pharma market: by hospital type and by province − Number of CHC/THC hospitals by province − Number of CHC/THC physicians by province − Number of CHC/THC hospital beds by province − CHCs & THCs’ outpatient caseload by province
  • 27. 27Loudon Far EastLoudon Far East China CHC & THC Market Overview - Supply & Demand Contents of Report (2/2) 3. Market Overview - CHC/THC Demand Side − Total CHC/THC catchment population demographic breakdown by province − CHC/THC population covered by which reimbursement schemes by province − CHC/THC catchment population’s GDP income status by province − CHC/THC hospital physicians and their hospital beds ratio by province − CHC/THC expenditures by province as % of total market spend − CHC/THC outpatient numbers & visits and average outpatient expenditure by province 4. CHC Market Analysis and Territory Management Strategy − Concentration of CHC market segments − Concentration of THC market segments − Territory management of CHC and THC markets
  • 28. 28Loudon Far EastLoudon Far East China CHC Market Opportunities - Physicians & Patients Perspectives Contents of Report (1/2) 1. Patients & Diseases − What diseases are treated for in-patients and out-patients − Key drivers to consult in CHCs rather than big hospitals (e.g. diagnosis, retention of prescriptions, recheck of lab tests, etc.) − Current level of doctor and patient satisfaction with CHC services and gap analysis − Current trends for future services for the CHC market and CHC stations 2. CHCs and CHC Stations − Analysis of current specialties and those in future to be developed in CHCs − Analysis of typical current CHC resourcing setup: equipments, lab exams, staff, dispensary traffic and how current resourcing will look in the future − Number of medicines in the CHC dispensaries (both Western and TCMs) − Current pattern of CHC hospital purchasing: direct use of an exclusive or several distributors − Analysis of the prescriptions of medicines not on the current CHC hospitals’ formulary 2. Physicians − Number of CHC hospitals’ physicians segmented by their specialties − CHC staff profile: age, working years, education background, gender and family status.
  • 29. 29Loudon Far EastLoudon Far East China CHC Market Opportunities - Physicians & Patients Perspectives Contents of Report (2/2) − Typical CHC physicians’ prescription attitudes and behaviors towards patients − Various formats used for CME (continuous medical education) − Key issues and current unmet needs of CHC physicians − CHC physicians’ awareness and perceptions of local brands and MNCs’ brands 4.E-marketing Opportunity of CHC Physicians − CHC physician’s internet surfing habits a) Frequency, location b) Main purposes of internet surfing c) Regularly visited websites to get medical information − CHC Physician’s Preference for Online Medical Information a) Online CME (continuous medical education) b) Net conference organized by pharma companies − E-marketing Opportunity for CHC Physician a) Experience of attending e-marketing activities b) Willingness to attend e-marketing activities c) Favorite e-marketing activities (net conference, email, e-detailing, etc) d) Evaluation and attitude towards e-marketing activities
  • 30. 30Loudon Far EastLoudon Far East China THC Market Opportunities, from Physicians and Patients Perspectives Contents of Report (1/2)   1.Patients & Diseases − What diseases are treated for in-patients and out-patients − Key drivers to consult in THCs rather than big hospitals: (e.g. diagnosis, retention of prescriptions, recheck of lab tests, etc.) − Current level of doctor and patient satisfaction with THC services and gap analysis − Current trends for future services for the THC market 2.Basic Facts of THCs − Analysis of current specialties and those in future to be developed in THCs − Analysis of typical current THC resourcing setup: equipments, lab exams, staff, dispensary traffic and how current resourcing will look in the future − Number of medicines (Western and TCMs) in the THC dispensaries − Current pattern of THC hospital purchasing: direct use of an exclusive or several distributors − Analysis of the prescriptions of medicines not on the current THC hospitals’ formulary 3.Physicians − Number of THC hospitals’ physicians segmented by their specialties − THC staff profile: age, working years, education background, gender and family status.
  • 31. 31Loudon Far EastLoudon Far East China THC Market Opportunities, from Physicians and Patients Perspectives Contents of Report (2/2) − Typical THC physicians’ prescription attitudes and behaviors towards patients − Various formats used for CME (Continuous Medical Education) − Key issues and current unmet needs of THC physicians − THC physicians’ awareness and perceptions of local brands and MNCs’ brands 4.E-marketing Opportunity of THC Physicians − THC physician’s internet surfing habits a) Frequency, location b) Main purposes of internet surfing c) Regularly visited websites to get medical information − THC Physician’s Preference for Online Medical Information a) Online CME (continuous medical education) b) Net conference organized by pharma companies − E-marketing Opportunity for THC Physician a) Experience of attending e-marketing activities b) Willingness to attend e-marketing activities c) Favorite e-marketing activities (net conference, email, e-detailing, etc) d) Evaluation and attitude towards e-marketing activities
  • 32. 32Loudon Far EastLoudon Far East Contents Report Objectives & Methodology Sampling Plan Illustrative Outputs Contents of Report Cost of Reports
  • 33. 33Loudon Far EastLoudon Far East Cost of Reports Report Wave 2010 Wave 2013 1. China CHC & THC Market Overview Report Supply & Demand 100,000 CNY 16,500 USD 100,000 CNY 16,500 USD 2. China CHC Market Opportunities Report Physicians & Patients 300,000 CNY 45,000 USD 200,000 CNY 33,000 USD 3. China THC Market Opportunities Report Physicians & Patients NA 200,000 CNY 33,000 USD E-marketing opportunities with CHC Physicians 70,000 Cost included in Report 2 Early bird 10% discount for subscribing : - to Report 1 before July 15 - to Reports 2 & 3 before August 15 Clients who had subscribed to version 2010 will be offered with special discounts Please contact your account service managers.
  • 34. 34Loudon Far EastLoudon Far East For more information, please contact your Senior Account Service Manager: Bruno Vayssié Tel. : +86 21 6290 2121 x 171 Mobile : +86 134 728 725 67 E-mail : bruno.vayssie@loudon-research.com Thank You!

Editor's Notes

  1. ALSO DELETED THE MENTION CONFIDENTIAL SINCE THAT DOCUMENT IS NOT CONFIFDENTIAL AT ALL THAT IS EVEN THE OPPOSITE IT SHOULD BE DISTRIBUTED AND SHARED AT MAXIMUM
  2. ALSO INSERTED A “8 FONT” BREAK BETWEEN EACH LINE TO MAKE THE SUMMARY “LIGHTER”
  3. 0