Original Title: Current Situation and Analysis of Big Health (Medical) Industry Pay attention to Xue Shuo and understand Chankang I. Industry Overview Big health industry is a general term for providing prevention, diagnosis, treatment, rehabilitation and palliative medical goods and services, which usually includes pharmaceutical industry, pharmaceutical commerce, medical services, health care products, health care services and other fields. The Eighteenth National Congress of the Communist Party of China clearly put forward the goal of building a well-off society in an all-round way by 2020. Health is an inevitable condition for promoting the all-round development of the people, and adheres to the direction of serving the people's health, focusing on disease prevention and improving the national health policy. According to the "Healthy China 2020" Strategic Research Report published in August 2012, by 2020, the main health and related indicators will basically reach the level of moderately developed countries, including the goal of "further improving the main national health indicators and reaching 77 years o f life expectancy per capita". At the same time, the document also emphasizes that we should focus on "prevention first", realize the fundamental transformation of medical model, and focus on solving major diseases and related health problems that threaten the health of our people for a long time with public policy and scientific and technological progress. II. Analysis of the Development Status of the Industry 1. Development status of global health industry Health industry has become one of the largest emerging industries in the world, accounting for about 1/10 of the global GWP, and has become a new engine of global economic development. In 2014, the global consumption in the big health industry reached 7468.1 billion US dollars, which shows that the developed high-income countries have the highest expenditure in the big health industry, followed by the medium-sized developed countries and the developing countries. In 2014, the scale of the big health industry in North America was USD 3,223.2 billion, accounting for 41.7% of the total global market; the scale of the big health industry in the European Union was USD 1,783.0 billion, accounting for 23.1%; and the scale in Latin America and the Caribbean was USD 481.3 billion, taking up 6.2%. Statistical Table of Market Scale of Global Big Health Industry from 2009 to 2014 (Unit: USD 100 million) As one of the largest industries in the world, the total annual expenditure on global health care accounts for about 9% of GDP, which is a new engine of global economic development. In the current global stock market value, the health industry related stock market value accounts for about 13% of the total market value. The total global health expenditure increased from 2.20 trillion in 1995 to 6.62 trillion in 2013, with a compound annual growth rate of 6.3%. After entering the 21st century, health care has entered a stage of rapid growth. The new round of growth mainly comes from the population growth of middle and low income countries and middle and high income countries, the continuous release of per capita health demand, and the new round of industrial upgrading brought about by scientific and technological progress, which has brought growth momentum to the development of health industry in developed countries. Total global health expenditure and its growth rate Expand the full text 2. Development Status of China's Big Health Industry China's big health industry is composed of medical health services and non-medical health services, and has formed four basic industrial groups: the medical industry with medical service institutions as the main body, the pharmaceutical industry with the production and marketing of drugs, medical devices and other medical consumables as the main body, and the health products industry with the production and marketing of health food and health products as the main part. Health management service industry with personalized health testing and evaluation, counseling services, conditioning and rehabilitation, security and promotion as the main body. From the perspective of the international big health industry structure, China's big health industry is still in its infancy. Structure Chart of American Big Health Industry Structure Chart of China's Big Health Industry In terms of the total amount, China's medical and health expenditure has reached 3.17 trillion yuan in 2013, accounting for 5.4% of GDP, and the compound growth rate in 2005-13 is 17.54%, which is higher than the compound growth rate of 15.5%. Proportion of China's Health Expenditure to GDP from 2001 to 2013 According to the Research Report on Market Analysis and Development Trend of China's Big Health Industry from 2015 to 2020, the strategy of "Healthy China 2020" clearly States that by 2020, China's main health indicators will basically reach the level of medium-sized developing countries, and the average life expectancy will increase from 73 years in 2005 to 77 years in 2020. The proportion of total health expenditure in GDP should be increased to 6.5-7%, an increase of two percentage points. In September 2013, the State Council issued "Several Opinions on Promoting the Development of Health Services", proposing that by 2020, a health service system covering the whole life cycle should be basically established, and the total scale of health services should reach more than 8 trillion yuan. At the same time,Medical Full Body Coverall, China's large health industry chain has been gradually improved, and new industries are emerging, including pension industry, medical tourism, nutrition and health products R & D and manufacturing, high-end medical equipment R & D and manufacturing. In 2007, the added value of the big health industry accounted for about 6% of GDP, which is lower than the average level of more than 10% in developed countries. With the aging of the population and the acceleration of urbanization, the scale of China's large health industry is expected to be close to 4.5 trillion yuan in 2014, and will be close to 5.5 trillion yuan by 2016, reaching the first place in the world. Structure of China's Health Service Industry from 2009 to 2014 (Unit: 100 million yuan) Market scale of China's health service industry from 2009 to 2014 (unit: trillion yuan) III. Industry Environment and Policy Analysis From the perspective of industry development trend, the big health industry has ushered in a period of accelerated development, and the industry has a high degree of prosperity. There are three engines supporting the high-speed operation of the industry: first, the aging population and environmental pollution have increased the potential demand for health care and medical care of residents; second, the improvement of health awareness of residents has expanded the expenditure on health care; third, policies have promoted the construction of healthy China. These three favorable factors are expected to continue to ferment in the future, thus promoting the sustainable development of the big health industry. 1. The acceleration of population aging and environmental pollution increase the potential demand for health industry Aging and environmental pollution have become the internal factors for the development of large and healthy industries. In 2015, the proportion of the elderly population over 65 years old in China reached 10.5%, and the average life expectancy of Chinese residents in 2010 was 74.83 years old. Looking forward to the future,KN95 Face Mask with Five Layers, the accelerated aging of the population and the extension of life expectancy will be a major trend. In this context, health issues such as old-age care and chronic diseases will be widely concerned. At the same time, the deteriorating environmental conditions have a greater negative impact on the health of residents, which also raises people's attention to health. The three national surveys of death causes show that the standardized mortality rate of malignant tumors in China has increased from 75.6/100000 to 91.24/100000 in the past 30 years, and the deaths of lung cancer, liver cancer and colorectal cancer related to ecological environment and lifestyle have shown an obvious upward trend. Therefore, population aging and environmental problems are the internal factors driving the development of large health industries. Trend and Growth Rate Forecast of China's Population over 60 Years Old China's Population by Age and GDP Growth Rate 2. Promoting health awareness and expanding consumption expenditure The increase of residents' income in China has laid the foundation of purchasing power for the development of the big health industry. International development experience shows that when per capita GDP exceeds 6000 US dollars, it will enter a typical consumption upgrading cycle, and non-necessities consumption will become the main consumption. Since 2011, China's per capita GDP has exceeded 6000 US dollars, and the disposable income of residents has continued to grow, from 15,780 yuan in 2008 to 29,381 yuan in 2014. From 2011 to 2014, the average annual growth rate of urban residents'medical and health expenditure was 10.66%, which was higher than the 10.35% growth rate of residents' consumption expenditure, and showed an obvious upward trend in recent years. In 2014, the growth rate of medical and health expenditure was 14.91%. It was significantly higher than the 8.01% growth rate of consumer spending and the 8.98% growth rate of disposable income of residents. Per capita GDP and per capita disposable income continued to grow. Per capita annual disposable income, annual consumption expenditure and medical and health care expenditure of urban households in China from 2001 to 2015 The promotion of health awareness and the innovation of ideas further promote the development of the big health industry. The improvement of the quality of life makes people have higher requirements for health, and the deterioration of the environment and the increase of life pressure have aroused widespread concern about people's health problems. The innovation of aesthetic concept also makes the medical cosmetology industry enter the stage of mass consumption. 3. Policies to promote China's health construction The 13th Five-Year Plan proposes to upgrade the construction of "healthy China" to a national strategy. The 13th Five-Year Plan proposes to promote the construction of a healthy China, deepen the reform of the medical and health system, rationalize drug prices, implement the linkage of medical treatment, medical insurance and medicine, establish a basic medical and health system covering urban and rural areas and a modern hospital management system, and implement a food safety strategy. In 2016, at the regular meeting of the State Council on February 14, the policy requirements for promoting innovation and upgrading of the pharmaceutical industry were put forward. The continuous introduction of health-related policies has ushered in a policy honeymoon period for the development of the big health industry. The Proposal of Healthy China and Related Policies IV. Industry Development Trend and Risk Warning Looking at the development trend of the industry, the health industry and its related industries will continue to maintain a relatively high growth rate. At the same time, industrial convergence and interweaving of industrial forms will provide a strong impetus for the development of the health industry in the next 5 to 10 years. The three major trends of future industrial development are: first, the diversification and diversification of product forms. The traditional health industry only provides patients with diagnosis and treatment, nursing services and other services, while the future health industry is not limited to this, and has a broader space for development; second, the emerging industrial form is constantly changing. The industry forms representing the future development direction, such as medicine and medical treatment, health care and fitness, and high-end medical equipment, Medical Quickly Delivery Antivirus Coverall ,Quickly Delivery Disposable Protective Clothing, have begun to take shape in China, and have gathered strong and large industrial technical force and capital force, which is a very good opportunity for development; Third, the emergence of a new generation of technology will promote the rapid transformation and development of the domestic health industry. ? Upgrade the industry and product form. The new generation of technology will become an important driving force for the big health industry in the future, providing a strong guarantee for strategic development, including cloud computing, Internet of Things, mobile Internet and so on. Many medical and health institutions are very concerned about the application of information technology in hospital management and health management. Internet technology can provide intelligent security and automate the monitoring of important areas of medical institutions and health institutions. 1. The big health industry continued to grow rapidly, with a scale of 2.5 trillion yuan in 2014. In 2014, the scale of China's large health industry reached 2.5 trillion yuan, with a compound annual growth rate of 16.03% from 2011 to 2014. Drugs, medical devices, health products and medical cosmetology were selected to observe the growth of specific industries. The compound annual growth rate of the pharmaceutical manufacturing industry was 19% (2010-2014), the compound annual growth rate of the medical device industry was 30.50% (2010-2014), the compound annual growth rates of the health care industry was 30.40% (2012-2014) and the compound growth rates of the medical beauty industry was 16.58% (2011-2014). Structure of China's Health Service Industry from 2009 to 2014 (Unit: 100 million yuan) Market scale of China's health service industry from 2009 to 2014 (unit: trillion yuan) From the international comparison, there is still much room for growth in China's big health industry. In terms of medical care, there are only 0.5 doctors per 1000 children in China and 1.46 in the United States. Referring to this ratio, the shortage of pediatricians in China is at least 208,000. In terms of medical cosmetology, South Korea has 5000 cosmetology institutions and more than 2000 certified doctors with a population of 50 million. The number of cosmetology hospitals and doctors per capita far exceeds that of China. The uneven quality of service terminal hospitals results in a large outflow of customers. The supply gap of these industries means that the health industry will have more room for growth in the future. Scale of China's pharmaceutical and medical beauty market in 2010-2014 Market Scale of Medical Devices, Health Products and Gymnasiums in China from 2010 to 2014 2. At present, the profit margin of big health industry is between 10% and 30%, of which the average annual profit margin of pharmaceutical manufacturing industry is 10.11% (2010-2014), the average annual profit margin of medical equipment industry is 10.61% (2010-2014), and that of health products industry is 20.80% (2012-2014). From 2010 to 2014, the average annual net sales interest rate of all a shares was 8.79%, because it can be seen that the profit margin of the big health industry is at a high level. Sales profit of Chinese medicine, medical devices and health food from 2011 to 2014 3. At present, there is a sustained growth in the field of children's medicine, which is reflected in both medication and outpatient service. In terms of medication, the market size of children's medicine has reached 59 billion yuan in 2014, with a compound growth rate of about 11.30% from 2005 to 2014. According to the forecast of the Southern Institute of Medical Economics, the sales of children's medicines in China will reach 67 billion yuan in 2015; In terms of outpatient service, the 2014 China Health Statistics Yearbook shows that in 2013, nearly 200 million children's outpatient visits were received, the utilization rate of children's hospital beds was 103%, the number of discharged beds was 47.8, and the number of bed turnover was 49.3, which was the highest in all health institutions. China's pediatric drug market size from 2005 to 2015 There is a contradiction between supply and demand in the field of children's medical treatment, but this also means that there is a lot of room for growth in the industry. At present, the shortage of supply in the field of children's medical care is mainly reflected in the fields of pharmaceuticals, pharmaceutical enterprises and pharmacists. After the liberalization of the two-child policy, this contradiction may be further highlighted, but it also means that there is a lot of room for growth in the medical field. From the demand side, the current proportion of children is 16.6%, which is expected to continue to grow after the liberalization of the second child. From the supply side, the supply of children's medicines, pharmaceutical enterprises and doctors is insufficient. First, the children's medicine market is far from saturated. The current pharmaceutical market in China is about 1241.3 billion yuan, of which the children's medicine market accounts for only 4%, while children account for about 16.6% of the national population; Second, the number of children's pharmaceutical enterprises is insufficient, with only more than 10 enterprises specializing in the production of children's medicines among the more than 6,000 pharmaceutical factories. Third, there are fewer specialized medicines for children. As of January 2013, only more than 3,000 of the more than 180,000 approval documents for domestic medicines were dedicated to children's medicines; Fourth, there is a huge shortage of pediatricians. According to the 2015 China Health Statistics Yearbook, the number of pediatricians in 2014 was about 112,000, while the sixth national census showed that there were more than 220 million children under the age of 14, with an average of 0.5 doctors per 1000 children, compared with 1.46 in the United States. Population aged 0-14 and its proportion in the total population (10,000 persons) 4. The sports industry has a huge market scale and favorable policies. In 2014, the market scale of sports industry reached 445.4 billion yuan, the compound growth rate from 2006 to 2014 was about 20.78%, the proportion of sports industry in GDP was 0.70%, and the proportion of sports industry in GDP in developed countries was between 2% and 3%. With the upgrading of consumption and the improvement of health awareness, there is still a lot of market space for sports industry in the future. Good policies also promote the development of sports fitness industry. In 2014, the State Council promulgated "Several Opinions on Accelerating the Development of Sports Industry and Promoting Sports Consumption", which upgraded the national fitness strategy and supported the sports industry as a green industry and a sunrise industry. The document points out that by 2025, the total scale of the sports industry will exceed 5 trillion yuan, the per capita stadium area will reach 2 square meters, and the number of people who often take part in physical exercise will reach 500 million. The scale of China's sports industry and the proportion of GDP Fitness consumption is the inevitable result of the increase of residents'income and consumption upgrading, and the enhancement of fitness awareness also brings lasting demand to the industry. Since 2008, the compound growth rate of residents' income has reached 10.91%, and the per capita income has reached 29381 yuan. The sports fitness industry has also ushered in a period of rapid expansion, with a compound growth rate of 12.97%. According to General Administration of Sport of China data, a total of 410 million urban and rural residents aged 20 and over participated in physical exercise in 2014, an increase of 20.58% over 2007. Among them, the highest percentage of people aged 20-29 participated in physical exercise was 48.2%. From the supply side, fitness clubs are the main business model of fitness. At present, the expansion of fitness clubs is accelerating, but the profitability is poor. In 2013, the total number of commercial fitness clubs was about 5,000, with a compound growth rate of 26.42% from 2001 to 2013, of which 20% were profitable. The reason is that the main profit model of fitness clubs is membership fee income, with strong regionalization, low industry concentration and price war caused by homogenization as the main competition mode. In the future, the "Internet +" mode represented by Internet fitness and fitness social networking will become a new development trend of the industry. Per capita disposable income of urban households (yuan) Percentage of people over 20 years old participating in physical exercise by age group 5. The future growth space of the medical cosmetology market is large. From the perspective of market scale and customer group development, China's medical and aesthetic market has maintained a relatively high growth rate, and there is still room for further growth in the future. According to the industry information network, the total output value of China's medical cosmetology market has reached 553 billion in 2014, with an annual growth rate of nearly 20%. It is estimated that the average annual growth rate will be about 15% from 2016 to 2020, and will exceed trillion in 2019. From 2010 to 2013, the number of medical cosmetology in China will increase from 3.4 million to 5.37 million. It is expected to exceed 7 million times in 2015, with an annual compound growth rate of about 15%. Market scale of China's medical beauty industry (100 million yuan) 6. The aging trend and environmental deterioration make chronic diseases a common medical demand for middle-aged and elderly people. The prevalence of chronic diseases in middle-aged and elderly people in China is relatively high, which objectively improves the medical needs of middle-aged and elderly people. In June 2015, the National Family Planning Commission released the Report on Nutrition and Chronic Diseases of Chinese Residents (2015) again after ten years. The report pointed out that in 2012, the prevalence of hypertension in adults aged 18 and above was 25.2%, the prevalence of diabetes was 9.7%, and the prevalence of chronic obstructive pulmonary disease in people aged 40 and above was 9.9%. The morbidity of cancer is 235/100000, and the morbidity of cancer in China has been on the rise in the past ten years. According to the report, the main factors affecting the rising prevalence of chronic diseases include the aging trend, the prolonged survival of patients with chronic diseases and the unhealthy lifestyle of individuals. The overall situation of prevention and control of chronic diseases in China is still grim. Mortality of key chronic diseases In view of the severe situation of chronic diseases, there are investment opportunities for pre-disease prevention and treatment. The long onset makes it possible to effectively prevent chronic diseases. From the perspective of prevention, it is the future development direction to actively promote the health examination of middle-aged and elderly people, strengthen the opportunistic screening of chronic diseases, promote the sports fitness industry, improve the medical insurance system, expand the scope of commercial medical insurance, and establish a national cancer prevention and control cooperation network. From the perspective of disease treatment, the key is to establish community hospitals and improve the number and professional quality of doctors in primary medical and health institutions. Pharmaceutical enterprises carry out drug research and development with the support of relevant national science and technology plans (special projects, funds,KN95 Mask for Epidemic Prevention and Control, etc.), and carry out the construction of cancer rehabilitation, palliative care and hospice care institutions are the future development direction of the industry. Return to Sohu to see more Responsible Editor:. zjyuan-group.com