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China Healthcare Sector Handbook Dec-2010: Identifying the Long-Term Leaders
Contents
National Health Expenses (NHE) 5
Government Spending Driving Growth in National Health
Expenses 6
Central vs. Provincial Government Spending on NHE 7
Medical Expenses and Costs of Hospital Visits 8
Drug Costs Are a Key Component of Hospital Visits 9
Hospital System 10
Increase in Investments in Private Hospitals 11
Government Is Upgrading the Hospital System 12
Physicians and Nurses (Health Pr ofessionals) Are Clustered in
Government-Owned Hospitals 13
Hospital Traffic Largely Biased Towards Large Hospitals 14
Hospital Traffic Largely Biased Towards Large Hospitals (cont’d) 15
Hospital Visits Have Increased, Driven by Improved Healthcare
Coverage 16
Overall View of Medical Coverage Program 17
Medical Coverage Penetration Is High, but Payout to New Rural
Cooperative Program Is Low 18
Medical Insurance Fund Payout Will Increase 19
Demographic Shift 20
China’s Population Is Aging 20
Top 10 Causes of Death in China 21
Increasing Incidence of Tumors 22
Increase in Death Rate from Tumors 23
Increasing Incidence of Chronic Circulatory Diseases and Death
Rate of Cardiovascular Diseases 24
sFDA’s Shift of Approval Standards Toward New Drugs 25
Analysis of China’s Pharmaceutical Market 26
China’s Hospital Drug Market 27
Analysis of Market for Essential Drug List (EDL) 28
Traditional Chinese Medicine (TCM) Market 29
Detailed Analysis of Therapeutic Drugs 31
Top 20 Drug Companies Based on Analysis of Prescription Data
from 420 hospitals in 22 Major Cities 34
Top 20 Hospital Drugs Based on Analysis of Prescription Data
from 420 hospitals in 22 Major Cities 35
Top Therapeutic Categories and Regional Markets Based on
Prescription Data from 420 Hospitals in 22 Major Cities 36
Analysis of Anti-Cancer Market and Anti-Cancer Drugs 39
Top-Selling Anti-Cancer Drugs by Drug Name and Manufacturers 40
Top-Selling Anti-Cancer Drugs – Plant Alkaloids 42
Top-Selling Anti-Cancer Drugs – Antimetabolite 43
Top-Selling Anti-Cancer Drugs – Alkylating Agents 44
Top-Selling Other Anti-Cancer Drugs 45
Analysis of Markets for Cardiovascular Drugs 46
Top-Selling Cardiovascular Drugs – by Drugs and Manufacturers 47
Top-Selling Cardiovascular – Vasodilators 50
Top-Selling Cardiovascular – Calcium Antagonists 51
Top-Selling Cardiovascular – Angiotensins 52
Top-Selling Cardiovascular – Blood-Lipid Lowering Drugs 53
Top-Selling Cardiovascular – Anti-Angina Drugs 54
Top-Selling Cardiovascular – Beta Blockers 55
Analysis of Market for Endocrine Drugs 56
Top-Selling Endocrine Drugs – by Companies 57
Analysis of Diabetes Market 58
Current Treatment Paradigm for Diabetes Has Many Options 58
Current Insulin Market Size in China is ~Rmb3.5bn 59
Insulin Market Is Dominated by Novo Nordisk 60
Premixed Products Are Better Sellers in the Chinese Market 61
Marketed Insulin Products in China 62
Annual Costs of Insulin Ranges from Rmb1,300 to Rmb11,000 63
Top-Selling Endocrine Drugs – Oral Antidiabetic 64
Top-Selling Endocrine Drugs – Insulin 65
Top-Selling Endocrine Drugs – Hypothalamic Hormone 66
Analysis of the An tibiotics Market 67
Antibiotics Is the Largest Drug Class in China’s Pharmaceutical
Market 67
Antibiotics Classes 68
Breakdown of Antibiotics Market 69
Antibiotics Drug Classes 70
Antibiotics – Top-Selling Drugs 71
Antibiotics – Leading Pharma Companies 72
Top-Selling Antibiotics – Cephalosporin 73
Top-Selling Antibiotics – Benzylpenicillin 74
Top-Selling Antibiotics – Quinolone 75
Top-Selling Antibiotics – Other Lactams 76
Top-Selling Antibiotics – M acrolide and Lincosamides 77
Top-Selling Antibiotics – Anti-Hepatitis B Drugs 78
Biologics – Shining Stars with Strong Growth Potential 79
Top-Selling Biologics – Monoclonal Antibodies 80
Top-Selling Biologics – Recombinant Interferons 81
Top-Selling Biologics – Recombinant Interleukins 82
Analysis of Market for Blood and Hematopoietic System Drugs 83
Top-Selling Blood and Hematopoietic System Drugs –
Intravenous Infusion 84
Top-Selling Blood and Hematopoietic System – Anticoagulants 85
Top-Selling Blood and Hematopoietic System – Antianemic 86
Analysis of Markets for Digestive System Drugs 87
Top-Selling Digestive System Drugs and Manufacturers 88
Top-Selling Digestive System Dr ugs – Proton Pump Inhibitor 89
Top-Selling Digestive System Drugs – Hepatopathy 90
Top-Selling Digestive System Drugs – Antiemetic 91
Analysis of Markets for Central Nervous System Drugs 92
Top-Selling Central Nervous System Drug Names 93
Leading Central Nervous System Drug Companies 94
Top-Selling Central Nervous System – Other Nervous System
Drugs 95
Top-Selling Central Nervous System Drugs – Cerebrovascular 96
Top-Selling Central Nervous System Drugs – Dementia 97
Top-Selling Central Nervous System Drugs – Analgesics 98
Top-Selling Central Nervous System Drugs – Antiparkinsonism 99
Analysis of Markets for Immunomodulator Drugs 100
Top-Selling Drugs for Immunostimulant 101
Top-Selling Drugs for Immunosuppressant 102
Analysis of Markets for Respiratory System Drugs 103
Leading Respiratory System Drug Companies 104
Top-Selling Drugs for Respiratory System – Expectorant 105
Top-Selling Drugs for Respiratory System – Antasthmatic Inhalant 106
Top-Selling Drugs for Respiratory System – Antasthmatic 107
Analysis of Market for Mental Disorder Drugs 108
Top-Selling Mental Disorder Drugs – Antidepressant 109
Top-Selling Mental Disorder Drugs – Antipsychotic Drugs 110
Top-Selling Mental Disorder Drugs – Sedative 111
Analysis of Markets for Urinary System Drugs 112
Drug Distribution Industry 113
With Multiple Layers, China’s Drug Distribution System Lacks
Efficiency 113
Drug Distribution Value Chain 114
Industry Is Gravitating Towards Large Players 115
The Pharmaceutical Markets in the US, EU and Japan Have
Been Increasingly Consolidated 116
Competitive Landscape in Drug Distribution 118
Drugstore Overview 119
China Medical Equipment and Devices 120
Industry Sales y/y Growth Slowed in 2010 121
Patient Monitoring Devices 122
Global PMD Markets 123
The U.S PMD Market 124
China’s Ultrasound Market 125
China’s Ultrasound Market Is Highly Competitive 126
Drug-Eluting Stent Market 127
Domestic Growth Rate for PCI Procedures 128
More Hospitals/Doctors Will Be Able to Perform PCI surgery 129
Stent Cost Accounts for Over 60% of PCI Cost 130
Stent Price Cuts 131
Reimbursement Policies Favor Domestic Brands 132
Sales and Marketing Strategies 133
Stent Market Shares by Key Players 134
Overview of DES Pipeline 135
Global Orthopedic Market 136
Chinese Orthopedic Market 137
Breakdown of Chinese Trauma and Spine Market 138
Dialysis Market 139
Expecting the Number of Maintenance Dialysis Patients to Grow 139
Competitive Landscape in the Dialyzer Market in China 140
Kidney Dialysis Is a Growing Market 141
Dialysis Centers Are Getting Crowded 142
China Contract Research Organization (CRO) 143
Key Players and Value Chain in China’s Contract Research
Organization (CRO) Market 143
China vs. India – Split Opinion 144
China and India CRO: Dragon vs. Elephant? 145
Comparison of Outsourcing Environment for China vs. India 146
Deep Dive into China’s CRO Market 147
Citi Estimate of Outsourcing Ma rket in China (US$ millions) 148
Toxicology Outsourcing Facing Numerous Hurdles 149
Global R&D Spending Outlook 150
Global R&D Spending 151
Citi R&D Outsourcing Survey 152
Survey Suggests That 10-20% of the Total R&D Work Is
Outsourced 154
Appendix A-1 160