1、1我国体检市场独立研究2中国流行概况中国流行概况n中国最常见的慢性病包括心脑血管疾病、呼吸道疾病和糖尿病，慢性病已成为中国人死亡的主要原因n中国卫计委的数据显示，在中国，80%的死亡由慢性病引发，其中心脏病、中风和呼吸道疾病致死人数占死亡总数的75%。2012年，中国每5个成人中就至少有一个患有1种级以上的慢性病，诸如高血压、糖尿病等。世界卫生组织估计2015年之后中国的慢性病患者的医疗支出将会超过5000亿美元。n据中国卫计委统计，恶性肿瘤所导致的死亡人数在中国居于首位.中国男性群体主要的癌症类型为肺癌和胃肝结肠癌。中国女性的常见的癌症类型包括乳腺癌、肺癌、结肠癌、胃癌和肝癌。n乙型肝炎是中
2、国传染病防治的最大难题。据悉，目前中国乙型肝炎病毒的携带者数量已经接近总人口的9.75%，为1200万人。2012年新增乙肝患者109万例，13年的数字为96万，14年为94万。就病毒性肝炎而言，乙肝的发病率非常高。此外，乙肝也是引发肝癌和其他肝脏疾病的主要因素之一。.Source:NHFPC,Professional Medias慢性慢性疾病疾病绝症绝症传染性传染性疾病疾病2我国体检市场独立研究3Analysis of China Health Checkup Market,2010-2019ECAGR(2010-2014):25.9%CAGR(20142019E):22.5%nBooste
3、d by the rising health awareness,China Health Checkup Market has witnessed an increase in revenue,growing from RMB29.5 billion in 2010 to RMB74.1 billion in 2014.nMoreover,the total market is forecasted to reach RMB204.2 billion in 2019 with a CAGR of 22.5%from 2014 to 2019.nHealth Checkup Market in
4、 the sector of public hospitals was worth RMB61.4 billion in 2014,representing 82.9%of total China Health Checkup Market.Source:Frost&Sullivan Primary Research&Analysis3我国体检市场独立研究4中国体检市场分析中国体检市场分析,2010-2019E年均复合增长率年均复合增长率(2010-2014):25.9%年均复合增长率年均复合增长率(20142019E):22.5%n人们对健康的日益重视推动了中国体检市场的快速增长,市场总额由
5、2010年的295亿元增长到2014年的741亿元。此外，据估计2014年到2019年间，中国体检市场的年均复合增长率将达到22.5%，预计2019年市场总额将达到2042亿元。n2014年，中国公立医院占据了体检市场82.9%的市场份额，规模为614亿人民币。Source:Frost&Sullivan Primary Research&Analysis4我国体检市场独立研究5Major Providers of Health Checkup ServicesMedical examination departments of major public hospitals are depart
6、ments that are established by hospitals to provide physical checkup services for the public.They are benefited greatly from the medical expertise of hospital staffs,as well as experience in diagnosis and advanced medical devices.Medical Examination Departments of Public HospitalsPrivate health check
7、up centres are privately run by companies which focus on providing physical checkup services for the customers.They are established with private capital to purchase professional equipment and employ professional staffs.They mainly target corporate customers and individuals with average-to-high dispo
8、sable income.Private Providers of Health Checkup ServicesIn China,various medical examination facilities provide health checkup and other related services.Public hospitals and private providers of health checkup services constituted the backbone of China Health Checkup Market in 2013,including appro
9、ximately 5,000 public hospitals and over 500 private providers,according to Frost&Sullivans analysis based on the NHFPC statistics and primary research.Along with these public hospitals and private providers of health checkup services,some other private medical institutions play a minor role in Chin
10、a Health Checkup Market.Source:Frost&Sullivan Primary Research&Analysis5我国体检市场独立研究6体检服务的主要供应商大型公立医院的医学检验中心是专门为公众体检而设立的部门.这些公立医院拥有先进的诊疗设备和丰富的经验，医护人员也具有较高水平的医疗卫生水平，因此在体检市场中占据优势。公立医院的医学检验中心民营健康检查中心由企业运营，为顾客提供健康检查服务.，一般由民营出资购买专业设备、聘请专业人员。.它们主要的目标客户为公司客户和那些可支配收入高于平均水平的个人客户。健康检查的民营供应商在中国，存在众多的医疗体检机构为民众提供健
11、康体检和其他相关服务。2013年，公立医院和民营提供商构成了中国体检市场的主力军,据Frost&Sullivan的分析，大约有5000家公立医院和超过500家民营体检机构参与其中。除公立医院和民营体检机构外，一些其他医疗机构参与其中，但份额很小。Source:Frost&Sullivan Primary Research&Analysis6我国体检市场独立研究7Analysis of China Private Health Checkup Market,2010-2019EuThe Private Health Checkup Market in China has experienced
12、a rapid growth in the last five years,with a significant increase in the revenue from RMB4.3 billion in 2010 to RMB12.7 billion in 2014.uIn the coming decade,benefiting from the rising awareness of public health,the ageing population and the government deregulation,the private health checkup market
13、is expected to see an upward trend,growing at a CAGR of 28.6%from 2014 to 2019.The market size is forecasted to reach approximately RMB44.5 billion in 2019.uAccording to the public resources and Frost&Sullivans study,in recent years corporate clients account for almost 80%of the private health check
14、up market in terms of the amount of physical checkup.On average,the per capita expenditure of corporate clients is lower than that of individual clients.Unit:RMB BillionSource:Frost&Sullivan Primary Research&Analysis7我国体检市场独立研究89Competitive Landscape of China Private Health Checkup MarketuThe Privat
15、e Health Checkup Market in China is relatively fragmented as the top 4 players in this market account for about 34.3%of the total market.uBy focusing on high-value customers,iKang maintains its No.1 position in terms of total revenue in the Private Health Checkup Market,followed by Health 100,Ciming
16、,and Rich Health.uCiming,a competitor of iKang in the mid-to high-end customer sector,failed in the process of IPO in the domestic stock exchange market,which has a huge impact on its market expansion.Note:All data are rounded into one decimal place.Source:Frost&Sullivan Primary Research&Analysis,Co
17、mpany Data9我国体检市场独立研究10中国民营体检市场的竞争态势u民营体检市场前4大的机构总共占据了34.3%的市场份额，由此看来，中国民营体检市场的市场集中度较低。u通过聚焦高端客户，爱康国宾的收入总额占据了中国民营体检市场的榜首，美年大健康、慈铭体检和瑞慈体检紧随其后。u慈铭体检，是爱康体检在中高端客户市场的重要竞争者。国内股票市场IPO的失败，对其市场扩张的步伐造成了较大的不利影响。注:所有数据精确到十分位.Source:Frost&Sullivan Primary Research&Analysis,Company Data10我国体检市场独立研究11Key Issues In
18、 Providing High Quality Health Checkup ServicesDigital RadiologyUltrasoundMajor Lab IVD Device*Players in the private sector are improving their capabilities of providing high quality health checkup services to cater to the unmet needs of middle class and high class domestic customers.The quality of
19、 health checkup services is determined by medical devices,the technique and experience of the doctors.Both the medical imaging devices in the clinics and the IVD devices in the central lab are critical to the accuracy of checkup results.Therefore,private health checkup centers are investing heavily
20、on high-end medical diagnostic devices,such as iKang and Rich Health.RMB 61 is charged for reagent and related services for each person in iKang.By comparison,reagent and related services cost RMB 29 per capita in Health100.Most are from GPS*Less than half are from GPS.The majority are local brands.
21、Most are from GPS.Most are from GPSAbout half are from GPS.About half are local brands;Started to add low-end ultrasound from international brandsMost are from GPS.Most are MNC brands(i.e.Roche,Siemens,Sysmex).Less than half are MNC brands.The majority are local brands.Most are local brands.A majori
22、ty are MNC brands.Most of the immune tests use Roche/Siemens reagents.A majority are local brands.Most of the immune tests use local brand reagents.Most are local brands.Most of the immune tests use local brand reagents.Most are local brands.Many of its immune tests are outsourcing to local 3rd-part
23、y.NOTE:GPS refers to GE,Philips,and Siemens,which are well recognized as the best medical equipment manufacturers globally,providing cutting-edge products to the medical institutions across the world.Major lab IVD device/reagent:refers to Immune Analyzer,Biochemistry Analyzer,and Hematology Analyzer
24、/their reagents.Major Lab IVD Reagent*Source:Frost&Sullivan Primary Research&Analysis11我国体检市场独立研究12提供高品质体检服务的关键数字化X线机超声主要的实验室体外诊断设备*体检市场的民营供应商正在通过不断提高其体检服务的质量和水平来满足中端和高端客户的需求。体检服务的质量取决于医疗设备、医务人员的技术和经验。诊所的医学成像设备以及主要的实验室体外诊断设备都对检查的准确性具有至关重要的影响。因此，诸如爱康和瑞慈等民营体检中心都在高端医疗诊断设备上进行大力投资。主要来自GPS*小部分来自GPS.主要是国内品
25、牌.主要来自GPS.主要来自GPS大约一半来自GPS.大约一半是国内品牌.近年来也购买一些国外品牌的低端超声主要来自GPS.主要是跨国品牌(例如.罗氏,西门子,希森美康).小部分来自于跨国品牌.主要是国内品牌.主要是国内品牌.多数使用跨国品牌.大多数免疫测试使用罗氏/西门子试剂主要是国内品牌.大多数免疫测试使用国内品牌试剂.主要是国内品牌.大多数免疫测试使用国内品牌试剂.主要是国内品牌.主要的免疫测试外包给第三方的机构NOTE:GPS 指的是通用、飞利浦和西门子。这三家被公认为全球最好的医疗设备提供商，它们为全球范围内的医疗机构提供尖端产品。大型体外诊断设备/试剂指的是免疫分析仪、生化分析仪和
26、血液分析仪/它们所用试剂。主要的实验室体外诊断试剂*Source:Frost&Sullivan Primary Research&Analysis12我国体检市场独立研究13150Package price,RMB1,0002,0003,00010,000 General test in internal medicine General test in surgical dept.General test in ENT General dental test Blood routine Urine routine Chest radiography ECG Renal routine Bas
27、ic liver function Basic blood lipidHolistic liver function Holistic blood lipidBasic tumor markerMore ultrasound in other partsHolistic thyroidal check-upMore tumor markerMammographyMore ultrasound in other partsCTHolistic tumor markerRheumatism Bone mineral density MRIGastroscopePET-CTLow to Mid-en
28、dHigh endHigh endPremium Most health checkup packages in China are priced between RMB150-RMB1,000,which provide regular and routine health checkup items.The price of high-end packages ranges from RMB1,000 to RMB 3,000,which include more detailed checkup items.The added items vary across different he
29、alth checkup centers.Premium packages are priced more than RMB3,000,which usually include expensive medical imaging examination,such as CT,MRI,and PET-CT.Most private health checkup companies set RMB1,000 as their threshold price for VIP services.Pricing Segments of China Health Checkup MarketSource
30、:Frost&Sullivan Primary Research&Analysis13我国体检市场独立研究14150疗程价格,人民币1,0002,0003,00010,000 内科检查（一般）外科检查（一般）耳鼻喉检查 牙科检查 血常规检查 尿液常规检 胸部X线摄影 心电图 肾功能检查 肝功能检查（基本）血脂检查（基本）肝功能整体检查血液整体检查基本肿瘤标记其他部分的超声波检查甲状腺整体检查附加肿瘤标记乳房X线照相术其他部分的超声波检查计算机断层扫描肿瘤整体标记风湿病检查 骨骼矿物密度核磁共振胃镜正电子发射计算机断层显像低端中端高端版高端版豪华版 中国市场中，大多数体检疗程提供常规的体检项目，
31、价格在150-1000人民币之间。高端疗程提供了更细分的体检项目，相应的价格则定在1000-3000人民币之间，不同的体检中心的细分项目有所不同。豪华版疗程则包括了诸如CT、MRI和PET-CT等昂贵的医学成像检测，因此要价高于3000元人民币。大多数民营健康检查机构将VIP客户的最低门槛设为1000元人民币。中国体检市场的价格分区Source:Frost&Sullivan Primary Research&Analysis14我国体检市场独立研究15Average Spending on Physical Checkup Services in ChinaRMB200250300350400
32、450500RMBRMBRMB200250300350400450500200250300350400450500200250300350400450500In the past few years,the average spending on physical checkup services in the private sector has witnessed a rising trend.In 2014,iKangs average spending of health checkup services is the highest among the top 4 players,s
33、ince it mainly targets the mid-to high-end customers across the nation.The average spending of Health 100 is the lowest(about RMB 270),due to its market position to meet the needs of mid-to low-end market.Source:Frost&Sullivan Primary Research&AnalysisAverage Spending for Physical Checkup of Leading
34、 Private Providers of Health Checkup Services in China,201415我国体检市场独立研究16中国民众体检服务的平均支出RMB200250300350400450500RMBRMBRMB200250300350400450500200250300350400450500200250300350400450500在过去的几年中，公众在民营体检中心的人均支出呈现上涨趋势爱康国宾，主要瞄准国内的中高端消费者，因此，2014年爱康国宾顾客人均支出在4个主要民营体检供应商中排名第一。美年大健康，主要客户群体为国内的中低端人群，因此其顾客的平均支出排名末
35、位，为270元人民币Source:Frost&Sullivan Primary Research&Analysis2014年中国主要的民营体检中心顾客人均支出情况16我国体检市场独立研究17Key Entry Barriers of the Private Health Checkup Market in ChinaLicenseHuman ResourceInitial InvestmentThe NHFPC announced the Interim Provisions on Administration of Medical Examination in 2009 to regulat
36、e the health checkup industry.According to the provisions,all the medical examination centers are required to obtain the license of medical institute.Otherwise,it would be considered as illegal to start a medical examination business.Also in the provision announced by the NHFPC,each medical examinat
37、ion center is obligatory to have at least 2 chief doctors in the center,and 1 vice-chief doctor in every clinical examination department,and 10 registered nurses in total.According to our research,the mobility of medical staffs in China is relatively low;therefore,it is not easy to employ enough qua
38、lified medical staffs.There are mainly 3 key entry barriers of the health checkup industry:The initial investment to run a medical examination center is relatively large,due to the relatively high cost for rent fee,medical devices and human resources.And it would take years to reach breakeven.Source
39、:Frost&Sullivan Primary Research&Analysis17我国体检市场独立研究18进入中国民营体检行业的主要限制进入中国民营体检行业的主要限制许可证许可证人力资源人力资源初期投资初期投资2009年，中国卫计委发布医疗体检管理的暂行规定，以此国内规范健康体检行业。.根据规定，所有的医疗体检机构都必须具有医疗机构许可证方可运营，否则则视为非法。规定同时做了如下规定（1）每个医疗体检中心必须拥有至少2名主治医师和10名护士，（2）每个诊疗部门必须具有至少1名副主治医师。然而根据我们的研究，中国医务人员的流动性非常低，因此很难招聘到符合规定要求的足够数量的医务人员。进入中国
40、民营体检行业的限制主要有三：由于店面租金、医疗设备和人力资源等高额的支出，启动一所医疗检验中心的初期投资数额是相对巨大的，并且如果一切顺利，这也要花费数年的时间才可能收回成本。Source:Frost&Sullivan Primary Research&Analysis18我国体检市场独立研究19Summary of the Gap Between Demand and Supply in China Health Checkup Market-Public hospitals1Considerate and Warm Attitude2Comfortable and Safe Environ
41、ment3High Quality VIP ServicesMany customers complain that the attitude of doctors in public hospitals is not good.Doctors in public hospitals are usually lack of motivation of good attitude.And they are sometimes overburdened.So doctors in public hospitals usually show their impatience to customers
42、.Customers have lower expectation of the service quality in public hospitals than that in private health check-up centers,since the basic needs for VIP services in hospitals are not satisfied.One-on-one services and private VIP space are always the basic needs for VIP services.But many hospitals sti
43、ll cannot provide those due to limited reception capacity.High end customers also have strong willingness of shortening health checkup time.But in reality they have to spend more time in hospitals than in private health checkup centers.Many imaging diagnosis equipment in public hospitals are shared
44、by outpatient and inpatient.So customers sometimes have to move from the health checkup area to outpatient or inpatient area.Most customers are not willing to be surrounded by real patients and are worried about the cross infection.Source:Frost&Sullivan Primary Research&Analysis19我国体检市场独立研究20对中国公立医院
45、体检市场供需不符的总结1周到和热情的态度2舒适和安全的环境3高品质的VIP服务许多顾客抱怨，公立医院医生的服务态度差。由于中国医疗资源分配不均，大部分的病人会涌入公立医院就诊，医生处于强势地位，因此服务意识非常淡薄；另外由于公立医院的医生工作量较大，客观上也很难有时间耐心的和病人沟通。公立医院由于缺乏基本的贵宾服务，因此相比于民营体检中心而言，顾客对公立医院服务品质的期望较低。对于贵宾服务而言，一对一的服务和独立的VIP区域是必备的条件。但是由于接待能力的限制，多数医院无法满足上述条件。高端客户对于缩短体检时间具有强烈的需求，他们在公立医院耗费的时间要远长于私立体检中心。由于公立医院许多成像诊
46、疗设备是由门诊病人和住院病人共享的，因此体检的过程往往不是“一站式”的，顾客需要从体检区域到门诊部或住院部进行体检，造成客户的极大不便。设备健康人群和不健康人群共用，存在交叉感染的风险，这样也会造成体检客户的顾虑。Source:Frost&Sullivan Primary Research&Analysis20我国体检市场独立研究21 Frost&Sullivan-Who We Are A global growth partnership company that partners with clients to support the development of innovative g
47、rowth strategies.For more than 50 years,we have leveraged our comprehensive market expertise to serve an extensive clientele that includes Global 1000 companies,emerging companies,and the investment community We offer industry research and market strategies,provide growth consulting and corporate tr
48、aining,and support clients to help grow their businesses.Confidential21我国体检市场独立研究Global Coverage and HistoryGlobal Leadership in Published Market ResearchMarket Consulting Activity DevelopedGlobal Expansion to China,Japan,Singapore and India Growth ConsultingFrost&Sullivans Jubilee 50th Anniversary
49、Acquisition of Technical Insights1961 1970 1980 1990 2000 2011 Frost&Sullivan Founded in New York in 1961Established European OfficesConfidentialShanghai BeijingSan AntonioMountain ViewNew YorkLondonParisFrankfurtMilanWarszawaNew DelhiMumbaiTokyoSingaporeTorontoKuala LumpurJakartaSydneyTel AvivDubaiSao PaoloBuenos AiresMexico CityBogotaCape Town ShenzhenOxfordMoscowSophia AntipolisSeoulBangkokAucklandChennaiBengaluruKolkataColomboDhakaIstanbul Hong Kong2222我国体检市场独立研究
