进入中国民营医院市场机遇、挑战和潜在切入点透视

may 2014ENTERING CHINA’S PRIVATE HOSPITAL SEGMENTPerspectives on Opportunities, Challenges and Potential Entry PointsBeyond mainstreamspecialty hospitals 2THINk ACTenterinG CHina’s Pri Vate HosPitaL seGment"Private hospital ownership breakdown"p. 8THE BIG 3123roLand BerGer strateGy ConsuLtantsIt is worth noting that while investment in purely private hospitals is most common, PPP/trusteeship structures are being tested and public hospital reform will bring long-term opportunities.p. 7We believe that there should be a systematic three-step market entry evaluation and execution processp. 10China’s private hospital sector has entered a period of fast track development. Increasingly, policyrestrictions are no longer the main hindrance. Instead, finding a winning commercial model will be key.p. 14 roLand BerGer strateGy ConsuLtantsalthough China's private hospital sector only accounts for a small share of the healthcare services market, its growth momentum will continue to strengthen as the investment environment improves and investment patterns diversify. Growth in the sector is being driven by overall market demand, loosening regulations, as well as diversification and specialization. in the future, the sector will see new hospital chains, expansion of existing hospitals, improvement of services, and shifting specialization focus. Foreign participation in this market is nascent but growing. market entrants prefer specialty hospitals, especially in areas such as plastic surgery, oB/Gyn , and orthopedics. For those looking to enter the market, we recommend a systematic three-step process that encompasses the development of a strategic basis, pre-investment due diligence, and a well-planned post-investment improvement process. 3THINk ACTenterinG CHina’s Pri Vate HosPitaL seGment 4think actENTERING CHINA’S PRIVATE HOSPITAL SEGMENTROLANd BERGER STRATEGy CONSuLTANTS1. Overall trendsPrivate hospitals in China have proliferated rapidly in recent years. in 2012, private hospitals accounted for 40% of all hospitals, up from just 17% in 2005. the ratio of private to public hospitals has been rising in the past few years primarily due to the privatization of smaller and financially distressed public hospitals run by local govern-ments and soes. Athough there are now more of them, private hospitals still provide less than 10% of total services, mainly due to their smaller size and lower utilization rates. their key challenges include low patient recognition, lack of qualified physicians, low Bmi (Bureau of medical insurance) coverage, and weaker support from local authorities in issues such as land use, taxation, and government subsidies. BWhat, then, does the future hold for the sector? We believe the most relevant trends include:1) Expanding scale and improving service quality: - major investors who favor large, advanced hospitals will Part A. Overall trends and investment hotspots in China's private hospital sectorexpand their presence in the Chinese market- many small, lower-end private hospitals will be gradually phased out as government supervision strengthens and competition intensifies2) Emergence of new hospital chains:- in the last decade of development, several hospital chains have emerged in the market, such as aier, an ophthalmology hospital chain. Going forward, hospital chains are likely to expand even further due to higher patient awareness, more stable physician teams, and cost advantages3) Shifting specialization focus:- traditional private investment hotspots such as dentistry and ophthalmology have become saturated after years of development. Foreign and private participation will focus on other specializations, including inpatient rehabilitation and oncology, that do not rely heavily on physicians and for which there is huge demand and service gap is significantAtHe rise oF Pri Vate HosPitaLsownership composition of Chinese hospitals, 2005-201217%21%25%27%31%34%38%42%83%18,70319,85220,29121,97919,24619,71220,9182 3,17079%75%73%69%66%62%58%20052006200720082009201020112012TOTAL Public Private 5think actENTERING CHINA’S PRIVATE HOSPITAL SEGMENTROLANd BERGER STRATEGy CONSuLTANTSa r oland Berger survey found that mid-sized hospital chains are the preferred targets for investment and market entry. rehabilitation, oB/Gyn, and oncology are the top three specializations. C2. Policy trendsthe policies regulating investment in private hospitals are improving, bringing with them significant long-term opportunities for public hospital reform. as a result, more players will become involved in hospital investment, including soes, Poes(privately-owned enterprises), and foreign investors. Private hospitals' contribution to overall healthcare services volume is projected to increase steadily.in 2010, the state Council relaxed entry barriers for private hospitals, identifying private hospitals as the preferred ownership structure for new heal