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India Surgical Procedure Volumes: Projected five year growth of 17% driven by rapid uptake of laparoscopic surgery, propelling

the total surgery procedures performed India from 11 million currently to over 24 million in 2015.

The Indian healthcare market was estimated at US$35 billion in 2007 and is expected to reach over US$70 billion by 2012. A striking feature of Indias healthcare system is the significant and growing role of the private sector in healthcare delivery and total healthcare expenditures. Public health expenditure accounts for less than 1% of GDP compared to 3% of GDP for developing countries and 5% for high income countries. The private healthcare sector in India accounts for over 75% of total healthcare expenditure in the country and this proportion is one of the highest worldwide Health expenditure in India remains largely an out-of-pocket spending for the masses as there is inadequate coverage of health insurance nationwide. Private companies were only allowed to offer health insurances to the people in 2000, with all prior health insurances being offered by state-owned companies. The market remains largely nascent though as insurance premium limits were only lifted in 2007. Procedure volumes growth was largely driven by the General Surgery procedures, specifically within advanced gastrointestinal procedures by minimally invasive methods. With an increasing number of surgeons trained in laparoscopic surgery, hospitals are very quickly adopting this as a preferred surgery method. A total of 2.6 million General Surgery procedures were performed in 2010; 6 million procedures are expected to be performed in 2015, representing an annual growth rate of 18.5% At just under 7 million procedures, Obstetrics and Gynaecology (OBGYN) procedures form the largest group of procedures. The 5.5 million caesarean section deliveries in 2010 accounts for the bulk of the OBGYN procedures, and is also the key driver of growth in OBGYN. The rapidly increasing elderly population in India has led to an increased incidence of arthritis, osteoporosis and bone fractures, hence an increased demand for hip and joint replacements. An estimated 440,000 Indians suffer from hip fractures annually and while the number of osteoporosis

BRIDGING INTELLIGENCE GAPS IN HEALTHCARE

patients is estimated to be approximately 26 million now, that number is expected to increase to 36 million by 2013

About Clearstate Clearstate, a niche healthcare consultancy, offers strategic advisory and intelligence services to help medical devices, healthcare services, pharmaceutical and biotechnology firms understand their current and potential markets, implement pragmatic and innovative strategies to ultimately tap into new growth opportunities. Our approach to engagements is centered on thorough analysis of factbased intelligence and seasoned understanding of markets, practical strategy recommendations and implementations. We provide accurate, reliable and comprehensive intelligence on medical device usage and demand across Asia Pacific. We deliver actual and up-to-date placement, usage and consumption data for devices, equipment and consumables found in healthcare and commercial settings. For more information, please visit Clearstate at www.clearstate.com or call +65 63035030.

BRIDGING INTELLIGENCE GAPS IN HEALTHCARE

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