2012-10-04 09:42:37 - New Medical Devices market report from Espicom Business Intelligence: "Understanding City and Regional Health Markets in Brazil, Russia, India and China"

Highly-detailed and granular healthcare reports provide a unique evaluation of where opportunity and risk can be found

Any assessment of the world's leading emerging economies must consider the recent economic developments, the health plans which are in place and the challenges that are influencing the progress of the health market.

But analysis which is based on whole country statistics can miss the subtle trends which are influencing the markets on the ground.

Identifying opportunities in local health economies requires detailed knowledge of the economic performance and health infrastructure at a city/provincial/regional level. Being able to see that in the context of the neighbouring districts/regions as well as the national picture, brings focus to areas of opportunity and need.


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How is the population and wealth distributed?
Which states and territories produce the highest levels of GDP?
What is the primary and secondary health infrastructure in each region?
How is healthcare delivered?
What is the role played by private/government health provision at state level?
Which regions are better provided for and which still need investment?

Rich in statistics, charts and maps, this new 4-volume report collection from Espicom, Understanding City and Regional Health Markets in Brazil, Russia, India and China, takes you further into understanding the national, regional and major city health environments.

Drill down into regional health markets and better understand the opportunities and challenges

BRAZIL - Brazil has made great strides in improving the health of its citizens yet, in common with other emerging markets, distribution of health services is uneven, with wide disparities between regions.

Looking at health expenditure
It is critical for medical and pharmaceutical companies to understand the sometimes confusing funding of healthcare in Brazil. Health expenditure comprises public health expenditure, private health insurance and private out-of-pocket health expenditure. A high proportion of public health expenditure goes towards expensive and complex services, including hospital admissions and diagnostic & therapy services. In recent years, however, public expenditure has shifted towards primary care services.

As public health expenditure has moved towards primary care, the level of access to ambulatory and hospital care has diminished, as public financial resources have not increased at the same level. In 2008, the latest year for which data is available, public health expenditure represented 3.8% of GDP, equal to R$108.9 billion (US$59.3 billion). Alongside the Brazilian health system there is a strong private health insurance sector which, in recent years, has been increasing. Brazil is the second largest insurance market in the world, after the USA.

KEY FACTS

The Brazilian economy experienced real growth of around 2.9% in 2011, to be valued at US$2,485 billion, with average per capita GDP of US$12,889. Brazil is currently the world's 7th largest economy, between France (US$2,773 billion) and the UK (US$2,436 billion).
At 194.7 million, the population of Brazil is the fifth largest in the world. Average population growth is around 1.1% per annum. Around 21.6% of the population reside in Sao Paulo state and 8.4% live in the state of Rio de Janeiro. The 2010 census identified 14.1 million people aged 65 or older, equivalent to 7.4% of the population.
In 2011, Brazil spent R$368.2 billion (US$219.8 billion) on healthcare, equivalent to 8.8% of GDP. Private spending accounted for 52.7% of the total, more than half of which was out of pocket spending. Public health spending amounted to US$115.8 billion. Per capita health spending was around US$1,140.

RUSSIA - No one would deny that Russia's health system has declined since the fall of the Soviet state and for many years was under-funded and poorly developed. Since 2005, Russian authorities have embarked on ambitious plans to improve matters - progress to date, but will they come up to European standards?

Funding is at the heart of Russia's health improvement plans, and at the beginning of 2011 obligatory medical insurance contributions increased from 3.1% to 5.1%, deductable from salaries. With measures to increase income, has come the challenge of distribution and the recognition that, in common with countries such as India and China, there is a yawning gap between well-provided for cities, and the more remote regions. In 2010, the government introduced the idea of a regional healthcare services modernisation scheme that aims to improve quality and availability of medical service. Healthcare modernisation is well overdue: to put this into context, over 30% of hospitals lack a hot water supply, 8% do not have a drinking water pipeline and 9% lack drainage.

KEY FACTS

The Russian Federation is the largest country in the world, with a land area of over 17 million square kilometres, encompassing eleven time zones. After the breakup of the USSR, the Russian Federation retained over 75% of the USSR's total land area and 51% of its population.
The population of Russia was estimated at 142.9 million in 2010, an increase of 0.71% over 2009. Prior to 2010, the growth rate remained negative, decreasing by an average of 0.4% each year since 1999.
The country is organised into 8 districts which are further subdivided into 82 regions, autonomous areas and republics.

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