malaysia healthcare insights - emerging trends, ensuing opportunities (2012!06!21)
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Malaysia Healthcare Insights – Emerging Trends, Ensuing Opportunities
Date: 21st June 2012
Wilson Tan
Director of Data Insights
Clearstate: Annual market tracking of Malaysia Medtech industry since 2007
Diagnostic Imaging Modalities – 8 APAC markets
o CT / MR
o X-Rays
o Ultrasounds
Surgical Procedure Volumes – 13 APAC countries
o Cardiovascular
o General Surgery / Minimally Invasive Surgery
o Orthopaedics
o OB\GYN
In Vitro Diagnostics Applications – 13 APAC countries
o Centralized Diagnostics
o Point of Care Testing
o Molecular Diagnostics
2
Per capita healthcare expenditure
Healthcare in Malaysia: Highest standard of healthcare in Southeast Asia (after Singapore)
3
9.0 11.3 11.2 7.3 6.5 6.3
Malaysia Indonesia Thailand Singapore Vietnam Philippines
28 mil 230 mil 68 mil 5 mil 88 mil 92 mil
USD 387 USD 60 USD 174 USD 1,491 USD 92 USD 50
Total Healthcare Expenditure (USD bil, 2009)
Population
$$$$ $ $$ $ $ $$$$$$$$$$
Sources: EIU, WHO, World Bank, Clearstate internal databases
As a proportion of GDP
4.8% 2.4% 4.3% 3.9% 7.2% 3.8%
Malaysia health: Young population, high life expectancy but also high infant mortality rates
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Malaysia
Total land area= 328,657 sq km Total population (2009) = 28.3mil Under 15 years old: 31.4% 15 to 64 years old: 63.6% 65 years and older: 5.0%
Health demographic indicator 2010
Population (million) 28.3
Annual rate of growth 1.6%
Population in urban areas 70% (2008)
Life expectancy at birth (years) 73.55
Infant deaths per 1,000 live births 15.5
Total fertility rate (per woman) 2.7
Rising incomes and sedentary lifestyles resulting in an
increasing incidence of diabetes, hypertension and
cardiovascular disease
o Diabetes prevalence from 8.3% in 1996 to 14.9% in 2006
o Obesity increased from 17% in 1996 to 43% in 2006
Sources: National Heart Association of Malaysia, Malaysia Heart Foundation
While private hospitals account for 60% of the hospitals, they are generally smaller in size, accounting for only 25% of the beds
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Public 133
Public 35,745
Private 201
Private 11,841
# facilities # beds
334 hospitals 47,586 beds STATE # hospitals %
Selangor & Kuala Lumpur 102 30.5%
Penang 29 8.7%
Johor 40 12.0%
Perak 29 8.7%
Sarawak 29 8.7%
Sabah & Labuan 28 8.4%
Kedah & Perlis 21 6.3%
Pahang 17 5.1%
Kelantan 13 3.9%
Negeri Sembilan 12 3.6%
Melaka 7 2.1%
Terengganu 7 2.1%
Sources Malaysia Ministry of Health
Strong government push to extend national healthcare capabilities
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Continued healthcare infrastructure development
Construction of new hospitals and specialized facilities
o Eight new hospitals to be built, 156 rural clinics and 41 community health clinics, and 50 additional 1Malaysia clinics
Improved rural access to healthcare
o Under the Tenth Malaysian Plan, healthcare access, coverage and quality to be improved, especially for the bottom 40% of households in both rural and semi-urban areas
Digitizing health information & Telemedicine
Long wait times for scans and diagnosis in public hospitals due to disproportionate geographical distribution of patients vs radiologists (45% of radiologists are in Klang Valley and Johor)
Telemedicine identified as a solution to distribution issue, as well as a key foreign income earner when infrastructure is leveraged internationally
National healthcare ecosystem developed to propel economic growth
Healthcare sector identified as a key engine to propel future growth
Healthcare National Key Economic Area to encourage collaboration between public and private sector via identified Entry Point Projects to generate income and jobs by 2020
“Flavour of the month” schemes or sustainable initiatives?
One of the fastest growing markets for Medical Imaging in Southeast Asia
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Malaysia USD 66.5 11%
Indonesia USD 141.9
24%
Thailand USD 146.9
25%
Singapore USD 38.9
7%
Vietnam USD 120.0
21%
Philippines USD 72.7
12%
COUNTRY 3-year CAGR (2011-2014)
Malaysia 7.5%
Indonesia 6.8%
Thailand 7.2%
Singapore 2.1%
Vietnam 7.5%
Philippines 4.5%
Source: Clearstate IMGTrac Database
Southeast Asia Medical Imaging Market (2011)
While hospitals have basic radiology capabilities, untapped opportunities present in high end imaging modalities
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305
27.9% 18%
29
72.1% 82%
# hospitals # with Radiology With MRI
334 hospitals
With Radiology Dept
With MRI
Less than 1.0T
More than 1.0 T Without MRI
Without Radiology
305 hospitals 85 hospitals
Source: Clearstate IMGTrac Database
Emerging trends, Ensuing opportunities
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Decentralization in radiology
Minimally invasive and spine surgery
Medical tourism
Interventional therapies
Increased demand for Healthcare IT
Diagnostic equipment with IT connectivity
Increased demand for Angio, CT, MR, Ultrasound, Fluoro
Establishment of new hybrid Operating Theatres
Increased need for C-Arms
Equipment upgrades in high end private hospitals
Rapid growth of interventional therapies across specializations driving future demand for 3D imaging equipment
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26,000 29,000
49,000
10,000 11,000
18,000
3,500 4,000
7,000
2009 2010 … 2014
39,500 44,000
74,000 Rapid adoption of
interventional techniques in
o Cardiovascular
o Endovascular
o Urology
Increasing need for fully equipped Hybrid Operating Rooms
Drives need for Angio suites, MR, CT, Ultrasounds, Fluoroscopy
Interventional cardiology procedures
CAGR (‘09-14): 13.4%
Source: Clearstate Surgical Procedure Volumes Database
Cardiovascular Cardiovascular
Cardiovascular
Endovascular Endovascular
Endovascular
Electrophysiology Electrophysiology
Electrophysiology
Versatility of C-Arms promoted by the swift adoption of Minimally Invasive Surgery techniques
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29,500 40,500
80,000
2009 2010 … 2014
Laparoscopic surgery procedures expected to double in 4 years
Minimally Invasive Spine procedures growing at >10% annually
As more hospitals offer minimally invasive procedures, penetration of C-Arms expected to increase
Laparoscopic surgery procedures
CAGR (‘09-14): 22.1%
Source: Clearstate Surgical Procedure Volumes Database
Developments in medical tourism underscore need to upgrade equipment and boost capabilities
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Source: Malaysia Healthcare Travel Council
341,288 370,000 450,000
578,403
2007 2008 2009 2010
Strong government and private sector development efforts in medical tourism sector
Successfully driven medical tourism arrivals by 19% annually from 2007-2010
Hospitals require state of the art medical imaging equipment to compete
Annual medical tourism patients
CAGR (’07-10): 19.2%
www.clearstate.com info@clearstate.com
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