PATHOLOGY AND RADIODIAGNOSTIC
[EIRI/EDPR/4660] J.C.: 2877XL
INTRODUCTION
In India, majority (70-80 per cent) of medical treatments are based on laboratory diagnostic tests, thus making it one of the most promising sectors in the healthcare industry. In India, the medical diagnostics industry accounts for almost 10 per cent of the healthcare sector’s revenues. With the growth in income and health insurance coverage, there is an increasing demand for better healthcare services among the growing population of the country. The sector’s growth will be driven by the country’s growing middle-class, which can afford quality healthcare.
Healthcare diagnostics is growing at the rate of 15-20 per cent per annum. The major driver for this growth is the wide gap of 70-80 per cent cost-advantage that Indian companies have over different countries. Today, patients from neighboring countries in Asia are coming to India to receive specialized medical treatment. India is now meeting international standards at a cost advantage compared to developed countries.
In addition to this, the vast difference in costs between Western countries and India, the country is being seen as the preferred destination for quality health solutions. This has been reflected by increasing medical tourism.
The Indian diagnostic market is broadly divided into equipment and services. The service sector is found to be largely unorganized, with a large presence of players located at the regional or city level. However, a clear and structured format is being established to have better regulations and proper definition for the market. The use of advanced and cutting-edge technologies in understanding a disease prognosis has further strengthened the sophistication level of participants in the sector
COST ESTIMATION
Plant Capacity 500 Nos./Day
Land & Building (14,200 sq.ft.) Rs. 4.49 Cr
Plant & Machinery Rs. 7.13 Cr
Working Capital for 2 Months Rs. 3.65 Cr
Total Capital Investment Rs. 15.75 Cr
Rate of Return 15%
Break Even Point 70%
CONTENTS
INTRODUCTION
MAJOR GAPS IN DIAGNOSTIC SERVICES
MARKET OVERVIEW
KEY MARKET DRIVERS
TECHNOLOGICAL ADVANCEMENTS
INCREASING HEALTHCARE AWARENESS
INCREASING AGING POPULATION
KEY MARKET CHALLENGES
QUALITY CONTROL
PATIENT DATA PRIVACY AND SECURITY
KEY MARKET TRENDS
HOME-BASED TESTING KITS
SEGMENTAL INSIGHTS
PROVIDER TYPE INSIGHTS
TEST TYPE INSIGHTS
END-USER INSIGHTS
REGIONAL INSIGHTS
RECENT DEVELOPMENTS
KEY MARKET PLAYERS
INDIAN DIAGNOSTIC INDUSTRY–POSITIONING
SECTOR GROWTH DRIVERS
NATIONAL DIAGNOSTIC PLAYERS
INVESTMENTS IN THE INDIAN DIAGNOSTIC INDUSTRY
SIGNIFICANCE OF DIAGNOSTICS CHAINS IN THE ECOSYSTEM
THERE ARE MAINLY 3 TYPES OF TESTS: ROUTINE, CLINICAL LAB AND SPECIALTY TESTS
DIAGNOSTIC INDUSTRY
FISCAL YEAR 2022 BASE CASE GDP GROWTH EXPECTED TO BE 9.5%
INDIAN DIAGNOSTIC INDUSTRY TO SUSTAIN PACE OF GROWTH UP TO FISCAL YEARS 2023
HOSPITAL-BASED DIAGNOSTIC CENTRES
DIAGNOSTIC CHAINS
STANDALONE CENTRES
OTHER BUSINESS MODELS IN DIAGNOSTIC INDUSTRY IN INDIA
OUT-OF-HOSPITAL DIAGNOSTICS MARKET IN INDIA TO LOG 12 TO 13% CAGR OVER FISCAL YEARS 2020 TO 2023
OUT-OF-HOSPITAL DIAGNOSTICS MARKET IN ANDHRA PRADESH AND TELANGANA TO LOG 12 TO 13% CAGR OVER FISCAL YEARS 2020 TO 2023
MPREHENSIVE LABORATORY PREFERRED DUE TO MULTIPLE SERVICES UNDER ONE ROOF AND CONVENIENCE TO CUSTOMERS
RADIOLOGY TO ACHIEVE A CAGR OF 13 TO 14% OVER FISCAL YEARS 2020 TO 2023
COVID-19 HAS FUELLED DEMAND FOR RADIOLOGY, INCREASING ITS SHARE IN DIAGNOSTIC SERVICES
INDUSTRY SHIFTING TOWARDS DIAGNOSTIC CHAINS
PREVENTIVE AND WELLNESS TESTING PACKAGES TO BOOST BIOCHEMISTRY TESTING
HUB-AND-SPOKE MODEL IS MOST PREFERRED FOR DIAGNOSTIC CHAINS
HUB-AND-SPOKE MODEL
NATIONAL CENTRE (MAIN CENTRE):
REGIONAL CENTRES:
SATELLITE CENTRES:
COLLECTION CENTRES:
GROWTH DRIVERS, SUCCESS FACTORS AND RISKS
FUNDAMENTAL GROWTH DRIVERS FOR THE DIAGNOSTIC INDUSTRY
WITH LIFE EXPECTANCY IMPROVING AND CHANGING DEMOGRAPHIC PROFILE, HEALTHCARE SERVICES ARE A MUST
RISING INCOME TO MAKE QUALITY HEALTHCARE SERVICES MORE AFFORDABLE AND PREFERRED
INCREASING HEALTH AWARENESS TO BOOST PREVENTIVE/WELLNESS TESTS
MOST COMMONLY USED DIAGNOSTIC MACHINES ARE: -
SPECIALIZED MEDICAL ELECTRONIC INSTRUMENTS LIKE:-
ANALYTICAL EQUIPMENT FOR PATHOLOGICAL AND BIO-CHEMICAL DIAGNOSIS WHICH ARE CURRENTLY BEING MANUFACTURED AND MARKETED BY UNITS INCLUDE:-
SIGNIFICANCE OF ELECTRONICS IN MODERN MEDICAL DIAGNOSTIC INSTRUMENTS:-
SETTING UP A DIAGNOSTIC LAB IN INDIA
SPACE
FINANCE
INSTRUMENTS
STAFF
LICENSE/REGISTRATION
MEDICAL KNOWLEDGE
RADIOLOGY MARKET IN INDIA
OPPORTUNITIES IN THE DIAGNOSTICS LABORATORY
BENEFITS OF CRM IN THE DIAGNOSTICS SECTOR:
SCENARIO OF HEALTHCARE IN INDIA
FIGURE: HEALTHCARE PYRAMID
FIGURE: PRIMARY CARE
FIGURE: DISTRIBUTION OF DEATHS BY MAJOR CAUSE, INDIA (SOURCE: SPECIAL SURVEY OF DEATHS, REGISTRAR GENERAL OF INDIA)
FIGURE: CAUSES OF DEATH IN URBAN AREAS (25 – 69 YRS. OF AGE AS %) CARDIOVASCULAR DISEASES CONSTITUTE THE LARGEST SEGMENT (SOURCE: SPECIAL SURVEY OF DEATHS, REGISTRAR GENERAL OF INDIA)
FIGURE: CAUSES OF DEATH IN RURAL AREAS (25 – 69 YRS. OF AGE AS %) CARDIOVASCULAR DISEASES CONSTITUTE THE LARGEST SEGMENT (SOURCE: SPECIAL SURVEY OF DEATHS, REGISTRAR GENERAL OF INDIA)
HEALTH CARE FINANCING IN INDIA
FIGURE: OUT OF-POCKET SPENDING IS THE BIGGEST SOURCE OF FINANCING HEALTHCARE DUE TO LOW INSURANCE COVER.
FIGURE: MODES OF FINANCING HEALTHCARE IN INDIA
GOVERNMENT INCENTIVES ON DIAGNOSTICS:
INDIA ENTRY – KEY CHECK POINTS
NEED FOR LOCALIZATION
PROFILES OF EXISTING DIAGNOSTIC LABORATORIES
CORPORATE DIAGNOSTIC SERVICE PROVIDERS
BRIEF PROFILE OF MAJOR PRIVATE PLAYERS
LIST OF DIAGNOSTIC LABS
DETAILS OF DIAGNOSTICS AND MEDICAL EQUIPMENTS
ELECTROCARDIOGRAPHS:-
THERE ARE OTHER COMPONENTS TO THE ELECTROCARDIOGRAPH:
THEORY OF ELECTROCARDIOGRAPHY
QRS IS UPRIGHT IN A LEAD WHEN ITS AXIS IS ALIGNED WITH THAT LEAD'S VECTOR
SCHEMATIC REPRESENTATION OF NORMAL ECG
ELECTROCARDIOGRAM GRID
SONOGRAPHY INSTRUMENTS
FROM SOUND TO IMAGE
PRODUCING A SOUND WAVE
RECEIVING THE ECHOES
FORMING THE IMAGE
DISPLAYING THE IMAGE
SOUND IN THE BODY
X-RAY MACHINE
MEDICAL ULTRASOUND
X-RAY:-
ELECTRO CARDIOGRAPH (ECG):-
B.P. CHECK-UP:-
BLOOD TEST:-
URELOGICAL TEST:-
STOOL TEST:-
SUGAR TEST FOR DIABETIC PATIENTS:-
SEMEN TEST:-
MEDICAL IMAGING
ULTRASOUND IMAGING:-
COMPUTERISED TOMOGRAPHY (CT):-
MAGNETIC RESONANCE IMAGING (MRI):-
POSITRON EMISSION TOMOGRAPHY (PET):-
MAGNETIC SOURCE IMAGING (MSI):-
APPLICATIONS:-
MAJOR EQUIPMENTS
MICROSCOPE
MAJOR EQUIPMENTS/INSTRUMENTS
ECHO CARDIOGRAPHY MACHINES
TMT WIPRO GE MACHINE
TWO FLAT PANEL CATH LABS
ST. JUDE EP SYSTEM
HOLTER MONITOR – ECG
CX 50
WHAT LICENSE REQUIRED TO OPEN A DIAGNOSTIC LAB
NECESSARY LICENSES REQUIRED OPENING A DIAGNOSTIC LAB
REGISTRATION OF DIAGNOSTIC LAB
LAND AND CONSTRUCTION
ELECTRICITY AND WATER
SEWAGE
BIOMEDICAL WASTE
FIRE AND HEALTH LICENSE
REGULATIONS RELATING TO EMPLOYMENT OF STAFF
SIGN BOARDS
FOOD MANUFACTURING LICENSE FOR OPERATING A KITCHEN
PERMIT TO STORE LPG CYLINDER
PHARMACY REGISTRATION FOR MEDICAL SHOP
TRADEMARK REGISTRATION
VEHICLE REGISTRATION FOR AMBULANCES
ARMS LICENSES UNDER ARMS ACT
WASTE DISPOSAL
PLANNING THE DIAGNOSTIC LAB INFRASTRUCTURE
ONE MUST TAKE CARE OF THESE THINGS;
THE OTHER IMPORTANT LICENSE REQUIRED IS:
LIST OF MAJOR LABORATORY TESTS
LIST OF CONSUMABLES
MEDICAL EQUIPMENTS AND SUPPLIERS
MACHINERY & EQUIPMENT SUPPLIERS
X-RAY ACCESSORIES
AIR CONDITIONING & REFRIGERATION UNITS
IMPORTED PLANT & MACHINERY SUPPLIERS
LIST OF CONSULTANT FOR SETTING UP PATHOLOGY LAB IN INDIA
LIST OF NABET ACCREDITED HOSPITAL & HEALTHCARE CONSULTANT (NABH STANDARD)
MANUFACTURERS/SUPPLIERS OF ONCOLOGY DRUGS
ADDRESSES OF DIAGNOSTIC CONSUMABLES SUPPLIERS
ADDRESSES OF DIAGNOSTIC EQUIPMENT & INSTRUMENT SUPPLIERS
X-RAW MACHINE
ULTRASOUND MACHINE
EEG MACHINES
EXPLANATION OF TERMS USED IN THE PROJECT REPORT
1. DEPRECIATION:
2. FIXED ASSETS:
3. WORKING CAPITAL:
4. BREAK-EVEN POINT:
5. OTHER FIXED EXPENSES:
6. MARGIN MONEY:
7. TERM LOANS:
8. TOTAL LOAD:
9. LAND AREA/MAN POWER RATIO:
PROJECT PLANT LOCATION FACTORS
PRIMARY FACTORS
1. RAW-MATERIAL SUPPLY:
2. MARKETS:
3. POWER AND FUEL SUPPLY:
4. WATER SUPPLY:
5. CLIMATE:
SPECIFIC FACTORS
6. TRANSPORTATION:
7. WASTE DISPOSAL:
8. LABOR:
9. REGULATORY LAWS:
10. TAXES:
11. SITE CHARACTERISTICS:
12. COMMUNITY FACTORS:
13. VULNERABILITY TO WARTIME ATTACK:
14. FLOOD AND FIRE CONTROL:
IMPLEMENTATION SCHEDULE
ORGANIZATION CHART
APPENDIX – A:
01. PLANT ECONOMICS
02. LAND & BUILDING
03. PLANT AND MACHINERY
04. OTHER FIXED ASSESTS
05. FIXED CAPITAL
06. RAW MATERIAL
07. SALARY AND WAGES
08. UTILITIES AND OVERHEADS
09. TOTAL WORKING CAPITAL
10. TOTAL CAPITAL INVESTMENT
11. COST OF PRODUCTION
12. TURN OVER/ANNUM
13. BREAK EVEN POINT
14. RESOURCES FOR FINANCE
15. INSTALMENT PAYABLE IN 5 YEARS
16. DEPRECIATION CHART FOR 5 YEARS
17. PROFIT ANALYSIS FOR 5 YEARS
18. PROJECTED BALANCE SHEET FOR (5 YEARS
