Transcript Developement of China HIT.ppt

China national Health Care IT
Application Development
Wang Caiyou
Center for Health Statistics &
Information, MOH, P.R.China
2008-2-28
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Contents
1. China & Healthcare system
2. HIT Application
3. HIT Standard Development
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1.1 Population
Population
Urban
Rural
1,314,480,000
577,060,000
737,420,000
100.0%
43.9%
56.1%
Male
Female
677,280,000
637,200,000
51.5%
48.5%
0-14
15-59
60+
including 65+
259,610,000
905,860,000
149,010,000
104,190,000
19.8%
68.9%
11.3%
7.9%
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1.2 Health Care Provider
Total
NonGovernTotal
Profit
Enterprise
Profit
ment
289,951 132,391 155,868
64,294
29,420
Hospital
18,703
15,673
2,971
9,880
4,450
Health Center for
Community
17,128
14,506
2,114
691
101
Township Health
Center
Clinic
40,907
40,701
95
40,003
55
53,087 147,842
7,589
24,033
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1.3 Total Health Investment
THE (billion yuan)
Government Health Expenditure
(%)
Social Health Expenditure
(%)
Personal Health Expenditure
(%)
Percent of GDP
Per Capita Health Expenditure(yuan)
Urban
Rural
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1990
1995
2000
2005
74.7
215.5
458.6
866.8
18.7
38.7
70.9
156.0
25.1%
18.0%
15.5%
18.0%
29.3
76.7
1171.9
258.6
39.2%
35.6%
25.5%
29.8%
267
100
270.5
452.0
35.7%
46.4%
59.0%
52.2%
4.0%
3.7%
5.1%
4.7%
65.4
158.8
38.8
177.9
401.3
112.9
361.9
828.6
209.4
662.3
1122.8
318.5
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1.4 Outcome of health service
China
World
Low
Income
Middle
Income
High
Income
71.8
67.6
58.9
70.4
79
Mortality rate, infant
(per 1,000 live births)
23
51.4
75.1
29.5
5.8
Mortality rate, under-5
(per 1,000)
27
74.9
114.1
37
7
GNI per capita, Atlas
method (current US$)
1740
7011.1
585.4
2636
34962
Life expectancy at
birth, total (years)
World Bank Data Website 2007
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2.1 HIT Application Level



Beginner (30%)
IT driving, may be withdrawn.
Efficient appearance (60%)
Hhealth care based on HIS, but not totally
use ICT.
Stable application (10%)
Every staff uses HIS, efficiency and effect
to quality is significant. It only have start
point, no end for developing.
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2.2 Model Of HIS Market

Economic market driving

Regional planning

Self developing by hospital

Integration
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2.3 Trend And Vision


Investment for HIS increased, and the budget is as
base structure input from government, is more
then 0.5% hospital incoming；
In the next 5 years, the HIT will be 10 billion per
year.

Now, 70% hospital have HIS investment plan.

The HIT service investment will be increased
quoting：CHIMA market analysis report
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2.4 The Vision Of HIT Market

HIT investment by HHS,USA
 Health care
1000$ / year/staff
 Others
8000$ / year/staff

There are 5,426,000 health workers in China
 IF 100$/ year /staff
 The total HIT investment will be 0.54 billion
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3 HIT Standard Development
Data set & coding standard
 HL7 China in 2006
 EHR SC 2006
 China Institute for Medical Imaging
Standardization and Communication
 IHE China 2007

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Thank You！
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