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China national Health Care IT Application Development

 

Wang CaiyouCenter for Health Statistics & Information, MOH, P.R.China

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Contents 1. China & Healthcare system2. HIT Application3. HIT Standard Development

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Population 1,314,480,000 100.0% Urban 577,060,000 43.9% Rural 737,420,000 56.1%　 Male 677,280,000 51.5% Female 637,200,000 48.5%　 0-14 259,610,000 19.8% 15-59 905,860,000 68.9% 60+ 149,010,000 11.3% including 65+ 104,190,000 7.9%

1.1 Population

1.2 Health Care Provider

TotalNon-Profit

ProfitGovern-

mentEnterpri

seTotal 289,9

51 132,39

1 155,86

8 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

40,907

40,701 95 40,003 55

Clinic 201,509

53,087 147,842

7,589 24,033

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1.3 Total Health Investment

　 1990 1995 2000 2005

THE　(billion　yuan) 74.7 215.5 458.6 866.8

　　　　Government　Health　Expenditure 18.7 38.7 70.9 156.0　　　　　(%) 25.1% 18.0% 15.5% 18.0%

　　　　Social　Health　Expenditure 29.3 76.7 1171.9 258.6　　　　　(%) 39.2% 35.6% 25.5% 29.8%

　　　　Personal　Health　Expenditure 267 100 270.5 452.0　　　　　(%) 35.7% 46.4% 59.0% 52.2%

Percent　of　GDP 4.0% 3.7% 5.1% 4.7%

Per　Capita　Health　Expenditure(yuan) 65.4 177.9 361.9 662.3　　　　Urban 158.8 401.3 828.6 1122.8　　　　Rural 38.8 112.9 209.4 318.5

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China WorldLow

IncomeMiddleIncome

HighIncome

Life expectancy at birth, total (years) 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

1.4 Outcome of health service

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Beginner (30%)IT driving, may be withdrawn.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 standardHL7 China in 2006EHR SC 2006 China Institute for Medical Imaging

Standardization and Communication IHE China 2007

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Thank You！

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