/ 20 China national Health Care IT Application Development Wang Caiyou Center for Health Statistics & Information, MOH, P.R.China

/ 20 Contents 1. China & Healthcare system 2. HIT Application 3. HIT Standard Development

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/ 20 Population1,314,480, % Urban577,060, % Rural737,420, % Male677,280, % Female637,200, % ,610, % ,860, % ,010, % including ,190,0007.9% 1.1 Population

1.2 Health Care Provider Total Non- Profit Govern- ment Enterprise Total 289,951132,391155,86864,29429,420 Hospital 18,70315,6732,9719,8804,450 Health Center for Community 17,12814,5062, Township Health Center 40,90740, ,00355 Clinic 201,50953,087147,8427,58924, / 20

1.3 Total Health Investment THE (billion yuan) Government Health Expenditure (%) 25.1%18.0%15.5% 18.0% Social Health Expenditure (%) 39.2%35.6%25.5%29.8% Personal Health Expenditure (%) 35.7%46.4%59.0% 52.2% Percent of GDP 4.0%3.7%5.1%4.7% Per Capita Health Expenditure(yuan) Urban Rural / 20

ChinaWorld Low Income Middle Income High Income Life expectancy at birth, total (years) Mortality rate, infant (per 1,000 live births) Mortality rate, under-5 (per 1,000) GNI per capita, Atlas method (current US$) Outcome of health service World Bank Data Website / 20

/ HIT Application Level Beginner (30%) IT driving, may be withdrawn.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.

/ Model Of HIS Market Economic market driving Regional planning Self developing by hospital Integration

/ 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

/ 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

/ 20 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

/ 20 Thank You ！

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