1. 2008-2-28 1/ 20 China national Health Care IT Application Development Wang Caiyou Center for Health Statistics & Information, MOH, P.R.China

2. 2008-2-28 2/ 20 Contents 1. China & Healthcare system 2. HIT Application 3. HIT Standard Development

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4. 2008-02-28 4/ 20 Population1,314,480,000100.0% Urban577,060,00043.9% Rural737,420,00056.1% Male677,280,00051.5% Female637,200,00048.5% 0-14259,610,00019.8% 15-59905,860,00068.9% 60+149,010,00011.3% including 65+104,190,0007.9% 1.1 Population

5. 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 17,12814,5062,114691101 Township Health Center 40,90740,7019540,00355 Clinic 201,50953,087147,8427,58924,033 2008-2-28 5/ 20

6. 1.3 Total Health Investment 1990199520002005 THE (billion yuan)74.7215.5458.6866.8 Government Health Expenditure18.738.770.9156.0 (%) 25.1%18.0%15.5% 18.0% Social Health Expenditure29.376.71171.9258.6 (%) 39.2%35.6%25.5%29.8% Personal Health Expenditure267100270.5452.0 (%) 35.7%46.4%59.0% 52.2% Percent of GDP 4.0%3.7%5.1%4.7% Per Capita Health Expenditure(yuan) 65.4177.9361.9662.3 Urban158.8401.3828.61122.8 Rural38.8112.9209.4318.5 2008-2-28 6/ 20

7. ChinaWorld Low Income Middle Income High Income Life expectancy at birth, total (years) 71.8 67.658.970.479 Mortality rate, infant (per 1,000 live births) 2351.475.129.55.8 Mortality rate, under-5 (per 1,000) 2774.9114.1377 GNI per capita, Atlas method (current US$) 1740 7011.1585.4263634962 1.4 Outcome of health service World Bank Data Website 2007 2008-2-28 7/ 20

8. 2008-2-28 8/ 26 2.1 HIT Application Level Beginner (30%) IT driving, may be withdrawn.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.

9. 2008-2-28 9/ 20 2.2 Model Of HIS Market Economic market driving Regional planning Self developing by hospital Integration

10. 2008-2-28 10/ 20 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

11. 2008-2-28 11/20 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

12. 2008-2-28 12/ 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

13. 2008-2-28 13/ 20 Thank You ！

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