加拿大醫(yī)藥行業(yè)市場前景及投資研究報告-外文版培訓課件

POLITICS

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SOCIETYHospitalsinCanadaCHAPTER

01OverviewNumberofhospitalestablishmentsinCanadaasof2022,byprovinceNumberofhospitalsinCanadabyprovince2022Numberofestablishments02004006008001,0001,2001,400CanadaOntario1,280400Quebec219Alberta180BritishColumbiaManitoba1458275SaskatchewanNovaScotia4036NewBrunswickNewfoundlandandLabradorNunavut2728211710NorthwestTerritoriesYukonPrinceEdwardIsland3Description:AmongCanadianprovinces,Ontariohadthelargestnumberofhospitalswitharound400establishments,asof2022.Canadahasapubliclyfundedhealthcaresystembasedonasystemoftaxation,feesandprivatefunding.Currentreportsestimatethathealthcareexpendituresaccountforover11percentofCanada’sgrossdomesticproduct(GDP).Healthcareexpendituresforhospitalstotaled80.5billionCanadiandollarsin2022.

ReadmoreNote(s):Canada;2022Source(s):StatCanNumberofhospitalsinCanadaasof2022,byprovinceandemployerstatusNumberofhospitalsinCanadabyprovinceandemployerstatus2022NumberofestablishmentsNon-employers/indeterminate100

150Employer20005025030035092OntarioQuebec3083029189Alberta15122BritishColumbiaManitoba123874696SaskatchewanNovaScotia113935NewBrunswickNewfoundlandandLabradorNunavut0272710NorthwestTerritoriesYukon211701PrinceEdwardIsland94Description:ThisstatisticshowsthenumberofhospitalsinCanada,distributedbyprovinceandemployerstatus,asof2022.Atthistime,therewere151employerhospitalestablishmentsinAlberta.Therewasatotalof1,089employerhospitalsinCanada.

ReadmoreNote(s):CanadaSource(s):IndustryCanada;StatCanNumberofhospitalsinCanadaasof2021,byprovinceandemploymentsizeNumberofhospitalsinCanadabyprovinceandemploymentsize2021Size

ofestablishment

(number

ofemployees)Micro

(1-4)Small

(5-99)Medium

(100-499)Large

(500+)Alberta1926830876532213827339BritishColumbiaManitoba37119NewBrunswickNewfoundlandandLabradorNorthwestTerritoriesNovaScotia68280211324484102142150Nunavut1Ontario5707931112PrinceEdwardIslandQuebec26421421641170966SaskatchewanYukon015Description:ThisstatisticdisplaysthenumberofhospitalsinCanadabasedonprovinceandemploymentsizecategory,asof2021.Duringthistime,therewere30hospitalestablishmentsinAlbertathatemployedbetween5and99people.

ReadmoreNote(s):Canada;2021Source(s):IndustryCanada;StatCanTotalhospitalemploymentinCanadafrom2002to2023TotalhospitalemploymentinCanada2002-2023800,000700,000600,000500,000400,000300,000200,000100,00002002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

20236Description:ThetotalhospitalemploymentinCanadaincreasedby13,548persons(+2percent)in2023.Therefore,thetotalhospitalemploymentinCanadareachedapeakin2023with688,518persons.

ReadmoreNote(s):Canada;2002to2023Source(s):StatCanDensityofhospitalbedsinCanadafrom1976to2021(per1,000population)DensityofhospitalbedsinCanada1976-2021Hospitalbedsper1,000population0112233420212020201920182017201620152014201320122011201020092.582.552.522.552.532.62.622.672.722.792.82.782.87/statistics/831668/density-of-hospital-beds-canadaIn1980,theaveragenumberofhospitalbedsinCanadastoodat6.75peronethousandinhabitants.By2021,thisratehaddecreasedto2.58pereverythousandpopulation.ThisstatisticdepictsthedensityofhospitalbedsinCanadafrom1976to2021.ReadmoreNote(s):CanadaSource(s):OECDCHAPTER

02ExpendituresTotalCanadianhealthexpendituresbyuseoffundsin2023(inmillionCanadiandollars)TotalhealthspendinginCanadabyuseoffunds2023ExpenditureinmillionCanadiandollars010,00020,00030,00040,00050,00060,00070,00080,00090,000100,000HospitalOtherinstitutionsPhysicians88,129.847,77547,479.3PrescribeddrugsOtherhealthspendingPublichealth41,114.531,320.921,104.819,630.5DentalservicesCapital12,985.410,744.910,466.56,741.26,339.44,846AdministrationOtherprofessionalservicesNon-prescribeddrugsVisioncareservicesHealthresearch9Description:Itwasexpectedthatphysicianswouldaccountfornearly47billionCanadiandollarsinhealthexpendituresin2023.ThisstatisticdisplaysaforecastofthetotalhealthexpendituresinCanadabytheuseoffundsin2023.ReadmoreNote(s):Canada;asofNovember2023Source(s):CIHITotalhospitalexpenditureinCanadafrom2005to2022(inmillionsofCanadiandollars)HospitalexpendituresinCanada2005-202270,00060,00050,00040,00030,00020,00010,000010Description:In2021-2022,hospitalsinCanadaspentatotalof62.4billionCanadiandollars.ThisexcludesQuebecandNunavut.Hospitalexpenditurehasbeensteadilyincreasinginthereportedtimeintervalfrom31.4billionin2005-2006.

ReadmoreNote(s):Canada;2005toMarch2022Source(s):CIHITotalhospitalexpenditureinCanadafrom2021to2022,byservicearea(inmillionsofCanadiandollars)Canadianhospitalexpendituresin2021/22,byservicearea14,00011,801.311,427.612,00010,0008,0006,0004,0002,00007,993.76,101.75,2883,957.43,108.12,971.42,850.52,840.52,805.21,303.811Description:In2021/22,ofthetotal62.4billionCanadiandollarsoftotalhospitalexpenditure,hospitalsinCanadaspentnearly12billionCanadiandollarsonnursinginpatientservices.Ontheotherhand,1.3billionCanadiandollarswasspentonlong-termcarenursingunits.ReadmoreNote(s):Canada;2021/22Source(s):CIHITotalhospitalexpenditureinCanadafrom2021to2022,bytypeofexpense(inmillionsofCanadiandollars)HospitalexpendituresinCanada2021/22,bytype45,00040,00035,00030,00025,00020,00015,00010,0005,0000SuppliesDrugsCompensationSundryEquipmentContracted-outservicesBuildingsandgrounds12Description:In2021-2022,hospitalsinCanadaspentatotalof42billionCanadiandollarsaloneoncompensationofstaff.Inthesameyear,some3.4billionCanadiandollarswasspentondrugsinhospitalsinCanada.

ReadmoreNote(s):Canada;2021/22Source(s):CIHIHospitalexpenditureaspercentageoftotalhealthexpendituresinCanadianprovincesandterritoriesin2023HospitalspendingasshareoftotalhealthspendingineachCanadianprovince2023Percentageoftotalhealthspending0%5%10%15%20%25%30%35%40%45%NorthwestTerritoriesNunavut39.5%34.7%NovaScotia31.4%NewBrunswickNewfoundlandandLabradorPrinceEdwardIslandOntario29.7%29.2%27.9%26.7%26.2%25.5%24.9%23.9%23.1%ManitobaAlbertaSaskatchewanQuebecBritishColumbiaYukon19.6%13/statistics/436275/hospital-share-of-total-health-expenditures-canada-by-provinceFor2023,itwasestimatedthathospitalexpendituresinOntariowouldaccountfor26.7percentofOntario'stotalhealthexpenditures.ThisstatisticshowshospitalexpendituresasapercentageoftotalhealthexpendituresinCanada'sprovincesin2023.ReadmoreNote(s):Canada;asofNovember2023Source(s):CIHIHospitalexpenditurepercapitainCanadabyprovincein2023(inCanadiandollars)HospitalspendingpercapitainCanadabyprovince2023PercapitaexpenditureinCanadiandollars3,000

4,000

5,00001,0002,0006,0007,0008,0009,00010,000NorthwestTerritoriesNunavut8,582.38,202.2YukonTerritoriesNovaScotia3,070.23,057.33,014.2NewfoundlandandLabradorPrinceEdwardIslandNewBrunswickAlberta2,524.62,4952,309.1SaskatchewanManitoba2,268.22,254.82,200.7OntarioBritishColumbiaQuebec2,1252,10114Description:In2021,itwasexpectedthathospitalexpendituresinOntariowouldaverage1,995Canadiandollarsperperson.ThisstatisticdepictsaforecastofthehospitalexpenditurepercapitainCanada'sprovincesfor2021.

ReadmoreNote(s):Canada;asofNovember2023Source(s):CIHIDistributionofprovincial/territorialgovernmenthospitalexpendituresinCanadabyagegroupin2021(inmillionCanadiandollars)Provincial/territorialgovernmenthospitalexpendituresinCanadabyage2021ExpenditureinmillionCanadiandollars01,0002,0003,0004,0005,0006,0007,0008,000<11-45-94,290.1531.7364.310-1415-1920-2425-2930-3435-3940-4445-4950-5455-59695.41,075.71,232.12,006.72,573.72,285.22,0282,251.93,039.14,505.315Description:Thisstatisticdisplaysthedistributionofprovincial/territorialgovernmenthospitalexpendituresinCanadabyagegroupin2021,inmillionCanadiandollars.Duringthisyear,Canada'spopulationagedbetween20and24yearswasresponsibleforsome1.23billiondollarsofhospitalcostspaidbyprovinicial/territorialgovernments.ReadmoreNote(s):CanadaSource(s):CIHICHAPTER

03HospitalizationsanddiagnosesHospitalizationrateinCanadafrom2010/11to2022/23(per100,000population)RateofhospitalizationinCanada2010-20239,0008,3438,3328,2038,2058,0838,0547,9807,9447,8837,6998,0007,0006,0005,0004,0003,0002,0001,00006,9837,0006,6872010–2011

2011–2012

2012–2013

2013–2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-2019

2019-2020

2020-2021

2021-2022

2022-2023Fiscalyear17Description:Inthefiscalyear2022to2023,thehospitalizationrateinCanadastoodat7,000hospitalizationsper100,000population.Since2010,therateatwhichpeoplewerehospitalizedinCanadahasdecreased,butrateshavebeenincreasingslightlyinthepasttwoyears.ReadmoreNote(s):Canada;2010to2023Source(s):CIHINumberofinpatienthospitalizationsinCanadain2022/23,bytopdiagnosisTop10reasonsforhospitalstaysinCanadain2022/23Numberofinpatienthospatilizations50,000

100,000

150,0000200,000250,000300,000350,000340,348400,000GivingbirthCOPDandbronchitis69,931Heartfailure67,90064,30563,04361,129AcutemyocardialinfarctionPneumoniaOsteoarthritisofthekneeCOVID-1958,91652,75549,83049,693Othermedicalcare(e.g.,palliativecare,chemotherapy)SubstanceusedisordersNeurocognitivedisorders18Description:In2022/23,thetopreasonforhospitalstaysinCanadawastogivebirth.With340,348numberofinpatienthospitalizations,givingbirthisbyfarthemostcommonreasonforhospitalization.Thesecondmostcommondiagnosisthatyearwaschronicobstructivepulmonarydisease(COPD)andbronchitis.COVID-19isstillinthetoptenlist,butmoveddowntonumberseven,comparedtonumbertwoin2021/22.

ReadmoreNote(s):Canada;fiscalyear2022-2023;*COPD:Chronicobstructivepulmonarydisease.ReadmoreSource(s):CIHIPercentageofinpatientsurgeriesinCanadabytypein2022/23Top10inpatientsurgeriesbyshareinCanada2022/23Percentageofsurgeries0%1%2%3%4%5%6%7%8%9%CaesareansectiondeliveryKneereplacementsurgeryHipreplacementsurgeryFractures§7.8%4.6%4.2%3.8%CoronaryarteryangioplastyRemovalofappendixRemovalofgallbladderHysterectomy2.6%2.6%2.3%2.3%PacemakerinsertionProstatectomy1.7%1.6%19Description:InCanada,everyonein14inpatientsurgeryperformedin2022/23wasaCaesareansectiondelivery,makingc-sectionsthemostcommoninpatientsurgeryinCanada.Thisisfollowedbykneeandhipreplacementsurgeries.

ReadmoreNote(s):Canada;fiscalyear2022/23Source(s):CIHINumberofmalehospitalizationsduetoinjuriesinCanadain2021-2022,byagegroupInjuryhospitalizationsofmalesinCanadabyagegroup2022140,000120,000100,00080,00060,00040,00020,000128,68360,73339,19318,10585+7,5553,09700–45–1718–6465–84TotalAgeinyears20Description:Infiscalyear2021to2022,overthreethousandmaleinfantsandchildrenaged0-4yearswerehospitalizedduetoinjuriesinCanada.ThisstatisticshowsthenumberofmalehospitalizationsduetoinjuriesinCanada,sortedbyagegroup,infiscalyear2021-2022.ReadmoreNote(s):Canada;fiscalyear2021-2022Source(s):CIHINumberoffemalehospitalizationsduetoinjuriesinCanadain2021-2022,byagegroupInjuryhospitalizationnumberoffemalesinCanadabyagegroup2022160,000140,000120,000100,00080,00060,00040,00020,000144,07852,18741,40639,73085+8,3972,35800–45–1718–6465–84TotalAgeinyears21Description:Infiscalyear2021to2022,some2,358hospitalizationswerereportedinCanadaforfemaleinfantsandchildrenaged0-4years.ThisstatisticshowsthenumberofhospitalizationsoffemalesduetoinjuriesinCanada,sortedbyagegroup,infiscalyear2021-2022.ReadmoreNote(s):Canada;fiscalyear2021-2022Source(s):CIHICHAPTER

04LengthofstayAveragelengthofhospitalstaysinCanadafrom2010/11to2022/23(indays)HospitalstayaveragelengthinCanada2010-202387.37.37.27.27.17.177776.96.96.8765432102010–2011

2011–2012

2012–2013

2013–2014

2014-2015

2015-2016

2016-2017

2017-2018

2018-2019

2019-2020

2020-2021

2021-2022

2022-2023Fiscalyear23Description:Inthefiscalyear2022to2023,theaveragelengthofhospitalstayinCanadastoodat7.3days.Since2010,theaveragelengthofstayinCanadianhospitalsdidnotchangemuch.Thelowestaveragelengthofhospitalstayswasrecordedin2017/18,with6.8days,whereasthelongestwasin2010/11andcurrently2022/23,withanaverageof7.3days.ReadmoreNote(s):Canada;2010to2023Source(s):CIHIAveragelengthofinpatienthospitalizationsinCanadain2022/23,bytopdiagnosis(indays)*AveragelengthofstayinhospitalinCanada2022/23,bytopdiagnosisLengthofstayindays02468101214161817.220NeurocognitivedisordersHeartfailure9.5COVID-198.98.7Othermedicalcare(e.g.,palliativecare,chemotherapy)COPDandbronchitis7.26.7PneumoniaSubstanceusedisordersAcutemyocardialinfarctionOsteoarthritisofthekneeGivingbirth5.55.22.22.124Description:InCanada,whilegivingbirthwasthemostcommonreasonforstayinginhospital,theaveragelengthofstay(LOS)wastheshortest,atjust2.1days,comparedtotheothertoptendiagnosesin2022/23.InpatientswithneurocognitivedisordersstayedthelongestwithanaverageLOSof17.2days.ReadmoreNote(s):Canada;Fiscalyear2022/23;*Thestatisticincludesonlythetop10diagnosesbynumberofinpatienthospitalizations(high-volumehospitalizations).**COPD:Chronicobstructivepulmonarydisease.ReadmoreSource(s):CIHIAveragelengthofinpatienthospitalizationsaftertopsurgeriesinCanadain2022/23(indays)*Top10inpatientsurgeries'lengthofstayinCanada2022/23Lengthofstayindays402681012FracturesPacemakerinsertion10.68.6HipreplacementsurgeryCoronaryarteryangioplastyRemovalofgallbladderCaesareansectiondeliveryProstatectomy6.154.12.72.7RemovalofappendixKneereplacementsurgeryHysterectomy2.62.62.125Description:InCanada,whileac-sectionwasthemostcommoninpatientsurgery,theaveragelengthofstay(LOS)wasrelativelyshort,atjust2.7days,comparedtotheothertoptensurgeriesin2022/23.Inpatientswhohadasurgeryforfracturesstayedthelongest,withanaverageLOSof10.6days.ReadmoreNote(s):Canada;Fiscalyear2022/23;*Top10surgeriesarebasedonnumberofinpatientsurgeries(high-volumesurgeries).

ReadmoreSource(s):CIHICHAPTER

05MiscellaneousTop10hospitalsinCanadain2022,byresearchspending(in1,000Canadiandollars)Top10researchhospitalsinCanadain2022,byresearchspendingResearchspendinginthousandCanadiandollars050,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

500,000UniversityHealthNetwork(ON)HospitalforSickChildren(ON)474,600294,224McGillUniversityHealthCentre(MUHC)(QC)VancouverCoastalHealthAuthority(BC)ProvincialHealthServicesAuthority(BC)OttawaHospital(ON)231,655168,824162,523153,481LondonHealthSciencesCentre/St.Joseph'sHealthCareLondon(ON)**HamiltonHealthSciences(ON)137,414133,563SunnybrookHealthSciencesCentre(ON)CHUdeQuébec-UniversitéLaval(QC)128,441120,17327Description:Thisgraphshowsthetop10researchhospitalsinCanadain2022,byresearchspending.Inthatyear,theUniversityHealthNetworkfromOntariowasthetopresearchhospitalnetwork,withresearchspendingof475millionCanadiandollars.

ReadmoreNote(s):NorthAmerica,CanadaSource(s):ResearchInfosourceTop10largesthospitalsinCanadaasof2022,bynumberofbedsTop10largesthospitalsinCanadaasof2022,bynumberofbedsNumberofhospitalbeds02004006008001,0001,2001,400HamiltonGeneralHospitalTheOttawaHospital-CivicCampusHotel-DieudeSherbrooke1,2731,0481,0191,002963926FoothillsMedicalCentreVictoriaBuilding-QueenElizabethIIVancouverGeneralHospital-JimPattisonPavilionOshawaHospital835814782UniversityofAlbertaHospitalRoyalAlexandraHospitalHealthSciencesCentreWinnipeg72828Description:Asof2022,thelargesthospitalinCanadabynumberofhospitalbedswasHamiltonGeneralHospitallocatedinHamilton,Ontario,with1,273beds.ThesecondlargestwastheOttawaHospital-CivicCampuswith1,048beds.

ReadmoreNote(s):NorthAmerica,CanadaSource(s):DefinitiveHealthcareRateofhospitalizationswhereatleastoneharmfuleventoccurredinCanadafrom2014/15to2022/23RateofharmfuleventsinhospitalsinCanada2014/15-2022/2376665.95.45.45.45.45.35.35432102014-20152015-20162016-20172017-20182018-2019Fiscalyear2019-20202020-20212021-20222022-202329Description:Inthefiscalyear2022-2023,therateofeventsinwhichapatientwasharmedamountedtoaroundonein17hospitalstaysinCanada.Forthatyear,146,000outof2.4millionhospitalizationsincurredatleastoneharmfulevent.Therearefourcategoriesofharmfulevents:healthcareandmedications,infections,procedure-related,andpatientaccidents.ReadmoreNote(s):NorthAmerica,CanadaSource(s):CIHINumberofharmfuleventsinhospitalsinCanadafrom2014/15to2022/23,bycategoryofharmNumberofpatientharmeventsinhospitalsinCanada2014/15-2022/23,bycategory90,00078,88880,00070,00060,00050,00040,00030,00020,00010,000051,66531,4696,061Healthcareandmedications(likebed

Infections(likesurgicalsiteinfections)

Procedure-related(likebleedingaftersoresormedicationerrors)

surgery)Patientaccidents(likefalls)30Description:Inthefiscalyear2022-2023,amongallcasesofhospitalharmevents,nearlyhalfofpatientharminCanadianhospitalswerehealthcareandmedicationrelated.Anotherthirdwereinfections.InCanada,harmfuleventscanbedividedintothesefourmaincategories.ReadmoreNote(s):NorthAmerica,CanadaSource(s):CIHICHAPTER

06EffectsofCOVID-19onhospitalstaffhoursNumberofovertimehoursinCanadianhospitalsamongnon-physicianinpatientunitstafffrom2017/18to2021/22(inmillions)OvertimehoursininpatientunitsinCan