Assisted reproductive policy relaxation
The assisted reproductive industry is an industry with strong policy attributes. The policy determines supply, and the stage of industry development is closely related to policy intensity. In China, the assisted reproductive industry involves family planning national policy, technology maturity, ethics and other issues. In the history of the country, strict supervision of assisted reproduction, strict control of the number of reproductive centers, and approval system for assisted reproductive licenses. At present, relevant regulations include "Management Methods for Human Assisted Reproductive Technology", "Management Methods for Human Sperm Bank", "Human Assisted Reproductive Technology Specifications", "Basic Standards and Technical Specifications for Human Sperm Bank", "Human Assisted Reproductive Technology and Human Sperm Bank". Ethical Principles, Notice of the Ministry of Health on Amending the Relevant Norms, Basic Standards and Ethical Principles of Human Assisted Reproductive Technology and Human Sperm Bank.
Figure 1: Policy history of the assisted reproductive industry as of 2017
Source: Prospective Industry Research Institute
At the same time, the number of infertility patients in China is huge. In 2016, the number of infertility in China has risen to 50 million, accounting for 15% of the childbearing population. It is expected that this ratio will continue to rise in the near future. situation. And assisted reproductive technology has made great progress since 2000, so the country began to moderately relax supervision. In 2007, the approval authority for assisted reproductive licenses was delegated to the provincial health planning committee, increasing the number of national reproductive centers, but overall strict.
Chart 2: Forecast of infertility rate in China from 1995 to 2030 (unit: %)
Source: Prospective Industry Research Institute
Assisted reproductive center has a large investment space
Looking at the development process of assisted reproduction in China, it was the initial stage of the industry before 2007, and the assisted reproductive technology continued to improve but the policy supervision was strict. By 2007, there were only 95 national reproductive centers; 2007-2012 belonged to the pre-development period, with the approval authority in 2007. Decentralization, plus assisted reproductive II and III technologies have also entered a new stage of development, promoting the rapid development of the industry. By 2012, the national reproductive center will increase to 356, with an average annual growth of 50; 2013 is still in the middle of the development period, the Ministry of Health The speed of approval was slowed down. In the following years, the average annual growth rate was only 20, and the number of reproductive centers in 2016 was 451.
In combination with the provincial and municipal assisted reproductive technology planning and the National Health Planning Commission, the standard for the establishment of one institution per 3 million people, the future limit of the auxiliary reproductive center license is not less than 550, at least about 100 spaces.
Figure 3: Number and forecast of approved assisted reproductive center institutions in China from 2007 to 2020 (unit: home)
Source: Prospective Industry Research Institute
In addition, the most essential qualification for assisted reproduction, IVF has a high license threshold and a large amount of gold. The main application conditions include: 1) In principle, it must be a nationally approved tertiary hospital; 2) The center's laboratory manager and clinical responsibility Man-made senior titles; 3) After the establishment of the institution, the number of IVF cycles and pregnancy rate must still reach a certain standard, and once every 2 years, the qualification will be suspended if it fails.
Figure 4: IVF application requirements
Source: Prospective Industry Research Institute
The above three points are difficult to obtain at the hospital's qualification level and doctor's technical level, making the IVF license especially difficult to obtain. Therefore, there are still many reproductive centers that do not meet the test tube baby technical requirements. In the 451 assisted reproductive institutions as of 2016, the test tube baby was obtained. There are only 327 hospitals with licenses, and 28% of the reproductive centers still do not meet the technical requirements for IVF. By 2016, there were about 776 top three hospitals in China, and 42.1% of hospitals with IVF licenses; private hospitals The number of private hospitals with a test tube baby license is less than 0.3%.
Figure 5: Distribution of major provinces and cities in China in 2007
Source: Prospective Industry Research Institute
Different supply gaps in reproductive centers in different provinces and cities
In terms of provinces, the provinces introduced the Human Assisted Reproductive Technology Allocation Plan (2015-2020) in 2015, giving the number of reproductive centers planned for the province to 2020.
Among them, the number of reproductive centers planned for 2020 is more than 25 in Guangdong (54), Jiangsu (40), Shandong (33), Hebei (30), Hubei (30), and Hunan (28). Zhejiang (27), and from the actual number in 2016, the number of reproductive centers in these provinces is 56, 29, 27, 29, 23, 23, and 27 respectively. The actual number in Guangdong has exceeded the standard. Zhejiang is also “fullâ€, while Shandong, Hunan, Hubei, and Jiangsu also correspond to 6, 5, and 11 gaps. In the second group, Beijing, Anhui, Guangxi, and Yunnan plan the number of reproductive centers in 2020. More than 20, but Anhui only 10 reproductive centers at the end of 2016, the gap reached 10, in the forefront of the country.
In addition, Beijing and Shanghai have a small number of reproductive centers, but Beijing and Shanghai are the most developed and most powerful centers in the country. The number of reproductive centers per tens of millions of people is 7.9. 7.4, the density is much higher than other provinces.
Figure 6: Number and gaps of reproductive center planning in various provinces and cities in 2020
Source: Prospective Industry Research Institute
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