Abstract of Dissertation

Keyword : Market Assessment; Single Specialty Hospital; Ophthalmology; Healthcare Facilities

Objective : The following objectives were kept in mind while conducting the study: • To understand the socio-economic profile of the potential catchment area and health needs of the population in the primary and secondary catchment area with regards to ophthalmology • To explore available healthcare facilities and understand potential competitor in the study area • To analyze the demand-supply gap in the proposed location of the hospital • To propose an idea for an eye hospital best suited for the proposed location based on space programming.

Background : A client approached HOSMAC India Pvt. Ltd. with the intention of starting a single specialty hospital in Palanpur offering eye services. It is to be noted that the client already owns an operational multispecialty hospital in Palanpur and the proposed hospital will be located exactly opposite to the running hospital on a plot area of 6000 square foot owned by the client. Certain non-clinical facilities will be shared by the two facilities. The client wishes to know the Ophthalmology market scenario in Palanpur and thus determine the economic and financial feasibility of the project.

Methodology : The following methodology was used for performing the study: Research Questions: The following research questions formed the basis of the study: • Does a demand-supply gap exist in Palanpur for Ophthalmology? • What services should be present in the proposed facility? Research Design: A cross-sectional study design was used for this study. Duration: 2 months Data Collection: The study included the collection of both primary and secondary data followed by a comprehensive analysis of the data. Secondary Data: The sources for the collection of secondary data include: • Online research • Reports of the leading Market research organizations • HOSMAC database Primary Data: In this study, two surveys were undertaken: • Consultants’ Survey • Institutional Survey Data Collection tool used: A semi-structured questionnaire containing both open and closed-ended questions was used. Qualitative data: Open-ended questions reflecting the stakeholders’ perspective about the deficiencies present in the healthcare market and the services available was collected. Quantitative Data: Closed-ended questions regarding the paying capacity of the patients and insurance penetration in the healthcare market categorized into High, medium and Low was collected. Open-ended questions regarding bed occupancy, productivity details, tariff details, and patient drainage was collected. Sampling Technique: Two staged samplings were done. In the first stage, purposive sampling of the hospitals and consultants related to ophthalmology was done followed by the second stage of systematic random sampling.

Findings : The results showed that Palanpur has a demand-supply gap for ophthalmology services and a complete lack of retina services. 60% of the consultants feel the need for an integrated ophthalmology center. Majority of the population pays out of pocket and major drainage areas include the Banskantha district, Mehsana and parts of South Rajasthan. 20% of the cases are referred to Ahmedabad owing to the lack of retina services in Palanpur.

Recommendations : A 20 bedded hospital dedicated to ophthalmology was proposed consisting of the services like cataract and glaucoma surgeries, refraction services and retina services with a scope of future expansion for cornea, Lasik, and diabetes retinopathy services. It was also proposed that for the initial years, a tie-up with a retina surgeon from Ahmedabad should be done and with time as the footfall increases, full-time in-house surgeons can be hired.