The Australian healthcare market is a
mature market driven by universal healthcare coverage and good access to
facilities such as government-subsidized medicines. The growing elderly
population and its associated disease burden, well-defined regulatory
guidelines, the usage of substitute drugs and the introduction of a new
manufacturing policy will drive the growth of the pharmaceutical market in
future. However, a focus on generic substitution and price cuts will restrict the
growth of the market.
The pharmaceuticals market in Australia
was worth approximately $18 billion in 2008. This total is expected to reach
approximately $32 billion in 2020, increasing at a Compound Annual Growth Rate
(CAGR) of 5.1% (Department of Industry, 2013a). The segments that dominated the
market in 2013 were the drugs for the diseases of the Central Nervous System
(CNS), cardiovascular, and respiratory system.
In June 2013, the largest firm by
Pharmaceutical Benefits Scheme (PBS) sales was Pfizer, with sales equivalent to
12.4% of the value of total sales made to the PBS. The leading 10 suppliers by
sales contributed more than 67% of the value of total sales made to the PBS. In
June 2013, Alphapharm was the largest firm in terms of the number of
prescriptions dispensed under the PBS, accounting for 13.3% (PBS, 2013).
The population of Australia amounted to
approximately 23.2 million in 2013, having grown at a CAGR of 1.6% from 2008.
The elderly population is increasing in size and, as of 2013, accounted for
14.5% of the entire population. This population segment is growing at higher
rate (3.6%) than the global average of 2.8% and the European average of 1.4%
(UN, 2013). The prevalence of non-communicable diseases, such as cardiovascular
disease, respiratory, metabolic disorder and cancer, has increased due to an
increasingly sedentary way of life.
In 2013, the government spent
approximately $1 billion on R&D on medical and health science and exported
$3.8 billion in pharmaceuticals. The government is taking initiatives to reduce
the barriers restricting the manufacture of drugs and encourage exports by
introducing new policies.
Medicare, which is Australia’s public
health insurance scheme, provides free or subsidized healthcare services to the
Australian population. The PBS component of Medicare provides access to a wide
range of necessary and cost-effective prescription medicines. Medicare is
funded primarily from general taxes and the Medicare Levy, which is based on
taxable income.
The increasing generic substitution and
cost-cutting measures adopted by the government have had a negative impact on
market growth. Since 2012, the government has reduced the prices of medicines
listed on the PBS eight times, by percentages ranging from 1% to 90% (PBS,
2014a). On April 1, 2012, the biggest cut on the prices of medicines listed on
the PBS was introduced, and the prices of approximately 1,000 brands of 60
popular prescription medicines were reduced (Maiden, 2012). Generic
substitution by pharmacists has been permitted since 1994 and has reduced the
overall value of the pharmaceutical market.
The value of the Australian medical
devices market amounted to $5.9 billion in 2008 and is expected to grow at a
CAGR of 4.9% to reach an estimated $10.4 billion in 2020. Major segments in the
medical devices market in 2013 were In Vitro Diagnostics (IVD) with a 15.5%
share, orthopedic devices with 13.2%, and ophthalmic devices with 9.6%. The
market is driven by factors such as increasing awareness regarding early detection
and diagnosis of disease, advancements in medical technology, and an increase
in the size of the elderly population.
Australia has a transparent, strong and
efficient regulatory system in place to facilitate the approval of
pharmaceutical products and medical devices.
The main regulatory authority for
pharmaceutical products and medical goods is the Therapeutic Goods
Administration (TGA), a division of the Department of Health and Ageing (DoHA).
The TGA's overall purpose is to protect public health and safety by regulating
therapeutic goods that are either supplied through imports, manufactured in
Australia or exported from Australia. The market authorization of any new drug
or medical device requires the execution of good laboratory practice and
compliance with TGA standards.
On April 1, 2014, the government ceased
the operations of the Pharmaceutical Benefits Pricing Authority (PBPA) in order
to improve access to medicines and reduce the time taken to list the medicines
on the PBS.
Licenses for the manufacture and sale of
drugs and medical devices are obtained from the TGA following the submission of
an application and validation of documents.
An import and export business license is
obtained from the TGA once goods are entered into the Australian Register of
Therapeutic Goods (ARTG) and after the submission of documents assuring quality
and safety.
Universal healthcare coverage, good
access to healthcare facilities and subsidized essential drugs are the
distinguishing features of the Australian healthcare system.
The healthcare system in Australia is
funded and administered by government at national, state/territory and local
level. The healthcare system is also funded by private health insurance
programs. Australia’s public health insurance scheme, Medicare, offers
universal access to healthcare and covers the entire population through
programs such as PBS and the Medicare Benefits Schedule (MBS). Private health
insurance covers most of the services not provided by Medicare. The government
encourages private health insurance through incentives such as the private
health insurance rebate, the Medicare Levy Surcharge (MLS) and Lifetime Health
Cover (LHC). As of June 30, 2013, approximately 10.3 million Australians had
private hospital insurance coverage, equivalent to 45% of the population (ABS,
2013a).
Australia has been given an AAA rating
based on political stability and economic growth over recent years.
Since Prime Minister Tony Abbott was
elected, many of the country’s issues have been solved by measures such as the
reduction of carbon emission tax and other natural resource. The carbon
emission tax has been reduced by 5%. The current government has taken an
initiative for the elderly population by introducing schemes such as ‘Living Longer
Living Better’. In addition, in order to expedite economic growth, the
government is investing in higher education, health benefits, R&D and
infrastructure, as well as taking initiatives to reform the current tax
structure in order to encourage business investment and increase employment.
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