In 2023, China’s internet medical sector enjoyed a wave of favorable policies, significant revenue growth, and accelerated application of digital technologies, showcasing an overall positive development trend.

Strong policy guidance played a crucial role in March, with the issuance of “Opinions on Further Improving the Healthcare Service System” by the General Office of the Communist Party of China Central Committee and the General Office of the State Council.

These policies stressed leveraging information technology to develop “Internet + Healthcare” initiatives, construct smart platforms for the medical field, and fast-track the application of the internet, blockchain, and IoT in healthcare, thereby enhancing the provision of high-quality medical services.

Revenue growth for internet medical enterprises was notably significant. The service coverage of these companies expanded continuously, driving substantial revenue increases.

In the first half of the year, JD Health extended its reach to over 400 cities nationwide, covering more than 100,000 stores, which propelled a 34.0% year-on-year revenue increase.

From March to September, Alibaba Health’s income and profit grew by 12.7% and 172.2%, respectively, with the number of merchants on its Tmall Health platform exceeding 32,000, an increase of more than 4,000 compared to the previous year.

The deployment of digital technologies also saw rapid progress. The deep integration of digital technologies like artificial intelligence and cloud computing with the medical industry led to the preliminary formation of AI medical models and smart medical information platforms.

In July, SenseTime launched the “SenseCare Smart Hospital” comprehensive solution, focusing on smart diagnosis and treatment, medical research, and other scenarios. This solution provides hospitals with one-stop services to improve treatment outcomes, optimize patient experiences, and support the smart transformation of hospitals.

China Internet Overview

The top five sectors with the highest growth rate in China remained unchanged in 2010-2019, including holidays (CAGR 18%), transportation (16.4%), over-the-counter drugs and pharmaceuticals (13.6%), catering services (13.1%), and personal finance and housing (12.9%).

Although the growth of most industries has gradually declined due to the slowdown of overall consumer spending growth, the beauty and personal care industry has maintained its growth trend since 2017, with an increase of 9.2% in 2019.

Spending fell in the first quarter as industries such as holidays and catering services require consumers to leave home and are likely to flock. Total consumer spending is expected to shrink by 5.6% by 2020.

Research shows that most consumer goods industries are gradually recovering, including dining out, clothing, beauty and personal care, as well as non-essential industries such as leisure and entertainment.

In the long run, China’s total consumer spending is expected to return to its pre-covid-19 level in 2021 and continue to grow at a compound annual growth rate of 7.3% from 2021 to 2024.

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8 Strategic segments of China’s online consumers

According to the preliminary estimates of National Bureau of Statistics of China, the gross domestic product (GDP) of China was 72,278.6 billion yuan in the first three quarters, a year-on-year growth of 0.7% at comparable prices.

The GDP for the first quarter declined by 6.8% year on year, increased by 3.2% for the second quarter, and up by 4.9% for the third quarter of 2020.

By industry, the value-added of the primary industry was 4,812.3 billion yuan, up by 2.3 percent year on year; that of the secondary industry was 27,426.7 billion yuan, up by 0.9 percent; and that of the tertiary industry was 40,039.7 billion yuan, up by 0.4 percent.

The GDP for the third quarter grew by 2.7% quarter on quarter.

Check out China retail sales in Q3 here.

Agricultural Production

In the first three quarters, the value-added of agriculture (crop farming) grew by 3.8% year on year, the same as that of the first half of the year. Specifically, that of the third quarter grew by 3.9%.

The total output of summer grain and early rice totaled 170.10 million tons, a year-on-year growth of 2.24 million tons. The sown area for autumn grain was stable with an increase, major crops for autumn grain grew well and another bumper harvest is expected for autumn grain.

The planting structure was further optimized, with the sown areas of quality rice and soybean continuing to expand. In the first three quarters, the output of milk grew by 8.1%, and that of eggs grew by 5.1%.

The output of pork, beef, mutton and poultry dropped by 4.7%, a decline narrowed by 6.1 percentage points compared with that of the first half of this year.

Specifically, the output of poultry grew by 6.5%, and output of beef, mutton and pork dropped by 1.7%, 1.8% and 10.8% respectively, a decline narrowed by 1.7 percentage points, 0.7 percentage points and 8.3 percentage points compared with that of the first half of this year.

The pork production capacity gradually recovered. By the end of the third quarter, 370.39 million pigs were registered in stock, up by 20.7% year on year, among which, 38.22 million were breeding sows, up by 28.0%.

Check out China’s CPI from January to September 2020.

Industrial Production

In the first three quarters, the total value added of the industrial enterprises above the designated size grew by 1.2% year on year, while that of the first half of this year was down by 1.3%. Specifically, that of the third quarter grew by 5.8% year on year, 1.4 percentage points faster than that of the second quarter.

In September, the total value added of the industrial enterprises above the designated size grew by 6.9% year on year, growing for the sixth consecutive month, or 1.3 percentage points faster than the growth of August, with the month-on-month growth registering 1.18%.

An analysis by types of ownership showed that, in the first three quarters, the value-added of the state holding enterprises grew by 0.9% year on year; that of share-holding enterprises up by 1.5 percent; that of enterprises funded by foreign investors or investors from Hong Kong, Macao and Taiwan up by 0.3 percent; and that of private enterprises up by 2.1%.

In terms of sector, the value-added of mining went down by 0.6% year on year, a decline narrowed by 0.5 percentage points compared with that of the first half of this year; manufacturing up by 1.7% and the production and supply of electricity, thermal power, gas and water up by 0.8%, compared with a decline of 1.4% and 0.9% respectively in the first half of this year.

In the first three quarters, the value-added of high-tech manufacturing and equipment manufacturing grew by 5.9% and 4.7% year on year.

In terms of the output of products, in the first three quarters, the production of trucks, excavators, and shoveling machinery, industrial robots, and integrated circuits grew by 23.4%, 20.2%, 18.2% and 14.7% year on year respectively.

In the first eight months, the total profits made by industrial enterprises above the designated size totaled 3,716.7 billion yuan, down by 4.4% year on year, a decline narrowed by 3.7 percentage points compared with that of the first seven months.

The Manufacturing Purchasing Managers’ Index stood at 51.5% in September, 0.5 percentage points higher than that of August, staying above the threshold for seven consecutive months.

Service Sector

In the third quarter, the total value added of the tertiary industry grew by 4.3%, or 2.4 percentage points faster than that of the second quarter.

In the first three quarters, of modern service industries, the value-added of the information transmission, software and information technology services, and financial services grew by 15.9% and 7.0% respectively, or 1.4 percentage points and 0.4 percentage points higher than that of the first half of this year.

The Index of Services Production dropped by 2.6% year on year, a decline narrowed by 3.5 percentage points compared with that of the first half of the year; specifically, that of September grew by 5.4%, 1.4 percentage points faster than that of August.

In September, the Business Activity Index for services was 55.2%, 0.9 percentage points higher than that of August. Specifically, the Business Activity Index for transportation, telecommunication, internet and software, and accommodation and catering all stayed above 60%. In terms of market expectation, the Business Activities Expectation Index for service was 62.2%, 0.9 percentage points higher than that August.

Investment in Fixed Assets Shifted from Negative to Positive

In the first three quarters, the investment in fixed assets (excluding rural households) reached 43,653.0 billion yuan, up by 0.8% year on year, shifting from negative to positive for the first time in 2020, while that of the first half of this year was down by 3.1%.

• the investment in infrastructure grew by 0.2%, shifting from negative to positive for the first time in 2020, while that of the first half of 2020 was down by 2.7 percent;
• the investment in manufacturing dropped by 6.5%, a decline narrowed by 5.2 percentage points compared with that of the first half of 2020;
• the investment in real estate development grew by 5.6%, 3.7 percentage points faster than that of the first half of 2020.

The floor space of commercial buildings sold reached 1,170.73 million square meters, down by 1.8%, a decline narrowed by 6.6 percentage points compared with that of the first half of 2020; and the total sales of commercial buildings were 11,564.7 billion yuan, up by 3.7%, while that of the first half of 2020 were down by 5.4%.

The investment in China’s primary industry grew by 14.5%, a growth of 10.7 percentage points higher than that of the first half of the year; the secondary industry down by 3.4%, a decline narrowed by 4.9 percentage points compared with that of the first half of the year; the tertiary industry up by 2.3%, while that of the first half was down by 1.0%.

The private investment reached 24,399.8 billion yuan, down by 1.5%, a decline narrowed by 5.8 percentage points compared with that of the first half of 2020.

The investment in the high-tech industry grew by 9.1%, 2.8 percentage points faster than that of the first half of 2020. Of the total, the investment in high-tech manufacturing and high-tech services grew by 9.3% and 8.7% respectively.

In terms of high-tech manufacturing, the investment in pharmaceutical manufacturing, manufacturing of computers and office devices grew by 21.2% and 9.3% respectively.

In terms of high-tech services, the investment in e-commerce services, information services and services for commercialization of research findings grew by 20.4%, 16.9% and 16.8%.

The investment in social sectors grew by 9.2%, 3.9 percentage points higher than that of the first half of 2020. Of the total, the investment in health sector and education sector grew by 20.3% and 12.7% respectively, or 5.1 percentage points and 1.9 percentage points faster than that of the first half of 2020.

In September, the investment in fixed assets (excluding rural households) grew by 3.37% month on month.

Imports and Exports

In the first three quarters, the total value of imports and exports of goods was 23,115.1 billion yuan, up by 0.7% year on year, shifting from negative to positive for the first time in 2020; specifically, that of the third quarter grew by 7.5% year on year, while the that of the second quarter was down by 0.2%.

The value of exports was 12,710.3 billion yuan, up by 1.8%, and the value of imports was 10,404.8 billion yuan, down by 0.6%. The trade balance was 2,305.4 billion yuan in surplus.

In September, the total value of imports and exports was 3,066.3 billion yuan, up by 10.0% year on year. The value of exports was 1,662.0 billion yuan, up by 8.7 percent; the value of imports was 1,404.3 billion yuan, up by 11.6%.

The trade structure continued to optimize. In the first three quarters, the import and export of general trade accounted for 60.2% of the total value of the imports and exports, 0.8 percentage points higher than the same period of last year.

The exports of mechanical and electrical products grew by 3.2%, while that of the first half of 2020 was down by 2.3%. The imports and exports by private enterprises grew by 10.2%, accounting for 46.1% of the total imports and exports, 4 percentage points higher than the same period of last year.

Employment

In the first three quarters, the newly increased employed people in urban areas totaled 8.89 million, accomplishing 99.8% of the whole-year target.

In September, the urban surveyed unemployment rate was 5.4%, 0.2 percentage points lower than that of August. Specifically, the surveyed unemployment rate of population aged from 25 to 59 was 4.8%, 0.6 percentage points lower than the urban surveyed unemployment rate, the same as that of August.

The urban surveyed unemployment rate in 31 major cities was 5.5%, 0.2 percentage points lower than that of August.

The employees of enterprises worked averagely 46.8 hours per week. By the end of the third quarter, the number of rural migrant workers reached 179.52 million, 3.84 million less than that of the same period last year, down by 2.1% year on year.

Residents Income

In the first three quarters, the nationwide per capita disposable income of residents was 23,781 yuan, a nominal increase of 3.9% year on year, or a real increase of 0.6% after deducting price factors, shifting from negative to positive for the first time in 2020 as that of the first half of 2020 was down by 1.3%.

In terms of permanent residence, the per capita disposable income of urban households was 32,821 yuan, a nominal increase of 2.8%, or a real decrease of 0.3%.

The per capita disposable income of rural households was 12,297 yuan, a nominal increase of 5.8%, or a real increase of 1.6%.

The per capita disposable income of urban households was 2.67 times that of rural households, 0.08 less than that of the same period last year. The median of the nationwide per capita disposable income was 20,512 yuan, a nominal increase of 3.2% year on year.

China saw its first positive quarterly growth in consumer retail sales in Q3 2020

China’s GDP reached 45,661.4 billion yuan in the first half of 2020, a year-on-year decline of 1.6% at comparable prices.

The value-added of the primary industry was 2,605.3 billion yuan, a year-on-year growth of 0.9 percent; that of the secondary industry was 17,275.9 billion yuan, down by 1.9 percent; and that of the tertiary industry was 25,780.2 billion yuan, down by 1.6 percent.

Agricultural Production

In H1 of 2020, the value-added of agriculture (crop farming) grew by 3.8% year on year, 0.3 percentage point higher than that in the first quarter; specifically, the figure grew by 3.9% in the second quarter, 0.4 percentage point higher than the growth in the first quarter.

The overall output of summer grain was 142.81 million tons, an increase of 1.21 million tons over that of the previous year, up by 0.9%. The structure of crop farming was further optimized, as the sown area for cash crops such as rapeseed increased.

In H1, the output of milk grew by 7.9% year on year and that of eggs grew by 7.1%. The output of pork, beef, mutton, and poultry fell by 10.8%, the decrease of which narrowed by 8.7 percentage points compared with that of the first quarter.

Specifically, the output of poultry increased by 6.8%, up by 5.7 percentage points; that of mutton, beef and pork dropped by 2.5%, 3.4%, and 19.1% respectively, the decrease of which narrowed by 5.2 percentage points, 3.0 percentage points, and 10.0 percentage points respectively.

The pig production capacity continued to recover. By the end of the second quarter, 339.96 million pigs were registered in stock, an increase of 5.8% over that by the end of the first quarter, among which 36.29 million were breeding sows, up by 5.4% year on year, an increase of 7.3% over that by the end of the first quarter.

Industrial Production and High-tech Manufacturing

In H1, the total value added of the industrial enterprises above the designated size declined by 1.3% year on year, 7.1 percentage points slower than the decline of the first quarter; specifically, the figure grew by 4.4% in the second quarter and declined by 8.4% in the first quarter.

In June, the total value added of the industrial enterprises above the designated size grew by 4.8% year on year, 0.4 percentage point faster than that of May, growing for the third month in a row, or up by 1.3 percent month on month.

An analysis by types of ownership showed that the value-added of the state holding enterprises went down by 1.5% year on year; that of share-holding enterprises down by 0.8 percent; enterprises funded by foreign investors or investors from Hong Kong, Macao, and Taiwan down by 3.4 percent; and private enterprises down by 0.1%.

In terms of sectors, the value-added of the mining went down by 1.1%, the manufacturing down by 1.4% and the production and supply of electricity, thermal power, gas and water declined by 0.9%, 0.6 percentage point, 8.8 percentage points, and 4.3 percentage points slower than the decline of the first quarter respectively.

The value-added of high-tech manufacturing and equipment manufacturing grew by 4.5% and 0.4% respectively In H1; specifically, the figures went up by 10.0% and 9.7% respectively in June.

The output of some engineering machinery and new products witnessed fast growth. In H1, the production of excavators and shoveling machinery, integrated circuits, industrial robots, and trucks grew by 16.7%, 16.4%, 10.3%, and 8.4% year on year respectively.

In the first five months of 2020, the total profits made by industrial enterprises above the designated size totaled 1,843.5 billion yuan, down by 19.3% year on year, the decline of which continued to narrow.

Specifically, the figure went up by 6.0% year on year in May, while that in April went down by 4.3%. The Manufacturing Purchasing Managers’ Index stood at 50.9% in June, 0.3 percentage point higher than that of the previous month, staying above the threshold for the fourth consecutive month.

Service Sector

In H1, the total value added of the tertiary industry dropped year on year, 3.6 percentage points less than the decline of the first quarter; specifically, the figure grew by 1.9% in the second quarter and dropped by 5.2% in the first quarter.

By sectors, the value-added of information transmission, software and information technology and that of financial services grew by 14.5% and 6.6% respectively; wholesale and retail trades, accommodation and catering declined by 8.1% and 26.8% respectively, 9.7 percentage points and 8.5 percentage points slower than the decline in the first quarter.

In H1 of 2020, the Index of Services Production decreased by 6.1% year on year, 5.6 percentage points slower than the decline of the first quarter; specifically, the figure in June grew by 2.3%, 1.3 percentage points higher than that in May.

In the first five months, business revenue of service enterprises above the designated size dropped by 6.4%, the decline of which narrowed by 2.2 percentage points compared with that in the first four months; specifically, that of information transmission, software, and information technology services grew by 8.4%.

In June, the Business Activity Index for services was 53.4%, 1.1 percentage points higher than that in May.

Specifically, the Business Activity Index for railway transportation, road transportation, air transportation, postal services, telecommunication, broadcast, television satellite transmission services, internet, software and information services, monetary and financial services, capital market services, and insurance stood at 55.0% and above.

In terms of market expectations, the Business Activity Expectation Index for services was 59.0%.

Investment

In H1, the investment in fixed assets (excluding rural households) reached 28,160.3 billion yuan, down by 3.1% year on year, the decline of which narrowed by 3.2 percentage points compared with that in the first five months, or 13.0 percentage points compared with that in the first quarter.

Specifically, the investment in infrastructure was down by 2.7% and that in manufacturing down by 11.7%, the decline of which narrowed by 17.0 percentage points and 13.5 percentage points respectively compared with that in the first quarter; real estate development went up by 1.9% and down by 7.7% in the first quarter.

The floor space of commercial buildings sold reached 694.04 million square meters, down by 8.4%, and the total sales of commercial buildings were 6,689.5 billion yuan, down by 5.4%, 17.9 percentage points, and 19.3 percentage points slower than the decline in the first quarter respectively.

By industries, the investment in the primary industry grew by 3.8% despite a decline of 13.8% in the first quarter; that in the secondary industry went down by 8.3% and that in the tertiary industry down by 1.0%, 13.6 percentage points and 12.5 percentage points less than the decline in the first quarter respectively.

Private investment reached 15,786.7 billion yuan, down by 7.3%, 11.5 percentage points slower than the decline in the first quarter.

The investment in high-tech industries went up by 6.3%, while that in the first quarter went down by 12.1 percent; specifically, the investment in high-tech manufacturing industries and high-tech services went up by 5.8% and 7.2% respectively.

In terms of high-tech manufacturing, investment in pharmaceutical manufacturing and the manufacturing of computers and office devices grew by 13.6% and 8.2% respectively.

In terms of high-tech services, the investment in services for e-commerce services and commercialization of scientific and technological research findings grew by 32.0% and 21.8% respectively.

The investment in the social sector increased by 5.3%, while that declined by 8.8% in the first quarter.

Specifically, the investment in the health sector and education sector grew by 15.2% and 10.8% respectively, despite a decline of 0.9% and 4.0% in the first quarter. In June, the investment in fixed assets (excluding rural households) grew by 5.91% month on month.

Imports and Exports

In H1, the total value of imports and exports of goods was 14,237.9 billion yuan, a year-on-year decline of 3.2%, 3.3 percentage points slower than the decline in the first quarter; specifically, that in the second quarter dropped by 0.2%, and that in the first quarter dropped by 6.5%.

The total value of exports was 7,713.4 billion yuan, down by 3.0 percent; the total value of imports was 6,524.5 billion yuan, down by 3.3%. The trade balance was 1,188.9 billion yuan in surplus.

In H1, the import and export of general trade accounted for 60.1% of the total value of the imports and exports, an increase of 0.4 percentage points compared with that in the same period last year.

The exports of mechanical and electronic products accounted for 58.6% of the total value of exports, an increase of 0.5 percentage points compared with the same period last year.

In June, the total value of imports and exports was 2,697.3 billion yuan, a year-on-year increase of 5.1%. The total value of exports was 1,513.1 billion yuan, up by 4.3%, and the total value of imports was 1,184.2 billion yuan, up by 6.2%.

In H1, the export delivery value of industrial enterprises above the designated size reached 5,425.0 billion yuan, a year-on-year decline of 4.9%, 5.4 percentage points slower than the decline in the first quarter. In June, the export delivery value of industrial enterprises above the designated size shifted from a year-on-year decline of 1.4% in May to a growth of 2.6%.

Consumer Price

In H1, the consumer price went up by 3.8% year on year, 1.1 percentage points lower than that in the first quarter. Specifically, the price went up by 3.6% in urban areas and up by 4.7% in rural areas.

Grouped by commodity categories, prices for food, tobacco and alcohol went up by 12.2% year on year; clothing down by 0.1 percent; housing down by 0.1 percent; articles and services for daily use up by 0.1 percent; transportation and communication down by 3.2 percent; education, culture and recreation up by 2.0 percent; medical services and health care up by 2.1 percent; other articles and services up by 5.0%.

In terms of food, tobacco and alcohol prices, prices for grain went up by 1.0%, fresh vegetables up by 3.4 percent; pork up by 104.3%, 18.2 percentage points lower than that in the first quarter. Core CPI excluding the price of food and energy went up by 1.2%. In June, the consumer price went up by 2.5% year on year, and down by 0.1% month on month.

In H1, the producer prices for industrial products went down by 1.9% year on year. The figure in June dropped by 3.0% year on year, or up by 0.4% month on month. In H1, the purchasing prices for industrial producers went down by 2.6% year on year. The figure in June dropped by 4.4% year on year and up by 0.4% month on month.

Unemployment Rate

In H1, the newly increased employed people in urban areas totaled 5.64 million, accounting for 62.7% of the whole-year target.

In June, the surveyed unemployment rate in urban areas was 5.7%, 0.2 percentage point lower than that in May. Specifically, the surveyed unemployment rate of the population aged from 25 to 59 was 5.2%, 0.5 percentage point lower than that of the surveyed unemployment rate in urban areas, or 0.2 percentage point lower than that in May.

The urban surveyed unemployment rate in 31 major cities was 5.8%, 0.1 percentage point lower than that in the previous month. The employees of enterprises worked averagely 46.8 hours per week. By the end of the second quarter, the number of rural migrant workers reached 177.52 million.

Residents’ Real Income

In H1, the nationwide per capita disposable income of residents was 15,666 yuan, a nominal growth of 2.4% year on year, 1.6 percentage points faster than that in the first quarter, or a real decrease of 1.3% after deducting price factors, a decrease of which narrowed by 2.6 percentage points.

In terms of permanent residence, the per capita disposable income of urban households was 21,655 yuan, a nominal growth of 1.5%, or a real decrease of 2.0 percent.

The per capita disposable income of rural households was 8,069 yuan, a nominal growth of 3.7%, or a real decrease of 1.0%. By sources of income, the nationwide per capita wage income went up by 2.5% in nominal terms, net operating income down by 5.1%, net property income up by 4.2%, and net transfer income up by 8.2%.

The per capita disposable income of urban households was 2.68 times that of the rural households, 0.06 less than that of the same period last year. The median of the nationwide per capita disposable income was 13,347 yuan, a nominal increase of 0.5% year on year.

Check out retail sales and CPI here.

Compared with other countries, Chinese patients spend much more time online looking for medical information, and more likely to request a prescription change.

Chinese consumers are among the most digitized populations in the world, but what does that mean when it comes to their medical activities? According to the latest annual survey Digital Life Physician & Patient 2017, Chinese patients spend an average of 29.3 hours per week online, with 26% of this time spent on medical related activities such as providing feedback on the information they’ve received and service they’ve experienced.

They’re most interested in medical and disease education articles, followed by medication instructions. However, their satisfaction levels are not very high, as there are trust issues with the information they are receiving. In many instances, they will start their search from Baidu and scroll down several pages to identify reliable sources. In our survey, we were surprised to find that some patients will even explore physician professional websites, such as DXY, Haodaifu, and others, to gather information in the physician’s domain.

With Chinese patients becoming increasingly digital, they’re now driving demand and creating a joint decision making model between physicians and patients. This joint model is arguably more prevalent in China than anywhere else in the world, and in low risk conditions like a fever or cold physicians may completely defer to what a patient wants.

For example, in this new proactive role, 47% of patients in Tier I cities said that they’ve requested a prescription change, with 42% of physicians approving this change. While in Tier III-V cities, 39% of patients said that they’ve requested a change, with 32% of physicians approving that change.

Finally, in specialty areas such as diabetes and oncology, the negotiation power of patients can be totally opposite.

Chinese patients are also wealthier and more willing to spend. Many Chinese consumers want the best that money can buy, as 41% of Chinese patients prefer brand name medicines to generics, compared to about 20% of EU and US patients who prefer branded medicines.

Nonetheless, digital can make patient power health a reality, but we as an industry need to supply more reliable sources for patients, as they rely heavily on digital sources for information and support at many points along their patient journey.

This article was originally published on Kantar.com