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8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Jalan Pintas menuju AFTA
dalam Industry Kesehatan
Boenjamin Setiawan, dr.,PhD
Honorary Chairman
PT Kalbe Farma Tbk
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
2/52
The Dawn of the Knowledge Era
21st century will be the century of knowledge
.the process of transition is on
Human Resource Development is the KEY forIRRADICATING POVERTY and Economic Development
Spectacular developments in science and technology
Unparalleled economic growth
globalization, competition, innovation at the vanguard
Uncontrolled exploitation of earths resources
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Innovation is the KEY of WEALTH Creation
Innovation is the lifeblood of our global economy and
a strategic priority for all CEOs everywhere. Were allfamiliar with classic cases where revolutionary ideasupended industries and generated enormous wealth:
1) the Apple iPods outplaying the Sony Walkman;
2) Starbucks beans and atmosphere flooding outtraditional coffee shops;
3) Skypes using a strategy of free to unspool AT&T.
4) But how about Reckitt Benckiser Group, the Britishconsumer products giant (Lysol, Woolite, Clearasil),which looks to customers, among others, to find newmethods to detect parasites?
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
http://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=aapl&tab=searchtabquotesdarkhttp://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=sbux&tab=searchtabquotesdarkhttp://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=sbux&tab=searchtabquotesdarkhttp://finapps.forbes.com/finapps/jsp/finance/compinfo/CIAtAGlance.jsp?tkr=aapl&tab=searchtabquotesdark8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Idea People Tools
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Innovation
Products andProductivity
R & D
Goal: Strengthening the Economy
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
5/52
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
6/52
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
7/52
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
8/52
Government-University-Industry Partnership
(ABGC)
IndustryProducts
GovernmentDriver
UniversityResources
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
R & D
Set R&D Policy and
Provide Funding
Promote and
Stimulate
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Government
Conduct research critical to national interests
Federal labs (NIST, NREL, Oak Ridge, etc.) Provide research funding via government agencies
University
Basic and applied research (Open)
Training and prepare future workforce
From ideas to bench-scale prototypes
Industry
Market-driven product research and innovation From ideas to prototypes, to large scale manufacturing
and marketing
11 Octber 2014, Diskusi PanelIkatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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U.S. Science and Technology Policy
National Science and Technology
Council (cabinet-level council)
Chaired by the President A primary objective of the NSTC is the
establishment of clear national goals for
Federal science and technology investments
in a broad array of areas
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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If INDONESIA is serious about
competing in the global market, it is
time to understand the impact of
Science and Technology andEducation on the economy.
One I-phone 5 costs
more than a ton of rice
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Innovation versus Business as Usual
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Industry-University Cooperative Research
Center (IUCRC)
Researchers from partner universitiessubmit ideas and proposals competing on aspecific problem
IAB reviews and select projects for funding basedon quality and competitive process (notinstitution)
Outcomes and innovation from projects are
jointly owned by the researchers and allindustrial partners
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
IUCRCCenter
Federal,State, and
Lead
University
Consortium ofUniversities andResearchers -
R & D
Research Outcomeand Innovation
IndustrialPartners (IAB)
-set problems
IUCRC for a Specific Industrial Interest
Financial Support:
Seed Funding and
Membership Fee
Full-scale product
manufacturing
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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What about Indonesia ?? We have to set priorities in a multicomplex
environment, which are as folllows:
1. Education and Health for the population
2. Innovation through R&D by increasing thebudget to achieve 1% of GDP in 2017
3. Infrastructure has to be developed
4. Energy, Biofuel, Solar/Wind/Nuclear/Hydro/
energy must be developed5. ICT, Nano, Robotics, Biotechnology, Geneticengineering etc.
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Proyeksi kedepan, Indonesia akan menjadi negara
berpendapatan tinggi di tahun 2025, MP3EI
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
$3,005 $5,300
$9,000
$14,900
$22,500
$30,400
$38,600
$46,900
2010 2015 2020 2025 2030 2035 2040 2045
GDP Nominal (US$ Miliar)
711 4,257 9,70616,57
8Populasi (Juta orang)
237
PERSIAPAN PERCEPATAN KEBERLANJUTAN
6,7932,4161,33512,98
9
286 319 353302269253 336
GDP Nominal per capita
Indonesia menjadi negara berpendapatan
tinggi dengan GDP per capita
USD 14,250-USD 15,500
Sumber: KEN, Proyeksi Ekonomi Indonesia 20112045
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Visi 2025
2010PDB ~ US$ 700 Milyar
Pendapatan/kap US$ 3,000 (2010)
Terbesar ke-17 besar dunia
2025PDB: 3,8 4,5 Trilyun US$
Pendapatan/kap:
13.000 16.100 US$
Terbesar ke-12 dunia
Proyeksi KEN Pendapatan/kapita~US$ 14,900 (high income country)
2045
PDB ~US$ 16.6 TrilyunPrediksi Pendapatan/kapita~US$ 46,900
Diprediksi menjadi terbesarke-7 atau ke-8 dunia*)
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Mengangkat Indonesia menjadi negara
maju dan merupakan kekuatan 12 besar
dunia di tahun 2025 dan 8 besar dunia
pada tahun 2045 melalui pertumbuhan
ekonomi tinggi yang inklusif dan
berkelanjutan
berbasis IPTEK
100 tahun
kemerdekaan
(Sumber: Master Plan
Percepatan danPerluasan
Pembangunan Ekonomi
Indonesia 2011 2025 )
Pencapaian Visi 2025 dan 2045 memerlukan penyiapan generasi yang mampu berperan aktif
dalam kegiatan pembangunan. Dan harus dimulai sekarang dan generasi sekarang (PAUD)
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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World Health Care Industry 2013
1. Total World GDP is around 70 trillion USD
2. Total world health care industry is about 9% ofworld GDP = 6.3 trillion USD
3. Market size of Medicines is 15% of total healthcare industry = 945 billion USD.
4. Market size of Medical Devices is about 4% ofWorld Health care Industry = 253 billion USD
5. Market size of Human Services of the Healthcare Industry in the US is about 8% of the TotalHealth Care Industry = 560 billion USD
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Which Country have the most Efficient
Health Care System
U.S. outpaces industrialized nations on health costs, not quality
For the rankings, Bloomberg researchers used data from the World
Bank,International Monetary Fund, World Health Organization (WHO),
and Hong Kong Department of Health. Researchers ranked only countries
with a population of at least five million, a life expectancy of at least 70 years,and a gross domestic product (GDP) of at least $5,000. Each of the 48
qualifying countries' health care system was evaluated based on:
1.Life expectancy, which accounted for 60% of the ranking;
2. Relative per capita cost of health care (percentage of GDP per capita),
which accounted for 30%; and
3. Absolute per capita cost of health care (expenditures covering preventive
services, family planning, nutrition, and emergency aid), which accounted
for 10%.
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
http://www.advisory.com/Daily-Briefing/2012/05/04/US-outpaces-industrialized-nations-on-health-costs-not-qualityhttp://www.advisory.com/Daily-Briefing/2012/05/04/US-outpaces-industrialized-nations-on-health-costs-not-qualityhttp://www.bloomberg.com/visual-data/best-and-worst/most-efficient-health-care-countrieshttp://www.bloomberg.com/visual-data/best-and-worst/most-efficient-health-care-countrieshttp://www.advisory.com/Daily-Briefing/2012/05/04/US-outpaces-industrialized-nations-on-health-costs-not-quality8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Bloomberg Score of Most Efficient Health Care
System , 2014
Bloomberg gave each country an efficiency "score," with a score of 100
representing a perfect system.
According to Bloomberg, the top 10 countries and their scores are:
1. Hong Kong (92.6)
2. Singapore (81.9)
3. Japan (74.1)
4. Israel (68.7)
5. Spain (68.3)
6. Italy (66.1)
7. Australia (66)
8. South Korea (65.1)
9. Switzerland (63.1)
10. Sweden (62.6)11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
1. The Global Health Care Industry1.1. The global Health Care industry is one of the world's fastest
growing industries, absorbing over 10% of gross domestic product of
most developed nations.It constitutes of broad services offered by various hospitals, physicians, nursing homes,
diagnostic laboratories, pharmacies and ably supported by drugs, pharmaceuticals, chemicals,
medical equipment, manufacturers and suppliers.
The medical and health care industry provides enormous employment opportunities to
choose from. Apart from using the services of medical professionals, this industry also utilizesthe expert services of public policy workers, medical writers, clinical research lab workers, IT
professionals, sales/marketing professionals and health insurance providers.
1.2. SIZE OF THE INDUSTRYThe United States of America has one of the largest medical and healthcare industries in the
world, followed by Switzerland and Germany. The USA's medical industry comprises of morethan 750,000 physicians and 5,200 hospitals. USA witnesses approximately 3.8 million
inpatient visits and 20 million outpatients visit on a daily basis. Furthermore, the United
States of America has the largest workforce i.e. one in every 11 US residents employed in the
health care business.
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
The Global Health Care Industry
1.3. The global healthcare industry market is forecast to reach $7
trillion in 2012 (10% of world GDP), according to research fromGlobal Industry Analysts. Investment in sectors such as home
healthcare, healthcare IT and telehealth are expected to continue
fuelling market expansion. Due to the worlds aging population, the
demand for home healthcare is likely to continue climbing over the
years to come.
1.4. The healthcare services industry is labor intensive and
overburdened in many regions, making telehealth and
healthcare IT attractive options. With medical technologiescontinually developing, these options are proving beneficial to
patients and the overall healthcare system.
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
GLOBAL SPENDING ON MEDICINES
Annual global spending on medicines will reach nearly $1.2 trillion by 2016, as the
pharmerging markets, biologics and generics contribute more to spending.
In the developed markets, including the United States, Europe and Japan, spending will decline
to 57% of the global total due to expiring patents for a number of significant brand-name drugs,
slower increases in spending on branded products, and increased cost containment measures
by payers.
Alternatively, pharmerging markets will reach 30% of global spending by 2016, as population
and economic growth contribute to dramatically higher use of medicines in these markets.
Overall, the top 20 therapy areas will account for 42% of global spending, led by cancer,
diabetes and asthma/COPD.
An accelerated shift to the use of generic medicines is expected, both from an unprecedented
level of patent expiries in the U.S., and from volume-driven growth in the largely generic-usingpharmerging markets. At the same time, lower-cost versions of expensive biologic medicines, or
biosimilars, will continue to be launched, though slowly, and will account for only $4-6Bn, or 2%,
of the $200-210Bn in spending on biologics by 2016.
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Opportunities in ASEANs Healthcare SectorHealthcare in ASEANThe Association of Southeast Asian Nations (ASEAN) is a geo-political and economic organisation
comprising of Singapore, Indonesia, Malaysia, Thailand, the Philippines, Brunei, Myanmar,
Cambodia, Laos and Vietnam. Established in 1967, the group has been instrumental inpromoting the regions economic growth and development. Collectively, the group has
established economic links and entered into free trade agreements with various countries
including China, Japan, South Korea, India, Australia and New Zealand.
With a combined nominal GDP of over 2.3T USD, ASEAN as a bloc is presently the
eighth largest economy in the world.In recent times, despite weak economic conditions in the US and EU as well as slowing growth in
China, the ASEAN economy has maintained its robust growth trajectory. When the ASEAN
Economic Community (AEC) will be implemented in 2015, the common economy is
expected to join the ranks of China and India as a major economic growth force in Asia.
Healthcare is a priority sector that the ASEAN governments have identified for region-wide
integration. The upcoming AEC formation is expected to further accelerate the growth of theregions healthcare industry, driven by additional foreign direct investments, freer flow of trade,
manpower and capital within ASEAN, and growing affluence among ASEAN countries. Table 1
below provides a rough indication of the overall potential size of the AEC market.
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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ASEAN Opportunities in Health Care
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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ASEAN Total Population Growth rate and GDP
2012
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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The Outlook for Medical Tourism in Asia
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
December 2012 An interesting article recently came out declaring
that medical tourism in Asia could reach USD 8.5 billion by the end ofnext year. [1] This is a very impressive figure but according to recent
estimates by McKinsey & Co., worldwide medical tourism is a USD 10
billion industry [2], a figure which leaves Asia ample opportunity to
catch up and grow further.
Likewise, research firm, Global Information Inc., elaborated in its report
that Thailand and India have been dominating the industry for quite
some time, while the Philippines, Malaysia, Singapore and South
Korea have put in place government-supported medical tourism
programs to capitalize on this growing industry. Case in point, Singaporeand Malaysia have been posting double digit annual compound growth rates of 11.9
and 29.3 percent respectively, in terms of international patient arrivals for the past
couple of years. Unfortunately INDONESIA is left behind
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Medical Tourism
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
So what could be the factors fueling this rapid growth? Advancementsin service delivery models and medical technology, rise of low-cost travel,
extensive tourism infrastructure and the evolving methods of medical marketingthrough social media are emphasized by analysts as the main elements that affect
the decision for offshore medical care. These factors continually lure cost-
conscious patients with the consolation of exploring Asia, since the bargain of
combining cost-effective treatment and travel in one airline ticket is hard to beat.
With spiraling medical costs in the United States and to a certainextent, Europe's bleak economic outlook, patients are now looking
elsewhere for medical treatments. The US Medical Tourism
Association compared the actual costs for specific medical
procedures in various countries including some in Southeast Asia.
The data below highlights the disparity between Asian countries and
the United States when it comes to cost of certain treatments.
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Cost comparison for selected surgeries, 2007
Surgery U.S. India Thailand Singapore
Heart bypass $130,000 $10,000 $11,000 $18,500
Heart valve $160,000 $9,000 $10,000 $12,500
replacement
Angioplasty $57,000 $11,000 $13,000 $13,000
Hip replacement $43,000 $9,000 $12,000 $12,000
Hysterectomy $20,000 $3,000 $4,500 $6,000
Knee replacement $40,000 $8,500 $10,000 $13,000
Spinal fusion $62,000 $5,500 $7,000 $9,000
Source: American Medical Association, June 2007,
available at: http://www.medicaltourism-guide.com/2008/04/03/cost-comparison/
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Economic Update, (Oxford Business Group)
Investing in Indonesia's private sector health careOBG Indonesia | 15 Aug 2013
With Indonesias new universal health care programme expected toput pressure on the public hospital system, investors are looking to
develop private sector medical facilities as an alternative for the
growing middle class.
Under the government scheme, all Indonesians will have some
form of health coverage by 2019, up from around 50% at present.The system will provide insurance to millions who lack access to employer-
sponsored plans and cannot afford private coverage, but it is also likely to stretch
capacity at state hospitals and clinics. Initial trials of the comprehensive scheme
in Jakarta saw sharp increases in the numbers of patients attending government
facilities, many of whom were visiting the hospital for the first time.
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Share of Total Health Expenditure (%) 1996-2006
30
40
50
60
70
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
public private out-of-pocket private
Indonesias Health Spending Trends, 2010
11 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Total expenditure on health averaged 2% ofGDP over the 11 year period 1996-2006.
The Government is planning to implementthe National Social Security System. Since2004, the Government has implementedhealthcare program for poor people through
Asuransi Kesehatan Masyarakat Miskin(Health Insurance for Poor Population) or
Askeskin program and currently is replaced byJaminan Kesehatan Masyarakat (PublicHealth Insurance Scheme for the Population)orJamkesmas program.
In Q4 2009, the new Healthcare Law has beenapproved and provides guideline for
Government to increase the healthcarespending from 2% up to 5% of GDP , but untiltoday not yet realized.
In 2013 the Health Insurance System will berealized
31
Total Expenditure on Health as % of GDP
Source: WHO National Health Accounts database, September 2008
1.0
1.5
2.0
2.5
1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Source: The World Bank
6.0
5.0
4.7
4.2
3.2
2.5
- 1.0 2.0 3.0 4.0 5.0 6.0 7.0
Vietnam
India
China
Malaysia
Philippines
Indonesia
Source: Daily Newspaper Suara Pembaruan , 29 March 2010
Total Expenditure on Health as % of GDP
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Indonesias Key Healthcare Indicators shows that Demand is Growing
Fast, and providing many Business Opportunities, from increasing
healthcare spending & industries, rising middle class, greying population
and chronic diseases as well as implementation of SJSN in 2014
Healthcare Key Drivers
Source: Frost & Sullivan, 201211 Octber 2014, Diskusi Panel
Ikatan Senat Mahasiswa
Kedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Rising of middle class and greying population increase the incidence of
chronic and autoimmune diseases. It will drive demand for newer, better and
targeted therapeutics. Some opportunities are: Biologics & Biosimilars, New
Technology / Invention and Ethical Originator, Vaccine, Molecular Diagnostics,Point of Care Testing products and use of STEM CELLS
INDONESIA
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Some examples of E
Health Services are:
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Home Monitors
i-Pods formedical historyTelemedicine
Kiosk
E-Prescribing
Some examples of E-Health Services are:
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=sgMdmp2kvWmOVM&tbnid=JJS-Xmbj6HIVWM:&ved=0CAgQjRwwAA&url=http://gizmodo.com/172685/motiva-home-health-monitoring&ei=8uVwUfajL8LWrQfT7oCIAw&psig=AFQjCNEEnWnvS47wWQo5XDpwoaTiH-HKdg&ust=1366439794898046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=8mm7jfZCGVun_M&tbnid=-FjnmEpmWS0NiM:&ved=0CAgQjRwwADhk&url=https://itunes.apple.com/us/app/my-health-record-keeper/id418612831?mt=8&ei=d2R3UYq-HczLrQevh4DgCw&psig=AFQjCNG3VjwjPVFAbtPgxd_mXP888xViow&ust=1366865399557914http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=kENqTItJtv7GuM&tbnid=rzIlbHHj3iAknM:&ved=0CAgQjRwwADhJ&url=https://itunes.apple.com/us/app/labgear-medical-lab-reference/id350942163?mt=8&ei=jl93UZqJPNHirAfGnIGYDw&psig=AFQjCNF2zooLJwP8vejDZWID6WAjFbRz5Q&ust=1366864143056394http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=4EiZoUKszPH2tM&tbnid=jCCsfvkwxB4ccM:&ved=0CAgQjRwwADgo&url=http://www.eprescribing.org/&ei=3h1-UazaCcbJrAeDyIHgCQ&psig=AFQjCNErj5Ygfy0d1gNeV2SgGSjtxuoM_A&ust=1367306078246198http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=T0SV-0HyZk78AM&tbnid=4DF6N4XV5Mr6GM:&ved=0CAgQjRwwAA&url=http://unclutteredwhitespaces.com/2013/02/walk-in-kiosks-to-deliver-healthcare-via-telemedicine/&ei=Vd-AUaS2JsHUrQfX6oCQBw&psig=AFQjCNHzPSXcnNrRFwY9bCgnb6NBX-MKjA&ust=1367486677702249http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=kENqTItJtv7GuM&tbnid=rzIlbHHj3iAknM:&ved=0CAgQjRwwADhJ&url=https://itunes.apple.com/us/app/labgear-medical-lab-reference/id350942163?mt=8&ei=jl93UZqJPNHirAfGnIGYDw&psig=AFQjCNF2zooLJwP8vejDZWID6WAjFbRz5Q&ust=1366864143056394http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=kENqTItJtv7GuM&tbnid=rzIlbHHj3iAknM:&ved=0CAgQjRwwADhJ&url=https://itunes.apple.com/us/app/labgear-medical-lab-reference/id350942163?mt=8&ei=jl93UZqJPNHirAfGnIGYDw&psig=AFQjCNF2zooLJwP8vejDZWID6WAjFbRz5Q&ust=1366864143056394http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=8mm7jfZCGVun_M&tbnid=-FjnmEpmWS0NiM:&ved=0CAgQjRwwADhk&url=https://itunes.apple.com/us/app/my-health-record-keeper/id418612831?mt=8&ei=d2R3UYq-HczLrQevh4DgCw&psig=AFQjCNG3VjwjPVFAbtPgxd_mXP888xViow&ust=1366865399557914http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=8mm7jfZCGVun_M&tbnid=-FjnmEpmWS0NiM:&ved=0CAgQjRwwADhk&url=https://itunes.apple.com/us/app/my-health-record-keeper/id418612831?mt=8&ei=d2R3UYq-HczLrQevh4DgCw&psig=AFQjCNG3VjwjPVFAbtPgxd_mXP888xViow&ust=1366865399557914http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=wHF6aVj-eQua7M&tbnid=s6uG0SdIesRp9M:&ved=0CAgQjRwwADgS&url=http://www.medgadget.com/2012/06/solohealth-station-kiosks-set-to-provide-free-health-screenings-following-fda-clearance.html&ei=T-dwUbOZHI79rAe70oCQBg&psig=AFQjCNGWk5oBl2TSXHhbUBHhTtxHTpSyiQ&ust=1366440143569761http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=wHF6aVj-eQua7M&tbnid=s6uG0SdIesRp9M:&ved=0CAgQjRwwADgS&url=http://www.medgadget.com/2012/06/solohealth-station-kiosks-set-to-provide-free-health-screenings-following-fda-clearance.html&ei=T-dwUbOZHI79rAe70oCQBg&psig=AFQjCNGWk5oBl2TSXHhbUBHhTtxHTpSyiQ&ust=1366440143569761http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=sgMdmp2kvWmOVM&tbnid=JJS-Xmbj6HIVWM:&ved=0CAgQjRwwAA&url=http://gizmodo.com/172685/motiva-home-health-monitoring&ei=8uVwUfajL8LWrQfT7oCIAw&psig=AFQjCNEEnWnvS47wWQo5XDpwoaTiH-HKdg&ust=1366439794898046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=sgMdmp2kvWmOVM&tbnid=JJS-Xmbj6HIVWM:&ved=0CAgQjRwwAA&url=http://gizmodo.com/172685/motiva-home-health-monitoring&ei=8uVwUfajL8LWrQfT7oCIAw&psig=AFQjCNEEnWnvS47wWQo5XDpwoaTiH-HKdg&ust=1366439794898046http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=4EiZoUKszPH2tM&tbnid=jCCsfvkwxB4ccM:&ved=0CAgQjRwwADgo&url=http://www.eprescribing.org/&ei=3h1-UazaCcbJrAeDyIHgCQ&psig=AFQjCNErj5Ygfy0d1gNeV2SgGSjtxuoM_A&ust=1367306078246198http://www.google.co.id/url?sa=i&source=images&cd=&cad=rja&docid=4EiZoUKszPH2tM&tbnid=jCCsfvkwxB4ccM:&ved=0CAgQjRwwADgo&url=http://www.eprescribing.org/&ei=3h1-UazaCcbJrAeDyIHgCQ&psig=AFQjCNErj5Ygfy0d1gNeV2SgGSjtxuoM_A&ust=13673060782461988/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Craig D. Jerald Break the Curve Consulting
NSBA 2009 Federal Relations Conference
Washington DC February 1 2009
Preparing
Studentsfor the
21 stCentury
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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I. How is the worldchanging?
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
37/52
Forces changing skilldemands
1. Automation
2. Globalization
3. Workplace change
4. Demographic change
5. Personal risk and responsibility
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
38/52
Automation
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
39/52
Changing mix of jobs in the economy
12%14%
38%
18%
8%
22%
25%
33%
12%14%
0%
40%
Blue collar
workers
Admin support
workers
Sales related
occupations
Technicians,
professionals,
managers,
administrators
Service
workers
1969 1999
Source: Levy, F. & Murnane, R. J. (2004). The new division of labor: How computers are creating the next job market. Princeton, NJ: Russell
Sage Foundation. (p. 42, Figure 3.2)
Pe
rcentofemployedadult
s
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
40/52
Globalization
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
41/52
Implications for yourstudents
Suddenly more people from more different places could
collaborate with more other people on more different kinds of
work and share more different kinds of knowledge than ever
before.
Thomas Friedman (2005)
Highly skilled people with roughly the same qualifications are
competing directly with each other, no matter where they are
located on the globe.
the New Commission on the Skills of the American workforce (2007)
Sources: 1) National Center on Education and the Economy. (2007). Tough choices or tough times: The report of the New Commission on the Skills of the
American workforce. San Francisco, CA: Jossey-Bass. (p. 19)
2) Friedman, T. L. (2005). The world is flat: A brief history of the twenty-first century. New York: Farrar, Straus and Giroux. (p. 81)11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
42/52
Workplace change
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
43/52
More important in the 21st
Century
Postsecondary education and training
Academic knowledge and skills
Practical literacies: The ability to use knowledge
of math, English, science, civics etc. to meet
real-world challenges.
Broader competencies: Critical thinking and
problem solving, communications and
collaboration, creativity, self-sufficiency etc.
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
44/52
Broad Competencies: Which aremost critical? The 3 C
s!
1. Critical thinking and problem solving
Labor economists Levy & Murnane call it
expert thinking
2. Communication/Collaboration
Levy and Murnane call it complex
communications
3. Creativity11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Hi t f K lb F Tbk
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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History of Kalbe Farma Tbk
Founded on September 10th, 1966. Started its operation in a modest garage at Jalan
Simpang I No. 1, Tanjung Priok.
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
10 Companies that started in a garage
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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10 Companies that started in a garage
1. Apple started by Steve Jobs (21) and Steve Wozniak (26)
2. Amazon, started by Jeff Bezold in 1994 3. Disney, started by Roy and Walt Disney in 1923
4. Google, As Stanford Graduate students, Larry Page and Sergey Brin inSeptember 1994, started whats now known as Google from Susan Wojcickisgarage.
5. Harley Davidson, In 1901, 21-year-old William S. Harley drew up plans to
create a small engine to power a bicycle. 6. Hewlett-Packard, Bill Hewlett and Dave Packard In 1939, founded HP in
Packards garage with an initial investment of $538. 7. Lotus cars, In 1948, at the age of 20, Anthony Colin Bruce Chapman started Lotus Cars
8. Maglite, In 1955, after saving $125, Tony put a down-payment on his first lathe. Then hestarted working out of a Los Angeles area garage to manufacture precision parts. He
incorporated Mag Instrument in 1974 and released their first flashlight in 1979. 9. Mattell, Harold Matt Matson and Elliot Handler founded Mattel out of a garage in
Southern California as picture frame company in 1945, Today Mattel, Inc. is the highest-grossing toy company in the world.
10. Yankee Candle Company, In 1969, at 16 years old, Michael Kittredge made his scentedcandle in his garage out of melted crayons as a gift for his mother.
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Wh t th R f S ??
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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What were the Reasons for Success??
1. The RIGHT time, because in 1966 the Suharto Gov.
opened the doors for foreign investment.
2. The RIGHT products and RIGHT pricing, becauseas a pharmacologist and practising physican Iknew the needs of doctors
3. The RIGHT marketing strategy, following thefootsteps of the foreign companies by promotionthrough Medical Reps.
4. The RIGHT company strategy by Professionalizingour team from the beginning
5. The RIGHT and BRIGHT people to run thecompany
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
48/52
Act Local, Go Regional (ASEAN) THINK GLOBAL
and MOVE FAST, 2010-2020
1. PT Kalbe Farma is now the largestPharmaceutical Public Company in Indonesia
2. Go Regional, we must aim to become numberone in ASEAN
3. The next step is to think and become a GLOBALPLAYER
4. All this can only be achieved if we have the BESTand the BRIGHTEST PEOPLE in our company
5. R&D on Biosimilars and Stem Cell research mustbe prioritized for Degenerative Diseases andCancer Therapy
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
49/52
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
Toward the New Sustainable Model: A Roadmap
1. The Healthcare Industry must Diversify and enter into the whole range of theHealthcare Industry
2. The Health Care Industry must Adapt, Adopt, Align, Agree and Act to theChanging Environment
3. The HCI must go into Biosimilars, Biotechnology, Stem Cells, Changing
Demography, and Personalized Medicine4. The Health Care Industry must be able to make use of the New Technologies
5. The Health Care Industry must Adapt Through ContinuousINNOVATION
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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Will the Health Care Industry Change?
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
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y g
Yes, Survival of the Fittest and Most Intelligent Industry through INNOVATION
11 Octber 2014, Diskusi Panel
Ikatan Senat MahasiswaKedokteran Indonesia
Boenjamin Setiawan, Peluang dlm IndustriKesehatan Indonesia
8/10/2019 dr. Boenjamin S, Jalan Pintas menuju AFTA dalam Industri Kesehatan. 52 slides..pdf
52/52
11 Octber 2014, Diskusi Panel
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