India Healthcare Services Market Size and Trends, by Service (Primary, Secondary/Tertiary, Quaternary Care) by City, FY 2023-2024

Market Overview: India Healthcare Services Market

India's healthcare services market is evolving, driven by demographic shifts, rising chronic disease burden, technological innovation, and increasing public and private investments. The market is structured across four key levels of care, primary, secondary, tertiary, and quaternary care, each playing a distinct role in the patient care continuum. Primary care serves as the foundation of the healthcare system, provided through a mix of government-run Sub-Centers, Primary Health Centers (PHCs), and private clinics.

Initiatives such as Ayushman Bharat Health and Wellness Centres and digital programs such as eSanjeevani have improved access to healthcare in rural and semi-urban areas. Secondary and tertiary care facilities offer more advanced diagnostic and treatment services, typically in district and urban hospitals. As a result, a significant portion of the urban population now seeks care at private multispecialty hospitals. Quaternary care, including organ transplants, complex neurosurgery, and advanced cancer therapies, is primarily offered in metros and tier-1 cities, where infrastructure and clinical expertise are concentrated.

City Highlights:

• Hyderabad and Bangalore are tertiary and quaternary care hubs that offer advanced medical infrastructure, corporate hospitals, and medical tourism services.

• Kochi and Tirupati have emerged as strong regional centers with well-established private hospitals and medical colleges offering tertiary care.

• Vijayawada and Guntur are expanding secondary and tertiary services to cater to growing urban populations in Andhra Pradesh.

• Kozhikode and Kolhapur offer public and private secondary care services, with increased private investment and a strong public sector presence.

India Healthcare Services Market, by City, FY 2023-2024

Kozhikode/Calicut:

Bangalore:

Hyderabad:

Primary Care

Primary care services in India are crucial in delivering essential health services, acting as the first point of contact for individuals seeking medical attention. These services include general physician consultations, preventive care (immunizations and health screenings), maternal and child health services, chronic disease management (e.g., diabetes and hypertension), basic diagnostic tests, and specialist referrals. In urban and semi-urban centers across India, the demand for primary care is growing rapidly due to multiple socio-economic and health system drivers.

In Kozhikode and Kochi, the demand for primary care is driven by high literacy rates and a health-aware population. In addition, a strong private healthcare network, including clinics and telehealth platforms, has improved patient access and convenience. Moreover, in Kolhapur, rising health awareness and demand for preventive services and early diagnosis are fostering the growth of public and private primary care providers across the city.   

Hyderabad and Bangalore, two major metropolitan cities in South India, exhibit demand for primary care due to their urban, technology-oriented populations. In these cities, the rise of health-tech startups, digital health platforms, and telemedicine services caters to a working population that seeks accessible and time-efficient medical care. These cities also face an increasing burden of lifestyle-related diseases, further boosting the demand for chronic disease management within the primary care setup. Moreover, the growing reach of employer-sponsored and private insurance plans has expanded access to primary care for the middle and upper-middle classes.

In Tier-II cities such as Vijayawada, Guntur, and Tirupati in Andhra Pradesh, along with Kolhapur in Maharashtra, the primary care market is influenced by a combination of government health initiatives and increasing participation from the private sector. In Andhra Pradesh, state-supported programs like Dr. YSR Aarogyasri have improved access to primary care through a network of public health centers and subsidized services.

Furthermore, Guntur and Vijayawada are experiencing a rising prevalence of non-communicable diseases (NCDs) among agricultural and lower-middle-class populations, which require ongoing care at the primary level. In addition, Tirupati, a significant pilgrimage destination, experiences seasonal surges in healthcare demand due to the influx of pilgrims, making it crucial to have robust primary care services to manage outpatient needs efficiently.

Secondary/Tertiary Care

Kozhikode

Similar analysis will be provided for the following surgeries and treatments at the city level:

Quaternary Care

India Quaternary Care Services Market Size, FY 2023-2024