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The Outlook for Medical Devices in Latin America
Espicom Business Intelligence Ltd, Sep 2009
The eight Latin American medical markets are expected to grow by a CAGR of 4.6% between 2008 and 2013, reaching US$9.2 billion. Each country report provides a comprehensive analysis of the medical market, including five-year market forecasts. For each country you will receive 4 completely updated reports sent quarterly, plus a comprehensive report sent annually.
A growing but challenging regional market, worth US$7.4 billion!
The eight Latin American medical markets covered by Espicom Business Intelligence represent a market of 474 million people with a GDP of US$3.4 trillion in 2008. The region is better prepared to face global instability than in the past but economic growth is expected to slow down in 2009 and 2010, after a recent period of remarkable growth. The region is now seeing all markets re-evaluate their health provision. Levels of service in the buoyant private health sector are among the best to be found, but the challenge is provide better levels of basic healthcare to the mass of the population. Opportunities for manufacturers of medical equipment and supplies do exist, but it is knowing where and how to develop them. Brazil is the largest medical market, followed by Mexico, Argentina and Colombia. Cuba, however, has the highest level of medical spending per capita in the region, but this is mostly for the purposes of ‘health tourism’, not the benefit of the local population.
With the exception of Brazil and Mexico, the medical regulatory environment in the region is less stable that in developed markets. These young markets have not matured yet, therefore their regulatory systems are being consolidated. Brazil and Mexico, however, have more complex and mature regulatory systems. MERCOSUR members tend to follow the medical regulation established by Brazil, and there is some degree of regulatory harmonisation among them. Andean members such as Colombia are also modelling Brazil’s medical regulation. Mexico operates closer to its North American allies, and follows the US’ FDA regulation.
Trade in medical devices and equipment is key to the region’s development with all markets dependent on imports, with the exception of Brazil, which has a strong local domestic industry. Brazil, Argentina and Chile import more high specification medical technology products, whilst Peru, Mexico and Venezuela import more consumables. Regional medical exports are low, with the exception of Mexico, which represents nearly 90% of the region’s export capabilities. Continuing strong export growth in the country is almost entirely due to US manufacturers’ ‘maquiladora’ activities. Almost all of Mexico’s medical exports are shipped across the border to the USA. Brazil’s exports are low compared to the size of its medical market, but exports of dental devices and implantables have been on the rise in recent years. The deficit in the balance of trade is negligible for the region, due to the weight of Mexico’s exports.
These quarterly updated reports analyse the issues
The Outlook for Medical Device Markets in Latin America is published by Espicom Business Intelligence. Each report provides an individual and highly-detailed analysis of each market, looking at the key regulatory, political, economic and corporate developments in the wider context of market structure, service and access. The reports are available individually or as a discounted collection, and prices include 4 completely updated reports sent quarterly plus a comprehensive annual review.
These quarterly updated reports analyse the issues
The report provides an individual and highly-detailed analysis of each market, looking at the key regulatory, political, economic and corporate developments in the wider context of market structure, service and access. The reports are available individually or as a discounted collection, and prices include 4 completely updated reports sent quarterly plus a comprehensive annual review.
Executive Summary
Highlights from the region CHILE Chile is one the region’s better economic performers; the country has generally avoided regional trading blocs, preferring bilateral agreements such as the Free Trade Agreement with the USA. Chile produces very little medical equipment, so the market is largely supplied by imports. The USA is the dominant supplier. The European Union supplies a further 30%, of which Germany accounts for half. The current government is creating a more efficient public system; the AUGE health reform plan should boost demand for medical products in the long term. Chile has also a relatively well-developed system of private health insurance.
COLOMBIA Colombia is the second most populated country in South America, but remains one of the poorer countries; the Free Trade Agreement with the USA has been put on hold, which is a setback for the current government. The healthcare system is complex, and coverage is far from universal. The healthcare infrastructure is adequate in the larger urban areas, but in need of modernisation. The medical market is heavily reliant on imports, especially in the orthopaedic and consumables sectors. Imports have grown steadily over the past decade, with the sole interruption occurring in 1999. Funding, however, tends to be intermittent, especially for larger, more expensive purchases.
CUBA Cuba has a well-developed healthcare system, but lacks medical manufacturing capacity beyond hospital supplies and basic electrodiagnostic products. The medical market is largely reliant on imported products. These have risen massively in the past few years, particularly of ophthalmic apparatus for the treatment of Venezuelans flown to Cuba under the Operation Miracle programme. US companies have little chance of directly supplying the market due to the US embargo. Germany, Japan, Italy and China are the main suppliers. The government wishes to create a vibrant regional ‘health tourism’ sector, aided by funding from Venezuela, its strong regional ally.
MEXICO Mexico is the second largest medical equipment market in the Latin American region. The market is dominated by imports, principally from the USA. US manufacturers benefit from geographic proximity and preferential terms under NAFTA. The domestic industry is geared towards the export market, with the USA as the dominant export destination. Due to the ‘maquiladora’ activity, many US companies use Mexico as a cheaper platform from where to export back to the USA. Medical consumables are the major export area, but exports of orthopaedic & implantable products are rapidly increasing. The country runs a healthy balance of medical trade.
PERU Health services are predominantly provided by the public sector, although most facilities are severely under-funded. The private sector is advanced but small, and very much based in Lima. Peru has very little domestic manufacturing. The market is heavily dependent on imports, which have performed well again since 2003. Around 30% of imports are supplied direct from the USA, although the US share has slipped in recent years as manufacturers in Europe and Asia are able to compete well in a number of sectors. On many occasions, purchases of medical equipment often rely on donations and international aid. Peru has the lowest level of medical spending per capita in the region.
VENEZUELA The Venezuelan medical market is small; per capita expenditure is comparable to that in Colombia and below that found in Mexico, Chile and Brazil. Expenditure is concentrated in Caracas and other major urban areas. The market is almost entirely supplied by imported products, principally from the USA. The best prospects for growth lie with the small but well-appointed private sector. In the public sector, the Barrio Adentro programme continues to open new diagnostics and rehabilitation facilities; is modernising the 300 existing hospitals by 2010, with 130 being modernised in 2008; and will be creating 15 new hospitals, with six in construction in 2008. ..... 8 Major Markets Covered! Argentina Brazil Chile Colombia Cuba Mexico Peru Venezuela FOR EVERY MARKET, SENT QUARTERLY MARKET OUTLOOK Current market size Unique 5-year market projections to 2013 Market outlook Market structure Statistical data on imports and exports Market developments, covering recent and impending developments with respect to key issues such as regulation, health facilities, funding and government policy Key national data projections International market comparisons FOR EVERY MARKET, SENT ANNUALLY BACKGROUND DATA Population data, including growth trends and age structure Demographic indicators detailing principal causes of death and morbidity HEALTHCARE SYSTEM Organisation & administration Health expenditure Expenditure by source of funding and type Hospital services Hospital data such as beds by type, region, specialty, patient admissions and surgical procedures Outpatient care Medical personnel Data on healthcare professionals covering such areas as doctors by specialty, nursing staff and dentists ACCESSING THE MEDICAL MARKET Regulatory environment Distribution guide and trade fair information Domestic production CONTACT DETAILS For healthcare organisations and trade associations
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