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The Medical Device Market: Portugal

Espicom Business Intelligence Ltd, April 2013, Pages: 74

Espicom’s in-depth medical device market reports are ideal for executives wanting to understand the key drivers in medical markets and have access to a wealth of statistical data. Each report opens with an outlook section that provides analysis of the market, 5-year market forecasts, national data projections, market outlook and key developments such as regulation, health facilities and government policy. The report also provides extensive background information, population trends, health status, health expenditure, organisation & administration, hospital services, medical personnel, healthcare development, market access information, trade data and essential industry contacts. Included with the report are 3 free quarterly updated outlook reports, enabling you to keep up to date with market developments for a year.

The medical device market in Portugal is estimated at US$887 million in 2011, with a per capita rate of US$83. This is equal to 3.3% of Portugal’s total health expenditure. The market is predicted to expand by an average of 2.1% over the next few years taking it to US$983 million by 2016.

Imports suffered in 2009, falling by 8.7% over their total in 2008, however, latest 12 month data to March 2011 shows they have recovered, rising by 7.8% to US$781.6 million over the previous 12 month total. Exports rose by 19.5% for the 12 months to March 2011 to US$182.2 million. The largest export sector, consumables, increased by 20.6% to US$34.1 million.

In December 2010 Fitch downgraded Portugal’s credit rating to A+ due to a slower reduction in the current account deficit and a deteriorating near-term economic outlook. This was again revised downwards to BBB- by Fitch and Moody in March 2011 after the resignation of the Prime Minister, investors further doubting Portugal’s ability to repay its debts and improve growth.

The Portuguese market is largely supplied by imports from the EU, with 89.1% of total imports originating from the EU-27 in 2009. Spain, Germany, the Netherlands and France were the lead suppliers. Medical device imports totalled US$731.7 million in 2009, with consumables and patient aids being key categories.There is some domestic production of low-tech items, but little multinational manufacturing.

The government reduced the amount of fiscal debt and approved a tough austerity budget for 2011. Portugal finally agreed to an EU and IMF bailout in May 2011. The following month Jose Socrates’ Socialist party lost the election. The Centre Right Party, the PSD (Social Democrats), led by Pedro Passos Coelho, won and will continue to implement the austerity package.

Portugal is the least wealthy of the EU-15 countries, with GDP per capita of US$22,284 in 2011. Spending on medical equipment is low by EU-15 standards, although it is comparable to countries such as Greece or the more developed CEE nations such as the Czech Republic.

The structure of the public hospital system has been reorganised; a large number of hospitals being given a greater degree of autonomy in an effort to improve efficiency and reduce costs. Portugal has a large number of private facilities, but they tend to be small and the sector is generally fragmented. The government has commenced a new hospital construction programme that will be financed by public/private partnerships, an idea borrowed from the UK. The public hospital sector is characterised by high levels of debt and late payments to suppliers.

Includes 3 quarterly updated outlook reports!

EXECUTIVE SUMMARY 5
Introduction 6

Medical Market Analysis 7
Size 7
Projections 9
Consumables 9
Diagnostic Imaging 9
Dental Products 9
Orthopaedic & Implantables 9
Outlook 11
Imports 14
Consumables 15
Diagnostic Imaging 15
Dental Products 15
Orthopaedic & Implantable Products 15
Others 15
Domestic Manufacturing 23
Domestic Production 23
Local Manufacturers 24
Bastos Viegas 24
Fapomed 24
Pronefro 24
Trade Associations 25
APORMED 25
INFARMED 26
Exports 27
Consumables. 28
Diagnostic Imaging 28
Dental 28
Orthopaedic Products 28
Others-other instruments and appliances 28

ACCESSING THE MARKET 36
Distribution 36
Medical Device Regulations 36

TRADE FAIRS 36
Healthcare Analysis 37
Demographics 37
Population 37
Birth Rate 38
Death Rate 38
Infant Mortality 38
Life Expectancy at Birth 38
Public Health 38
Causes of death 38
Incidence of Communicable Disease 38
Incidence of Non-communicable disease 38
HIV/AIDS 39
Obesity Platform Launched 39
Healthcare System 40
Ministry of Health 40
National Health Service 40
Regional Health Administrations 41
Private Health Insurance 41
Opthalmogy Intervention Wait Time Programme Launched 41
Portugal Health Service Increases Online Services 42
Public Hospital Privatisations 42
PPP Privatisation, 2007/ 2008 43
Ministry of Health Hospital Debt 43
Health Expenditure 44
Health Expenditure Projections 44
Healthcare Infrastructure 45
Inpatient Analysis 45
Healthcare Personnel 46
Physician Projections 47

DIRECTORY 48
Healthcare Organisations 48
Professional Bodies/Trade Associations 48
Methodology and Sources 49
Trade Code Classifications 50

List of Tables
Summary Key Data Projections, 2008-2013 6
Summary of the Portuguese Medical Device Market in 2008 7
Market Projections, 2008-13 9
Market Projections by Category, 2006-13 (US$ millions) 10
Per Capita Market Projections by Category, 2006-13 (US$) 10
Market Projections by Category, 2006-13 (%) 11
Espicom Analysis of the Portuguese Health Sector 12
SWOT Analysis of the Portuguese Medical Device Market 13
Imports by Product Area, 2002-06 (US$000s) 16
Imports by Product Area, 2002-06 (% of Total) 16
Imports by Product Area, 2003-06 (% Change, US$ terms) 17
Leading Suppliers by Product Area, 2006 (US$000s) 18
Leading Suppliers by Product Area, 2006 (% of Total) 18
Imports of Medical Equipment & Supplies, 2002-06 (US$000s) 19
Medical Equipment Import Trends 20
Leading Suppliers, 2006 (US$000s) 21
Leading Suppliers by Category, 2006 22
Portuguese Production of Medico-surgical, Orthopaedic & Precision Equipment, 2005-07
(Euros/US$000s) 23
Portuguese Domestic Producers 24
Exports by Product Area, 2002-06 (US$000s) 29
Exports by Product Area, 2002-06 (% of Total) 29
Exports by Product Area, 2003-06 (% Change, US$ terms) 30
Leading Destinations, 2006 (US$000s) 31
Leading Destinations, 2006 (% of Total) 31
Exports of Medical Equipment & Supplies, 2002-06 (US$000s) 32
Export Trends 33
Leading Destinations, 2006 (US$000s) 34
Balance of Trade, 2002-06 (US$000s) 35
Summary Demographic Data 37
Projected Population, 2008-2013 37
Health Regions 41
ADSE Membership, 2002-2007 41
Healthcare Expenditure, 2005 44
Projected Health Expenditure, 2008-13 44
Hospitals and Beds, 2006 45
Hospital Bed Projections, 2008-2013 45
Admissions, Patient Days and ALOS, 1990-2006 46
Hospital Consultations by Specialty & Region, 2006 46
Specialist & Non-Specialist Physicians, 1990-2007 47
Projected Number of Physicians, 2008-13 (000s) 47

List of Figures
Portuguese Medical Device Market by Category, 2008 (%) 8
Radar Graph of the Portuguese Healthcare System 13
Medical Equipment Imports, 1990-2006 (US$000s) 14
Percentage Change in Imports, 1991-2006 14
Imports by Product Area, 2006 (%) 16
Imports by Product Area, 2002-06 (CAGR) 17
Leading Suppliers, 2006 (%) 18
Exports of Medical Equipment, 1990-2006 (US$000s) 27
Percentage Change in Exports, 1991-2006 27
Exports by Product Area, 2006 (%) 29
Exports by Product Area, 2002-06 (CAGR) 30
Leading Destinations, 2006 (%) 31

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