Spain: Medical equipment and healthcare technology sector

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1 Spain: Medical equipment and healthcare technology sector ICEX sector reports one two three four five six Sector definition Spanish sector overview Foreign trade Leading companies Trade fairs Useful addresses

2 The medical equipment and healthcare technology sector one This sector is comprised of the following subsectors: Diagnostics and laboratory: reagents, tests, enzymes, serology, bacteriology, parasitology, refrigerators and incubators. Hospital furnishings and equipment: articulated beds, instrument carts and examination tables. Orthopedics, prosthetics and implants: bone replacement, osteosynthesis, silicon templates and attachment devices. Single-use products: stethoscopes, speculums, tuning forks, tongs, separators, scalpels, chisels, gouges, probes, catheters and examination lamps. Electromedical and diagnostic imaging devices: electrocardiographs, scanners, audiometers, sphygmomanometer, tomography devices, x-ray and radiotherapy devices, incubators and defibrillators. Dental: implants, surgical instruments, centrifuges, biomaterial, dental equipment and instruments. Spanish sector overview two The European healthcare technology industry is made up of around 11,000 companies with sales of 72.6 billion, which provide employment to some 529,000 people, according to data from EUCO- MED (European Medical Technology Association). Spain holds an important place with a market size of 8.3 billion, directly and indirectly employing around 32,000 people. Along with Germany, the United Kingdom, France and Italy, Spain is one of the five countries that account for 75% of the European market. Germany and the United Kingdom together account for 44%, (28% and 16% respectively), followed by France (14%) and Italy (8.7%). The Spanish medical equipment sector is made up of 720 companies, of which 520 are manufacturers. As regards size, over 90% of the businesses in the sector are SMEs, although a small group of large enterprises (8%) accounts for 57% of the production value. YEARS Companies Jobs Sales* * millions Source: Fenin ,000 6, ,000 7, ,000 7, ,000 8,300 2

3 Through the major investment in R&D made by the sector (around 3% of total sales or 222 million), in recent years a large group of SMEs has achieved a high level of technology and product quality. This has enabled them to position themselves in international markets, even against multinational companies that dominate these markets, in subsectors such as electromedicine and surgical instruments. Geographically, production is concentrated in the regions of Catalonia (42%), Madrid (30%), Valencia (11%), the Basque Country (4%) and Andalusia (4%). Geographic distribution Region Catalonia Madrid Valencia Basque Country Andalusia Other Source: Fenin % 42% 30% 11% 4% 4% 11% Spanish healthcare system Spain has universal, direct and free healthcare. An increasing number of patients are demanding access to the best products and for the latest technological advancements to be incorporated, which requires a greater research effort. Spanish healthcare spending represents 8% of the GDP, and this figure is expected to increase in order to cover the increase in demand. The Spanish healthcare system is comprised of 804 hospitals with a total of 160,981 beds. There are 345 hospitals that are managed privately, as well as an additional 120 private charitable hospitals. The public system has 339 hospitals, 107,745 beds and 2,702 health clinics. Over the past several years, a new management concession system has been implemented at hospitals, with private companies providing services to the public sector. There are several methods for acquiring medical equipment: public tender, direct purchase and acquisitions through leasing (equipment maintenance and replacement provided by the supplier), depending on the management model, the amount invested and the technology acquired. Top products Spain is the ninth country in the world ranking of healthcare product consumption. The diagnosis, orthopedics and single-use products sectors make up the majority of the Spanish market, with a 70% share. Electromedical products and medical furnishings and dental complete the products on offer in the Spanish market. 3

4 Sector strengths -Positive opinion of quality European products (CE Certifications). -High response capacity and client orientation of the SMEs. -Growing trend towards associations. -Harmonization of methods and standards, as well as greater collaboration between the public and private systems. -Progressive demand for healthcare products due to population aging, increased spending in the Spanish public healthcare system and demand for new non-vital medical attention. -Incorporation of new technologies in equipment and materials. -Introduction of information technologies in the healthcare sector: new medical record processing, electronic prescriptions, remote patient follow-up, interconnection between centers and internationalizatión. -Greater life expectancy of citizens who demand more and better healthcare services. -Renewed involvement of the public sector, promoting R&D+i, healthcare center interconnection, the harmonization of methods and standards, as well as the new public-private collaboration models in providing healthcare services. Critical factors -Heavy competition from more technologically developed countries such as the United States and Germany. -Heavy competition from developing countries, with lower prices. -High cost of updating new technologies. -Growing specialization in the products offered. -Restrictions in certifications. -Tariff and fiscal barriers (protectionism). -Need to use intermediaries abroad. -Low levels of price competitiveness, based on market and product. -Difficulty in finding quality Customer Support Service (CSS). -Sector with a great need for investment in R&D. Foreign investment in the sector The Spanish sector s production covers just 20% of domestic healthcare technology consumption. The remaining 80% is provided by some 1,200 companies, which include importing and exporting subsidiaries of major multinational medical and pharmaceutical groups (primarily German and American), other small and medium-sized importers and distributors and small transformation workshops, which means there is a very significant amount of foreign capital in the market. These companies focus primarily on the medical instruments, electromedicine and dental subsectors. The major presence of foreign capital is a challenge and a stimulus for the Spanish companies. Sector associations FENIN The Spanish Federation of Healthcare Technology Companies, created in 1977, is the business organization responsible for representing, promoting and defending the healthcare technology sector. FENIN covers 80% of the companies in the sector. Its members include manufacturers, distributors and exporters, both national and international. 4

5 Foreign trade three Spanish trade balance for the medical equipment and healthcare technology sector 4,000,000 3,000,000 2,000,000 1,000, ,000, ,000,000-3,000, Exports 960, , , ,145 Imports 2,973,364 3,037,335 2,951,876 3,127,778 Balance -2,012,566-2,093,082-2,034,848-2,169,633 Data in 000s Source: created internally based on Customs data Country ranking of Spanish exports by the medical equipment and healthcare technology sector Ranking Countries Portugal Belgium Germany France Netherlands Italy The United States United Kingdom Switzerland China , , , ,772 32,609 37,645 50,652 28,973 10,849 28, , , , ,931 35,740 32,018 43,383 26,622 8,362 22, , , ,170 93,674 46,572 34,653 38,318 22,451 13,079 24, , , ,397 92,500 48,134 41,662 36,328 23,772 21,178 20,346 Total top 10 Other countries Total exports 686, , , , , , , , , , , ,145 Data in 000s Source: created internally based on Customs data 5

6 Product ranking of Spanish exports by the medical equipment and healthcare technology sector Ranking OTHER INSTRUMENTS AND DEVICES 141, , , , PLASTIC SYRINGES, INCLUD- ING WITH NEEDLES 122, , , , DRESSINGS AND OTHER ARTICLES 70,549 64,854 63,050 70, X-RAY DEVICES, INCLUDING RADIOGRAPHIC AND RADIOTHERAPY DEVICES, FOR MEDICAL, SURGICAL OR VETERINARY USE 80,154 63,323 61,652 61, PRESSURE GENERATORS, CONTROL DESKS, TABLES, CHAIRS AND SIMILAR SUPPORTS 58,394 54,430 46,485 58, LIGATIONS AND STERILE ADHESIVES, STERILE STRIPS, STERILE ABSORBABLE HEMOSTATICS 59,005 45,792 41,651 44, CATHETERS, TUBING AND SIMILAR INSTRUMENTS 40,966 46,560 45,587 42, ARTIFICIAL JOINTS 16,286 24,317 25,386 28, OPACIFYING AGENTS FOR RADIOLOGICAL EXAMINATIONS, DIAG- NOSTIC REAGENTS 28,097 35,599 31,011 27, ORTHOPEDIC APPLIANCES 21,183 21,609 23,029 24,885 Total top 10 products 638, , , ,431 Other products 322, , , ,714 Total sector exports 960, , , ,145 Data in 000s Source: created internally based on Customs data 6

7 Leading companies four The leading companies in the sector by volume of sales are the following: ANTONIO MATACHANA SOCIEDAD ESPAÑOLA DE ELECTROMEDICINA Y CALIDAD PRIM LABORATORIOS INIBSA HCS GROUP PARDO INDUSTRIAS PARDO EMERGENCIA 2000 BIOKIT BIOSYSTEMS LABORATORIOS INDAS TELSTAR INDUSTRIAL GRUPO GRIFOLS Source: Fenin Trade fairs five EXPODENTAL Dental Equipment. Supplies and Services Show Madrid, Spain CMEF China Internacional Medical Equipment Fair Schenzen, China 7

8 ORPROTEC International Orthopedics and Technical Aids Fair Valencia, Spain MEDICA World Medical Forum Dusseldorf, Germany HOSPITALAR Sao Paulo, Brazil ARAB HEALTH Dubai, United Arab Emirates HOSPIMEDICA ASIA Medical and Hospital Equipment Exhibition Bangkok, Thailand 8

9 Useful addresses six AETIC Spanish Association of Information and Communication Technology Companies CDTI Center for the Development of Industrial Technology MINISTRY OF HEALTH AND CONSUMER AFS Department of Pharmacy and Healthcare Products/Office of Healthcare Products CARLOS III HEALTH INSTITUTE SEEIC Spanish Electromedicine and Clinical Engineering Society MADRI+D FOUNDATION SPANISH CARDIOLOGY SOCIETY NATIONAL BIOTECHNOLOGY CENTER 9

10 Spanish Institute for Foreign Trade (ICEX). Pº de la Castellana MADRID Report prepared in 2011 by the Information Dept. of the Industrial Products and Technology Division

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