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MS75048 MSI HOMES FOR THE ELDERLY & DOMICILIARY CARE: FRANCE: APRIL 1998

- English language version

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TABLE OF CONTENTS

EXECUTIVE SUMMARY
INTRODUCTION
Definitions
Methodology
The French Economy
Exchange Rates
Abbreviations
Regions of France
MARKET SIZE
Market Overview and Trends, 1993-1997
Market Segmentation
Overview
Public Sector
Private Non-Profit Making Sector
Private Profit Making Sector
Long-Stay Hospital Units
Domiciliary Care
Factors Affecting Demand
Demographic Trends
Government Policy
Social Security
Elderly People's Resources
Elderly People's Expectations
Forecasts
Forecast Market Size, 1998-2002
Forecast Segmentation, 1998-2002
REGIONAL TRENDS
Overview
Homes with a Nursing Unit
Domiciliary Care
OPPORTUNITIES FOR SUPPLIERS
Expenditure and Trends, 1993-1997
Purchasing Procedures
Introduction
Public Sector
Private Sector
Purchasing Criteria
INDUSTRY STRUCTURE
Public Sector
Overview
Company Profile: Assistance Publique-H"pitaux de Paris
(AP-HP)
Private Sector
Overview
Private Non-Profit Making Organisation Profiles
Overview
Fondation de Rothschild
Residences Edilys (ANRESPA)
Private Profit Making Company Profiles
Overview
Medotels
Orpea
Semacs
Sofco
Sopregi-Residences Les Hesperides
Domiciliary Care Organisations
Overview
Domiciliary Care Organisation Profiles
Overview
ADMR (Union Nationale Aide Domicile en Milieu Rural)
UNASSAD (Union Nationale des Associations de Services de Soins Domicile)
TRADE MAGAZINES
TRADE ASSOCIATIONS
List of Tables
1 French Economic Indicators, 1992-1998
2 French Market For Homes For Elderly People, 1993-1997
3 Homes For Elderly People In France, 1993-1997
4 Homes For Elderly People In France, By Type Of Home, 1997
5 Number Of Places In Homes For Elderly People In France, By Type Of Operator, 1993-1997
6 Proportional Importance Of The Number of Places In French Homes For Elderly People, By Type Of Operator, 1993 And 1997
7 Number Of Homes With A Nursing Unit In France, By Type Of Home, 1996 And 1997
8 Number Of Places In Nursing Units In France, By Type Of Home, 1996 And 1997
9 Number Of Places In Public Sector Homes For Elderly People In France, By Type Of Home, 1993-1997
10 Number Of Places In Private, Non-Profit Making Homes For Elderly People In France, By Type Of Home, 1993-1997
11 Number Of Places In Private, Profit Making Homes For Elderly People In France, By Type Of Home, 1993-1997
12 Number Of Places In Long-Stay Hospital Units In France, 1994-1997
13 Number Of Local Domiciliary Care Organisations And Number
Of Patients In France, 1994-1997
14 Population In France, By Age Group, 1993-1997
15 Forecast Population In France And Proportion Of Over 60s, 1990, 2000 And 2005
16 Life Expectancy Of Men And Women In France, 1950-2050
17 Social Security Deficit In France, 1995-1997
18 Forecast French Market For Homes For Elderly People And Domiciliary Care, 1998-2002
19 Forecast Homes For Elderly People In France, 1998-2002
20 Forecast Number Of Places In Homes For Elderly People In France, By Type Of Operator, 1998-2002
21 Forecast Number Of Places In Long-Stay Hospital Units In France, 1998-2002
22 Forecast Number Of Local Domiciliary Care Organisations And Number Of Patients In France, 1998-2002
23 percentage Of People Over 60, percentage Of People Over 60 As A Proportion Of Total Population Over 60 And percentage Of Total Population In Each Region, By Region, 1997
24 Number Of Public Homes And Places In France, By Type Of Home And By Region, 1997
25 Number Of Private Non-Profit Making Homes And Places In France, By Type Of Home And By Region, 1997
26 Number Of Private Profit Making Homes And Places In France, By Type Of Home And By Region, 1997
27 Number Of Public Homes With A Nursing Unit And Number Of Places In Nursing Units In France, By Type Of Home And By Region, 1997
28 Number Of Private Non-Profit Making Homes With A Nursing Unit And Number Of Places In Nursing Units In France, By Type Of Home And By Region, 1997
29 Number Of Private Profit Making Homes With A Nursing Unit And Number Of Places In Nursing Units In France, By Type Of Home And By Region, 1997
30 Number Of Local Domiciliary Care Organisations And Number Of Patients In France, By Type Of Operator And By Region, 1997
31 Expenditure On Supplies By Homes For Elderly People In France, By Product Sector, 1993-1997
32 Financial Summary Of M‚dotels, 1993-1996
33 Financial Summary Of S‚macs, 1993-1996
34 Financial Summary Of Sofco Sant‚, 1993-1995
35 Financial Summary Of Sopr‚gi, 1993-1996
36 Number Of Local Organisations And Places Per Type, 1997
List of Diagrams
1 The Structure Of The French Hospital System, 1997
2 The Structure Of The French Care Homes For Elderly Sector, 1997
3 The Structure Of French Health Care Funding, 1997

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EXECUTIVE SUMMARY

MSI estimate that the French market for homes for elderly people and domiciliary care reached a value of FF59.94 billion (ECU9.05 billion) in 1997. The accommodation sector is believed to account for 66 percent of the total market whereas the medical care sector has an estimated share of 34 percent.

In 1997 the number of homes for elderly people reached 9829 sites whilst the number of places reached 571 800. The average number of places per home decreased from some 62.7 in 1993 to 58.2 places in 1997.

The market is segmented into three operators, namely the public sector, the private non-profit making sector and private profit making sector. MSI believe that the public sector accounted for 57 percent of the total number of places in homes for elderly people in 1997 while the private profit making sector is becoming increasingly important. Indeed, the share of this sector increased from 12 percent in 1993 to 14 percent in 1997 due to a 25 percent increase in the number of beds during the review period.

Trade sources estimate that the number of places in nursing units represented 24 percent of the total number of places in homes for elderly people in France.

Domiciliary care suppliers reported a significant increase in popularity due to an increasing demand from patients to stay in their own homes for as long as possible.

A number of factors affected demand for homes and places for elderly people during the review period. Indeed, the ageing of the population combined with the increasing level of dependency of elderly people entering a home led to a rise in the number of places and to demand for more homes providing medical care. In addition, the government's reform of healthcare funding for homes for elderly people is of major importance for both public and private operators.

MSI forecast that the French market for homes for elderly people will continue to grow throughout the whole of the forecast period, whereby the medical care sector is expected to increase at a faster pace than the accommodation sector.

The trend towards smaller homes is expected to continue throughout the forecast period which is evident due to the fact that the number of homes for the elderly in France is expected to increase more significantly then the number of places in these homes between 1998 and 2002.

Homes for elderly people and domiciliary care organisations can either be run by public or private operators, profit or non-profit making. The structure of the industry differs from one sector to another due to different legislation and resources. However, there are many companies or organisations involved in operating homes for elderly people with only a limited number of large operators.

Text © 1998 MSI

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