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MS75057 MSI HOSPITAL PURCHASING: FRANCE: JUNE 1997

- English language version

Table of Contents
Executive Summary
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TABLE OF CONTENTS

EXECUTIVE SUMMARY
INTRODUCTION: Definitions; Methodology; The French Economy; Exchange Rates; Abbreviations; Regions of France
MARKET OVERVIEW: Market Size and Trends, 1992-1996; Factors Affecting Demand; Market Forecasts, 1997-2001
PURCHASING STRATEGIES: Overview; Public Hospitals; Expenditure and Trends, 1992-1996; Forecast Expenditure, 1997-2001; Private Hospitals; Expenditure and Trends, 1992-1996; Forecast Expenditure, 1997-2001; Nursing and Residential Homes; Expenditure and Trends, 1992-1996; Forecast Expenditure, 1997-2001
OPPORTUNITIES FOR SUPPLIERS: Purchase Procedures and Selection Criteria; Medical Equipment; Market Size and Trends, 1992-1996; Market Forecasts, 1997-2001; Medical Consumables; Market Size and Trends, 1992-1996; Market Forecasts, 1997-2001; Pharmaceuticals; Market Size and Trends, 1992-1996; Market Forecasts, 1997-2001; Non-Medical Products; Market Size and Trends, 1992-1996; Market Forecasts, 1997-2001
HEALTH CARE OPERATOR INDUSTRY STRUCTURE: Hospitals; Nursing and Residential Homes; Medical Insurance; Company Profiles; Compagnie G‚n‚rale de Sant‚; Hexagone Hospitalisation; Lyonnaise Sant‚ S‚macs; Medotels; Orpea; Sofco
SUPPLY INDUSTRY STRUCTURE: Overview; Company Profiles; Baxter; B Braun M‚dical; GE Medical Systems; Laboratoires 3M Sant‚; L'Air Liquide; Philips SystŠmes M‚dicaux
TRADE ASSOCIATIONS
MAGAZINES
List of Tables: 1 French Economic Indicators, 1991-1996; 2 Medical Expenditure On Supplies By Health Care Operators In France, By Sector, 1992-1996; 3 Proportional Importance Of French Private And Public Hospital Places, By Type Of Treatment, 1994; 4 Medical Expenditure On Supplies By Health Care Operators In France, By Product Sector, 1992-1996; 5 Life Expectancy Of Men And Women In France, 1950-2050; 6 Forecast Medical Expenditure On Supplies By Health Care Operators In France, By Sector, 1997-2001; 7 Forecast Medical Expenditure On Supplies By Health Care Operators In France, By Product Sector, 1997-2001; 8 Public Hospitals' Expenditure On Supplies In France, By Product Sector, 1992-1996; 9 Forecast Public Hospitals' Expenditure On Supplies In France, 1997-2001; 10 Private Hospitals' Expenditure On Supplies In France, By Product Sector, 1992-1996; 11 Forecast Private Hospitals' Expenditure On Supplies In France, 1997-2001; 12 Nursing And Residential Homes' Expenditure On Supplies In France, By Product Sector, 1992-1996; 13 Forecast Nursing And Residential Homes' Expenditure On Supplies In France, 1997-2001; 14 Expenditure On Medical Equipment By Health Care Operators In France, By Type, 1992-1996; 15 Forecast Expenditure On Medical Equipment In France, 1997-2001; 16 Expenditure On Medical Consumables By Health Care Operators In France, By Type, 1992-1996; 17 Forecast Expenditure On Medical Consumables By Health Care Operators In France, 1997-2001; 18 Expenditure On Pharmaceuticals By Health Care Operators In France, By Type, 1992-1996; 19 Forecast Expenditure On Pharmaceuticals By Health Care Operators In France, 1997-2001; 20 Expenditure On Non-Medical Products By Health Care Operators In France, By Type, 1992-1996; 21 Forecast Expenditure On Non-Medical Products By Health Care Operators In France, 1997-2001; 22 Company Market Shares In The French Private Medical Insurance Market, 1996; 23 Financial Summary Of Hexagone Hospitalisation, 1994 And 1995; 24 Financial Summary Of Lyonnaise Sant‚ S‚macs, 1991-1995; 25 Financial Summary Of Medotels, 1991-1995; 26 Financial Summary Of Sofco Sant‚, 1991-1995; 27 Financial Summary Of Baxter, 1993-1995; 28 Financial Summary Of B Braun Medical, 1991-1995; 29 Financial Summary Of GE Medical Systems, 1993-1995; 30 Financial Summary Of Laboratoires 3M Sant‚, 1992-1995; 31 Financial Summary Of L'Air Liquide, 1991-1995; 32 Financial Summary Of Philips SystŠmes M‚dicaux, 1991-1995
List of Diagrams: 1 The Structure Of The French Hospital System, 1996; 2 The Structure Of The French Care Homes For Elderly Sector, 1996; 3 The Structure Of French Health Care Funding, 1996; 4 Medical Expenditure On Supplies By Health Care Operators In France, By Sector, 1992-2001; 5 Medical Expenditure On Supplies By Health Care Operators In France, By Product Sector, 1992-2001

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EXECUTIVE SUMMARY

French medical expenditure on supplies increased by 5% during 1996 to reach FF41.4 billion (ECU6.5 billion). This reflected the rationalisation and the restructuring of healthcare organisations in order to modernise the sector and make it more cost effective. These developments have enabled healthcare operators to introduce new medical care, as well as increasing the level of day surgery and home care.

Public hospitals accounted for 64% of expenditure on medical supplies in France during 1996. Private hospitals accounted for 19% of the total whilst nursing and residential homes represented some 17% of total spending in 1996.

The French government's attempts to cut the social security budget resulted in the April 1996 reform of healthcare institutions which is affecting the nature of purchasing. The most significant development is the creation of Regional Agencies for hospitalisation which make decisions concerning equipment allocation. The reform is aimed at reducing costs in all healthcare establishments. This will increase the demand for more cost efficient supplies.

The rate of growth in French expenditure on medical supplies is anticipated to be relatively modest during the remainder of the decade reflecting the efforts to reduce expenditure in both the public and private sectors. Nevertheless, the restructuring of the private sector will generate further investment in medical supplies. In the nursing and residential homes sector the construction of new homes, albeit with fewer places, is expected to increase the level of demand for all supplies, especially furniture.

The purchase decision for medical supplies is increasingly affected by price and running costs incurred by the utilisation of the equipment. This will be further exacerbated by the restricted budgets in most hospitals which is expected throughout the forecast period.

Medical consumables have enjoyed the strongest growth in the medical supplies sector in recent years reflecting the growing concern for hygiene in medical establishments. This increase is expected to be continued throughout the forecast period even though this is the sector most buyers are trying to achieve cost savings in.

The structure of the French industry is highly fragmented and led by world leading medical suppliers. The risk regarding investment in this industry is high which has led a growing number of small and medium sized enterprises developing strategic alliances with large international groups.

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