Brazil has the largest economy and medical device market in Latin America, but per capita medical expenditure is still very low. The highest expenditure is in the large cities, such as São Paulo or Rio de Janeiro, but producers are moving into regional markets outside the major state capitals.
Dilma Roussef took office as President on 1st January 2011, the next elections will be held in 2014.
The economy is set to grow by 3.0% in 2012, following growth of 2.7% in 2011 and 7.6% in 2010. This makes Brazil one of the slower growing economies in the Latin American region. However, from 2013 growth is expected to pick up to around 4.5%, which will be above average for the region.
Imports hold a relatively small share of the market, totalling US$2.6 billion in 2011. They increased 8.1% in 2011 but the CAGR 2007-11 was double this. Imports tend to be high-tech medical equipment not produced locally. In 2011, 70% of imports were supplied by Europe and the USA.
Medical exports reached US$555.1 million in 2011. The country has a well-established medical industry, comprising local and multinational companies. Domestic production, however, is geared towards the local market. Exports are small in comparison with total production and the country consistently runs a negative balance of trade in medical equipment and supplies.
Brazil has the second largest private health insurance sector in the Americas, after the USA. The expansion of the private health insurance sector in recent years has resulted in demand for better medical care and, in turn, further expenditure in medical equipment. The economic downturn has not affected hospital capital investments so severely. The public sector continues to be modernised and upgrade obsolete equipment, therefore there are sizeable market opportunities if prices are competitive.
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Medical Equipment And Supply Industry in Brazil
Contents
ExEcutivE Summary 1
KEy BacKground data 3
Geographic 3
Political 3
Economic 4
Healthcare System 4
Hospital Services 5
ambulatory Services 5
Health insurance 5
Health Reforms 6
Health Expenditure 7
marKEt dEvElopmEntS 9
2013 Budget Allows for Modest Growth in Health Spending 9
Sharp Downturn in Import Growth 9
Weak Export Performance Continues 9
Upturn in Health Insurance Spending during 2011 9
Sorin Acquires Belgian Developer of Neurostimulation Devices 10
Telemis Executes Management Buy-Outto Expand PACS Business 10
Medical Device Industry Will Have to Finance Tighter Controls on Implantable Devices 11
Additional Cuts in Health Spending in Response to Deteriorating Economic Situation 12
mEdical marKEt analySiS 13
Overview 13
The Market in 2012 14
Past Performance 2007-11 15
Future Performance 2012-17 16
The Belgian Market for Consumables 23
The Belgian Market for Diagnostic Imaging 25
The Belgian Market for Dental Products 28
The Belgian Market for Orthopaedic & Prosthetic Products 31
The Belgian Market for Patient Aids 33
The Belgian Market for Other Medical Devices 35
annual importS 38
consumables 39
diagnostic imaging apparatus 39
dental products 39
orthopaedic & prosthetic devices 39
patient aids 39
others 39
montHly importS 52
annual ExportS 53
consumables 54
diagnostic imaging apparatus 54
dental products 54
orthopaedic & prosthetic devices 54
patient aids 54
others 54
montHly ExportS 67
domEStic production 68
trade associations 69
UNAMEC 69
Hospibel 69
domEStic manufacturing 70
National Manufacturers 70
Agfa HealthCare 70
Beldico 70
Ion Beam Applications (IBA) 70
Medsys 71
Sibel 71
SMI 72
Multinational Manufacturers 72
Alcon-Couvreur 72
Baxter 72
Mölnycke 72
Terumo 73
Vygon 73
multinational activity 74
accESSing tHEmarKEt 75
Distribution 75
Reimbursement 75
KCE 76
Orthopride Joint Replacement Register 77
Trade Fairs 77
mEdical dEvicErEgulationS 78
Competent Authority 78
Notified Bodies 78
UNAMEC Urges Manufacturers to Play Active Role in Standardisation Process 78
mEtHodology & SourcES 79
Trade Code Classifications 79
Methodology 81
Sources 82
List of tabLes
Espicom Analysis of the Belgian Medical Market, 2013 2
Economic Projections, 2013-18 4
Summary of Key Data, 2006-12 8
Health Insurance Spending by Service, 2010-11 10
Belgian Medical Device Market, Key Ratios, 2012 13
Belgian Medical Device Market by Category, 2012 14
Projected Medical Device Market, 2012-17 16
The Belgian Medical Device Market, 2007-17 (US$ millions) 17
The Belgian Medical Device Market, 2007-17 (US$ per capita) 19
The Belgian Medical Device Market, 2007-17 (% of Total) 20
The Belgian Medical Device Market, 2007-17 (% Change) 21
The Belgian Consumables Market, 2007-17 (US$ millions) 23
The Belgian Consumables Market, 2007-17 (US$ Per Capita) 24
The Belgian Consumables Market, 2007-17 (% Change) 24
The Belgian Diagnostic Imaging Market, 2007-17 (US$ millions) 26
The Belgian Diagnostic Imaging Market, 2007-17 (US$ Per Capita) 26
The Belgian Diagnostic Imaging Market, 2007-17 (% Change) 27
The Belgian Dental Products Market, 2007-17 (US$ millions) 29
The Belgian Dental Products Market, 2007-17 (US$ Per Capita) 29
The Belgian Dental Products Market, 2007-17 (% Change) 29
The Belgian Orthopaedic & Prosthetic Products Market, 2007-17 (US$ millions) 31
The Belgian Orthopaedic & Prosthetic Products Market, 2007-17 (US$ Per Capita) 31
The Belgian Orthopaedic & Prosthetic Products Market, 2007-17 (% Change) 32
The Belgian Patient Aids Market, 2007-17 (US$ millions) 33
The Belgian Patient Aids Market, 2007-17 (US$ Per Capita) 33
The Belgian Patient Aids Market, 2007-17 (% Change) 34
The Belgian Other Medical Devices Market, 2007-17 (US$ millions) 35
The Belgian Other Medical Devices Market, 2007-17 (US$ Per Capita) 35
The Belgian Other Medical Devices Market, 2007-17 (% Change) 36
Summary Medical Equipment Imports by Product Area, 2007-11 (US$000s) 40
Summary Medical Equipment Imports by Product Area, 2007-11 (US$000s % Change) 40
Summary Medical Equipment Imports by Product Area, 2007-11 (Euros 000s) 41
Summary Medical Equipment Imports by Product Area, 2007-11 (Euros 000s % Change) 41
Summary Medical Equipment Imports by Product Area, 2007-11 (% of Total) 42
Leading Medical Equipment Suppliers by Product Area, 2011 (US$000s) 44
Leading Medical Equipment Suppliers by Product Category, 2011 (% of Total) 44
Top 20 Suppliers to the Belgian Market, 2011 (US$000s) 45
Detailed Imports of Medical Equipment, 2007-11 (US$000s) 46
Detailed Imports of Medical Equipment, 2007-11 (Growth Trends) 48
Detailed Imports of Medical Equipment, Leading Suppliers, 2011 (US$000s) 50
Monthly Imports of Medical Equipment (US$ Millions) 52
Summary Medical Equipment Exports by Product Area, 2007-11 (US$000s) 55
Summary Medical Equipment Exports by Product Area, 2007-11 (US$000s % Change) 55
Summary Medical Equipment Exports by Product Area, 2007-11 (Euros 000s) 56
Summary Medical Equipment Exports by Product Area, 2007-11 (Euros 000s % Change) 56
Summary Medical Equipment Exports by Product Area, 2007-11 (% of Total) 57
Leading Medical Equipment Destinations by Product Category, 2011 (% of Total) 59
Top 20 Destinations for Belgian Medical Exports, 2011 (US$000s) 60
Detailed Exports of Medical Equipment, 2007-11 (US$000s) 61
Detailed Exports of Medical Equipment, 2007-11 (Growth Trends) 63
Detailed Exports of Medical Equipment, Leading Destinations, 2011 (US$000s) 65
Monthly Exports of Medical Equipment (US$ Millions) 67
Belgian Production of Selected Medical Devices, 2008-11 68
Production of Medical and Surgical Equipment, 2003-2007 (Euros 000s) 68
HS Trade Codes, Rearranged 80
List of Charts
Belgian Health Expenditure Per Capita, 2001-12 (US$) 7
Belgian Medical Device Market by Category, 2012 (%) 14
Change in the Belgian Medical Device Market, 2007-17 (%) 15
CAGR of the Belgian Medical Device Market by Product Area, 2007-11 (%) 15
Market Projections, 2012-17 (US$ millions) 16
Projected CAGR of Medical Device Market by Product Area, 2012-17 (%) 17
The Belgian Market for Consumables, 2007-17 (US$ millions) 24
The Belgian Market for Consumables, 2007-17 (CAGR) 25
The Belgian Market for Diagnostic Imaging, 2007-17 (US$ millions) 27
The Belgian Market for Diagnostic Imaging, 2007-17 (CAGR) 28
The Belgian Market for Dental Products, 2007-17 (US$ millions) 30
The Belgian Market for Dental Products, 2007-17 (CAGR) 30
The Belgian Market for Orthopaedic & Prosthetic Products, 2007-17 (US$ millions) 32
The Belgian Market for Orthopaedic & Prosthetic Products, 2007-17 (CAGR) 32
The Belgian Market for Patient Aids, 2007-17 (US$ millions) 34
The Belgian Market for Patient Aids, 2007-17 (CAGR) 34
The Belgian Market for Other Medical Devices, 2007-17 (US$ millions) 36
The Belgian Market for Other Medical Devices, 2007-17 (CAGR) 37
Medical Equipment Imports, 2003-11 38
Change in Medical Equipment Imports, 2004-11 (%) 38
CAGR of Medical Equipment Imports by Product Area, 2007-11 (CAGR %) 42
Medical Equipment Imports by Product Area, 2011 (%) 43
Leading Medical Equipment Suppliers, 2011 (%) 45
Medical Equipment Exports, 2003-11 53
Change in Medical Equipment Exports, 2004-11 (%) 53
CAGR of Medical Equipment Exports by Product Area, 2007-11 (CAGR %) 57
Medical Equipment Exports by Product Area, 2011 (%) 58
Leading Medical Equipment Destinations 2011 (%) 60
