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  3. > Deep dive into the Healthcare System and Medical Device Market in South Africa – report incl. surgical procedures

This TforG report includes the Surgical Procedures Database with 620 surgical interventions, reported by the ICD-9 coding system in South Africa. To add context to the surgical procedure volumes, the report provides written and numerical analysis on the current trends, size, changes and dynamics of the local markets. In addition, the latest reforms of the local Healthcare system are clearly outlined.

The report helps businesses gain a unique insight into the socio-economic dynamics until 2015, and helps analyze how they affect healthcare systems and their evolution. It can serve as an essential tool for sales, marketing, R&D and business managers with industry related interests.

Four chapters cover the numerical and written analysis for the following topics: Economic Outlook (38 Key industry indicators), The Healthcare System (HC system structures), Reforms (restructuring, re-engineering or austerity efforts) and the Healthcare Market (Capital Equipment, Medical Devices, Disposables and Pharmaceuticals).

The report includes 620 surgical interventions (in pdf format), reported by the ICD-9 international coding system in 13 specialisms, with data for six years: last year’s actuals (2014), four years of historical data, and one year of forecast. The specialisms included are: Cardiology, Neurology, Orthopedics, Urology, ENT, Ophthalmology, OBGYN, Endocrinology, Plastic, General, Thoracic, Hemic and Lymphatic system, Oncology.

Economic Outlook:
- South Africa is the second largest economy in Africa and is a member of the BRICS countries.
-In 2014, South Africa’s GDP was around 300 bln Euro. The GDP per capita was approximately 4.950 Euro.
-GDP growth was at 1.5 percent in 2014. This reflects the lowest expansion since 2009, yet the economy is expected to increase growth to around 2 percent in 2015.
-South Africa’s economy is diversified; 8 percent of the GDP is generated by agriculture and natural resources, 15 percent originates from formal employment, 15 percent is generated by manufacturing, and 77 percent comes from the tertiary sector.
-The output of the industry is impacted greatly by social unrest, a lack of infrastructure and electricity supply.
- 35 percent of the people are unemployed, and 1 out of 2 South Africans live in poverty or near poverty.

The Healthcare System:
-South Africa scores poorly on most health status related parameters.
-Poverty related diseases such as HIV,TBC, Cholera, malnutrition, etc., put a substantial strain on the healthcare budget and care infrastructure.
-South Africa spends approximately 8.5 percent of its GDP.
-Almost 50 percent of health expenditures is spent in the public sector, serving 78 percent of the population.
-19 percent of the population has private insurance and approximately 6 percent of the healthcare expenditures are out-of-pocket.
-South Africa’s health system consists of a large public sector and a smaller but fast growing private sector.

- The reorganization of the healthcare system takes a key position in the government plans of the previous recent years.
-The National Health Insurance Program has recently been introduced to improve accessibility and the quality of the healthcare in South Africa. It is based on a contributory system where higher income households contribute more and is expected to be funded through personal taxation and mandatory employer contributions.
-The plan is to focus on primary care capacity and quality.

The Markets:
- In recent years the hospital market in South Africa has decreased by -0.5 to -1.0 percent per year. TforG expects the growth to ramp up 5 to 8 percent annually for the period 2015 to 2020.
-Over 80 percent of the MedTech products and consumables used in South Africa are imported from the US, China and the EU.
-The private hospitals represent around 55 percent of the MedTech revenues and will continue to grow in patient coverage, quantity and quality of the care that is delivered.
-In the public sector, the DoH allocates most of the budgets to the provincial and district levels and enables a relatively decentralized purchasing process.
-The medical device market will amount to approximately 1.4 to 1.5 bln Euro in 2015.
-The market is forecasted to expand by 3 to 4 percent, driven by the healthcare reforms, the upgrade of hospitals and clinics, the growth of the private sector, and the PPP partnerships.

Country Overview:
Includes tables centralizing all relevant data on socio-demographics, macroeconomics and national Healthcare.

National Care Provision data:
Provides an overview of the Healthcare demographics: Nation Care provision data, Intensive Care units, Operating rooms, Emergency Rooms, Hospital services, Healthcare professionals.

Reasons to buy:
- Accurate analysis of trends, opportunities and challenges of the economy and healthcare industry
- Relevant healthcare reforms
- Written and numerical analysis on important healthcare indicators (eg.: acute care data, critical care data, anesthesia data, emergency data, healthcare professionals)
- Regularly updates, at least once year
- Every update published by TforG within 6 months after your purchase will be made available to you
- Global coverage, available for + 40 countries
- Surgical Procedure Volumes section incl. 620 ICD9 coded procedure volumes for five years: last year’s actuals (2014) (2014), three years of historical data, and two years of forecast
- Actionable information to capture size, trends and potential of the market

Table Of Contents

Deep dive into the Healthcare System and Medical Device Market in South Africa - report incl. surgical procedures
1.0 Executive Summary
2.0 Economic Outlook
2.1 Socioeconomic Context
2.2 Macroeconomics
2.3 Table 1.1 - Macroeconomics (2012-2017)
2.4 Overview and Outlook
3.0 The South African Healthcare System
3.1 Introduction
3.2 Healthcare Status
3.3 Healthcare Expenditures
3.4 Table 2.1 - Healthcare (2012-2017)
3.5 The Organization
3.6 Federal Level
3.7 Regional Level
3.8 Diagram 2.1 - Healthcare Organization (2015)
3.9 Primary Care
3.10 Secondary Care
3.11 Table 2.2 - Secondary Care (2014)
3.12 Healthcare Insurance
3.13 Financial Flows
3.14 Diagram 2.2 - Financial Flow (2014)
3.15 Private versus Public
4.0 Healthcare Reforms
4.1 Recent Reforms
5.0 The Markets
5.1 Market Profile
5.2 Purchase Processes and Decision-Making
5.3 Pharmaceuticals
5.4 Capital Equipment
5.5 Medical Devices
5.6 Medical Disposables
6.0 Country Overview
6.1 Demographics, Macroeconomics and Healthcare
7.0 National Care Provision Data
7.1 Acute Care Data
7.2 Critical Care
7.3 Anesthesia
7.4 Emergency
7.5 Hospital Services Data
7.6 Healthcare Professionals
8.0 Surgical Procedure Volumes
8.1 Cardiology Procedure Volumes
8.2 Neurology Procedure Volumes
8.3 Orthopedic Procedure Volumes
8.4 Urology Procedure Volumes
8.5 ENT Procedure Volumes
8.6 Ophthalmology Procedure Volumes
8.7 OBGYN Procedure Volumes
8.8 Endocrinology Procedure Volumes
8.9 Plastic Procedure Volumes
8.10 General Procedure Volumes
8.11 Thoracic Procedure Volumes
8.12 Hemic and Lymphatic Procedure Volumes
8.13 Oncology Procedure Volumes
9.0 The TforG Methodology
9.1 Primary Research
9.2 Secondary Research
9.3 Our Experience

Companies Mentioned
Mediclinic, Netcare, Clinix and Life Healthcare

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