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

This TforG report includes the Surgical Procedures Database with 620 surgical interventions, reported by the ICD-9 coding system in the Netherlands. 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:
- The Netherlands had a GDP growth rate of about 0.9 percent in 2014, after several years of contraction.
- This economic recovery has been increasingly driven by domestic demand, based on real wage growth and better labor market conditions.
- Over the course of 2014, the number of new vacancies increased and employment growth picked up.
- Projections currently show a slight improvement in the unemployment rate, decreasing to 7.2 percent by the end of 2015 and to 7 percent by 2016.
- The average inflation rate in 2014 was 0.3 percent. Increases in rents and higher taxes contributed to increases, while factors like cheaper gas, electricity and motor fuels kept inflation low.
Price increases for products and services in 2014, had the smallest growth rates recorded in over 25 years. This trend is expected to continue during the better part of 2015, resulting in a slight decrease to 7.2 percent by the end of the year.

The Healthcare System:
- In 2014, Dutch healthcare expenditures represented about 13 percent of the GDP.
- Of this amount, about 86 percent stems from public sources (e.g. taxes) and 14 percent is funded through private sources (i.e. insurance companies, employees, employers, patient co-payments etc.).
- Healthcare expenditure in the Netherlands has increased significantly during the last few years, from 11.9 percent in 2011 to 13 percent in 2015.
- In the Netherlands, all citizens contribute to the Social Health Insurance (SHI) scheme in two ways:
- The first way is by paying a flat rate premium or nominal premium directly to an insurer of their choice.
- The Second way is for an income dependent employer contribution to be deducted through each individual’s payroll and transferred to the “Health Insurance Fund”. These resources are then allocated among the health insurers according to a risk-adjustment system.
-The government defines the standard nominal premium from which they can decide which income groups will receive financial help in order to pay insurance premiums.

Reforms:
Reforms will center around the following:
- Hospital Sector Finance Reforms 2012-2015
- Changes in the Health Insurance package 2013
- Changes in the Basic Insurance Package for 2014
- Higher Long Term Care Contributions for People with Private Assets 2013
- Maximum Tariffs for Independent Medical Specialists 2014
- Reform of Mental Care 2014
- Compulsory Deductible 2015
- Chronic Disease and Handicapped Allowances Decentralized to Municipalities 2015
- Changes in the Basic Benefits Package 2015

The Markets:
- The Netherlands can be described as a mature market and mid-sized consumer of medical devices with one of the highest healthcare expenditures in the EU.
- Despite some recent cost cutting reforms, production in the healthcare sector has increased at an average of five percent annually bolstered by reforms aimed at efficiency.
- The usage of medical devices and disposables in the Netherlands account for about two percent of the total consumption in the EU.
- Government efforts to control costs and some of the latest reforms are expected to result in an even more competitive and efficient healthcare environment.
- The Dutch medical devices market was estimated at € 3.6 bln in 2014 and it is expected to have a slow but steady growth rate in the next few years, reaching a worth of about € 3.9 bln by 2018.
- Opportunities exist in the following segments: Cardiovascular devices (representing about 12 percent of the market), ophthalmic devices (12 percent of the market), in vitro diagnostics (12 percent of the market) and orthopedic devices (11 percent of the market).

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 the Netherlands - report incl. surgical procedures
Executive Summary
Chapter 1 - Socioeconomic Outlook
1.1 Socioeconomic Context
1.2 Macroeconomics
1.3 Table 1.1 - Macroeconomics (2012 - 2017)
1.4 Economic Outlook
Chapter 2 - The Dutch Healthcare System
2.1 Introduction
2.2 Healthcare Status
2.3 Healthcare Expenditures
2.4 Table 2.1 - Healthcare (2012 -2017)
2.5 The Organization
2.6 National Level
2.7 Advisory Bodies
2.8 Knowledge and Research Institutes
2.9 Additional Organizations
Diagram 2.1 - Healthcare Organization (2015)
2.10 Regional Level
2.11 Local Level
2.12 Primary Care
2.13 Secondary Care
Diagram 2.1 - Healthcare Organization
2.14 The PAZIO E-health Portal
2.15 Healthcare Insurance
2.16 Financial Flows
Diagram 2.2 - Financial Flows (2015)
2.17 Private versus Public
Chapter 3 - Healthcare Reforms
3.1 Current Challenges
3.2 Recent Reforms
3.3 Hospital Operations and Priorities
Chapter 4 - The Markets
4.1 Market Profile
4.2 Purchase Processes and Decision-Making
4.3 Diagram 4.1 - Tendering Process
4.4 Pharmaceuticals
4.5 Capital Equipment
4.6 Medical Devices
4.7 Medical Disposables
4.8 Opportunities and Market Drivers
Chapter 5 - Country Overview
5.1 Demographics, Macroeconomics and Healthcare
6 National Care Provision Data
6.1 Acute Care Data (2014)
6.2 Critical Care (2014)
6.3 Anesthesia (2014)
6.4 Emergency (2014)
6.5 Hospital Services Data (2014)
6.6 Healthcare Professionals (2014)
Chapter 7 Surgical Procedure Volumes
7.1 Cardiology Procedure Volumes (2010 - 2015)
7.2 Neurology Procedure Volumes (2010 - 2015)
7.3 Orthopedic Procedure Volumes (2010 - 2015)
7.4 Urology Procedure Volumes (2010 - 2015)
7.5 ENT Procedure Volumes (2010 - 2015)
7.6 Ophthalmology Procedure Volumes (2010 - 2015)
7.7 OBGYN Procedure Volumes (2010 - 2015)
7.8 Endocrinology Procedure Volumes (2010 - 2015)
7.9 Plastic Procedure Volumes (2010 - 2015)
7.10 General Procedure Volumes (2010 - 2015)
7.11 Thoracic Procedure Volumes (2010 - 2015)
7.12 Hemic and Lymphatic Procedure Volumes (2010 - 2015)
7.13 Oncology Procedure Volumes (2010 - 2015)
8 The TforG Methodology
8.1 Primary Research
8.2 Secondary Research
8.3 Our Experience

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