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

This TforG report includes the Surgical Procedures Database with 620 surgical interventions, reported by the ICD-9 coding system in Romania. 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 984 unique surgical interventions (in pdf format), reported by the ICD-9 international coding system in 13 specialisms, with data for five years: last year’s actuals (2014), three 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:
- Romania is located in Southeastern Europe, and has been part of the EU Single Market since 2007; however, it does not yet use the Euro currency.
- In 2015, the economic growth is 2.8%, and is forecasted to increase to 3.1% in 2016.
- GDP per capita is €7,749.
- Romania has one of the largest rural populations (45%) in Europe. The income gap between rural and urban populations is substantial, strongly reflected through differences in access to both education and healthcare.
- Trade and labor market reforms together with an expected global increase of economic activity, along with industrial outputs and other factors, will allow Romania’s continued growth. Major infrastructural projects, in part funded by the EU, will stimulate further investments.

The Healthcare System:
- Romanian healthcare is sustained through a compulsory employee-employer and state funded organization, reimbursed regionally via insurance funds.
- Romania suffers from several structural and financial weaknesses, that have led to an underperformance and under-spending on healthcare, which is vastly reflected through many negative and low health status indicators and treatment outcomes.
• There are understaffed facilities due to a vast emigration of medical staff and shortages of near-by healthcare units (including pharmacies).
• Romanian healthcare expenditure in 2015 as a percentage of GDP is 5.6%. In terms of GDP per capita, Romania has one of the lowest expenditures on healthcare in Europe, equivalent to €435.
• There are roughly 1.4 public hospitals per 100,000 population, and 588 hospital beds in total per 100,000. The hospital occupancy rate is 61, and the average length of stay is 5 days.

Some of the current reforms address the following:
- Building community healthcare
- Rationalizing hospital networks
- Strengthening ambulatory care
- Revising the wage system for medical professionals
- Introducing screening programs for non-communicable diseases
- Enhance county emergency hospital equipment

The Markets:
- The medical equipment market in Romania has positive growth prospects in the coming years, as the demand nationwide in both the private and public sector is expected to increase, and due to Romania making an effort to raise healthcare standards to EU levels.
- Approximately 90% of medical devices and equipment is imported.
- The combined markets for pharmaceuticals, medical devices, equipment and disposables is valued at €3.8 bn in 2015. Growth is estimated to average around 10% for the market as a whole.
- The private sector over the last 6 years has pushed the growth of the medical device market the most in Romania.
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. 984 ICD9 coded procedure volumes for five years: last year’s actuals (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 Romania - report incl. surgical procedures
Executive Summary
Chapter 1 - Economic Outlook
1.1 Socioeconomic Context
1.2 Macroeconomics
Table 1.1 - Macroeconomics (2012-2017)
1.3 Economic Outlook
Chapter 2 - The Romanian Healthcare System
2.1 Introduction
2.2 Healthcare Status
2.3 Healthcare Expenditures
Table 2.1 - Healthcare (2011-2017)
2.4 The Organization
2.5 The Federal Level
Diagram 2.1 - Healthcare Organization (2015)
2.6 Regional and Local Levels
2.7 Primary Care
2.8 Secondary
Table 2.1 - Secondary Care (2014)
2.9 Tertiary Care
2.10 Healthcare Insurance
2.11 Healthcare Financing
2.12 Financial Flows
Diagram 2.2 - Financial Flows (2015)
2.13 Private versus Public Healthcare
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 Licensing and Regulation
4.4 Pharmaceuticals
4.5 Capital Equipment
4.6 Medical Devices
4.7 Medical Disposables
4.8 Opportunities and Market Drivers
4.9 Hospital networks and Trade Events
Chapter 5 - Country Overview
5.1 Demographics. Macroeconomics and Healthcare (2014)
Chapter 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 (2011-2016)
7.2 Neurology Procedure Volumes (2011-2016)
7.3 Orthopedic Volumes Procedures (2011-2016)
7.4 Urology Procedure Volumes (2011-2016)
7.5 ENT Procedure Volumes (2011-2016)
7.6 Opthalmology Procedure Volumes (2011-2016)
7.7 OBGYN Procedure Volumes (2011-2016)
7.8 Endocrinology Procedure Volumes (2011-2016)
7.9 Plastic Procedure Volumes (2011-2016)
7.10 General Procedure Volumes (2011-2016)
7.11 Thoracic Procedure Volumes (2011-2016)
7.12 Hemic and Lymphatic Procedure Volumes (2011-2016)
7.13 Oncology Procedure Volumes (2011-2016)
Chapter 8 - The TforG Methodology
8.1 Primary Research
8.2 Secondary Research
8.3 Our Experience

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