The European e-Business Report 2004 - Berlecon Research GmbH

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The European E-Business Report 2004and other enterprise applications have discovered the management of service production as aninteresting market. They have introduced new applications that are targeted at the specific needs ofbusiness services sub-sectors such as facility management or consulting. Installing such pre-configuredsolutions tends to be cheaper than modifying a general-purpose solution to the specificdemands.On the demand side, business services enterprises seem to be well prepared for a further adoption ofe-business technologies. They are already well equipped with basic ICT infrastructure. Manyenterprises have gained experience with e-business technologies. Five years after the dotcom-boom,many e-business projects have been completed, and companies in the business services sector knowbetter which solutions work and which do not.Selected referencesAriba & London Business School (March 2004):“European enterprises admit existence of spending black holes”,Press Release published by Octopus Communications, March 10, 2004.Berlecon Research (2003): “E-Business-Standards in Deutschland – Bestandsaufnahme, Problem, Perspektiven,i.A. des Bundesministeriums fü r Wirtschaft und Arbeit, Report, Berlin, April 2003.Berlecon Research (2004): “Prozesse optimieren mit Mobile Solutions”, Report, Berlin, März 2004.Commission of the European Communities (1998): Communication on: “The contribution of business services toindustrial performance: a common policy framework”, COM (1998) 534 final, Brussels, 21.09.1998.Commission of the European Communities (2003): “Final Report of the Expert Group on B2B Internet tradingplatforms” (http://europa.eu.int/comm/enterprise/ict/policy/b2b), European Commission, DG Enterprise, July2003.Commission of the European Communities (2003): Communication on “The competitiveness of business-relatedservices and their contribution to the performance of European Enterprises”, COM (2003) 747 final, Brussels,04.12.2003.CRIC (2004): “Innovation in Services: Issues at Stake and Trends”, ESRC Centre for research on Innovation andCompetition on behalf of the European Commission’s DG ENTR, Final Report, Brussels-Luxembourg, 2004.Sector Impact Studies by e-Business W@tch on the Business Services Sector (www.ebusiness-watch.org).Forrester (April 2004): “Services procurement needs executive sponsorship to achieve potential”, ExecutiveSummary, April 15, 2004.173
The European E-Business Report 20042.10 Health and social services2.10.1 Economic profileIn section N "Health and social work" of NACE 73 Rev. 1, division 85 "Health and social work"comprises three groups: human health activities (85.1), veterinary activities (85.2) and social workactivities (85.3). The e-Business W@tch health sector reports concentrate on those sub-sectors wherenetworking with other health institutions is of particular importance and where ICT plays a relativelymore important role. In particular, they focus on hospital activities (85.11), medical practice activities(85.12) and social work activities (85.3).Exhibit 2.10-1: Configuration of the health sector in terms of NACE Rev. 1NACE Rev. 1Division GroupN85Health and social work85.1 Human health activities85.2 Veterinary sector85.3 Social work activitiesActivityHuman health activities (N 85.1) represent an extremely complex and varied environment for theapplication of information and communication technologies (ICT). The analyses focused on the twokey actor groups in this field:a) Hospital activities (85.11): According to NACE, this class comprises medical care andaccommodation activities and it includes "short- or long-term hospital activities of general orspecialised hospitals, sanatoria (...) The activities are chiefly directed to in-patients."b) Medical practice activities (85.12): Defined by NACE, "these activities can be carried out in privatepractice, group practices and in hospital out-patient clinics."Social work activities (N 85.3) cover a wide variety of institutions and types of services, many of whichhave little economic relevance. Organisations providing social (care) services to, or at, the client'shome are a key segment within this group.Sector characteristicsWhen comparing the European health and social services (H&SS) sector with other industrial orservice sectors, one has to bear in mind that it is a highly regulated national, often regional or localmarket. Services are delivered in most instances not by private entities but by government, public ornot-for-profit bodies. This dominance of public or "protected" not-for-profit actors contributes to theabsence of competition in most business fields. Thus, due to its functions, structure and societalrelevance usual commerce metrics derived from demand/supply considerations such as "buyingcheaper" or "selling more" are rarely the dominant criteria, and cultural change, due e.g. to a morecompetitive environment and to the changing behaviour of "customers", will come about very slowly.Economic relevanceBy 2000, H&SS was the dominant economic sector of the European Union with more than 15 millionpeople employed – more than 9% of European employment – and more important than retail with13.0m and business services with 13.3m. Its gross value added amounted to almost 500bn Euro –more than 6% of European Union GDP – topped only by business services with 514bn Euro. 747374NACE Rev. 1 (Statistical classification of economic activities in the European Community), Office for OfficialPublications of the European Communities, Luxembourg, 1996.These are only rough figures due to considerable differences in national statistics on which these data arebased.174
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