Healthcare Technologies Resource Guide - Export.gov

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22 Czech Republic Summary The health care sector is very active and prominent in the Czech Republic. Czech healthcare system reform has been one of the most important political topics. Massive changes were prepared in two stages—from January 1st and then from April 1st 2013. The first stage includes changes in fees, above-standard services and a switch of insurance companies. The second stage brings three reform bills—on health services, specific and emergency health services, and an amendment to the Act on Public Health Insurance. The system is predominantly financed by the public sector through mandatory insurance. Approximately 76.6% of total health expenditures are covered by compulsory health insurance; the state and territorial budgets covered 7.2% and private voluntary expenditures covered 16.2%. The share of private expenditure in the total expenditure on health rose particularly after year 2008 due to new regulation fees in health services. Total expenditure on health amounts to nearly $14 billion ($1.330 per capita), which represents about 7.7% of the country’s GDP. The market has proved generally resilient to the economic downturn. Although the government is examining ways to reduce healthcare expenses, including limiting purchases of expensive equipment and pharmaceuticals or adopting e-tenders, which would procure equipment via tenders based solely on the cost of the equipment, the Czech Republic offers strong opportunities for medical device companies. Expected growth in the sector over the next couple years is ca. 7%. Market Entry To import medical devices into the Czech Republic, a foreign producer should have an importer in the Czech Republic. To sell medical devices in the Czech market, several points are important: 1. Medical devices have to obtain the CE mark (if required), 2. Medical devices have to have directions for use enclosed in the Czech language, 3. The Declaration of Conformity has to be submitted (in the Czech language), 4. The Czech importer has a notification duty at Ministry of Health. Medical devices and pharmaceuticals are also subject to a customs duty and a value added tax (VAT). Current Market Trends One of the most basic issues facing healthcare in Czech Republic is the spiraling cost of healthcare. Current market trends reflect increasing life expectancy and unhealthy lifestyles (obesity and heart disease are on the rise). Devices used to Statistics Capital: Prague Population: 10.5 million GDP: USD 205.950 billion Currency: Czech Crown (CZK) Language: Czech Contact Veronika Novakova Commercial Specialist veronika.novakova@trade.gov +420 257 022 437 U.S. Commercial Service Healthcare Technologies Resource Guide | 2012–2013
monitor symptoms and manage disease are in increasing demand. The most common cause of death is circulatory system problems (heart disease, stroke etc.). Czechs continue to be heavy smokers, and the air in many industrial cities is somewhat polluted. Growing interest in joint Czech-U.S. projects in the health care field could generate new opportunities for U.S. medical equipment providers. The most significant project to date is the International Clinical Research Center (ICRC) at St. Anne’s Hospital in Brno, which includes collaboration with the U.S. Mayo Clinic. Other Czech regions are eager to develop similar projects, and U.S. partners are in demand. Main Competitors The Czech Republic has a small but skilled medical device manufacturing sector. Production is at the low to medium end of the technology scale, but is increasingly of good quality. Local producers focus on exports, an estimated three-fourths of production is exported. Around 80% of the medical device market is supplied by imports mainly from the U.S. and other European countries. Germany and U.S. were the leading suppliers, accounting for almost 50% of all imports. Also other countries like Netherlands and Belgium play an important role in the domestic imports. Current Demand In the Czech Republic the best market opportunities exist for cutting-edge, high-quality sophisticated medical equipment, especially equipment that increases efficiency and reduces occupancy rates in hospitals. Best prospects include mini invasive surgery systems (MIS), patient monitoring systems, video endoscopes, digital image processing, high-end ultrasounds, and home-care equipment. Barriers One of the challenges manufacturers and importers of medical devices and pharmaceuticals will face is getting the product on the reimbursement scheme that is covered by the insurance companies. This can, in some cases, be a time consuming process. Also, products from non-EU countries are subject to import duties. Customs duty rates are updated annually and are harmonized within EU countries. The import duty for medical device depends on the specific product and matching HS code. In general, duties range on average from 0–5 %. Electrical installations in the Czech Republic operate on 50 hertz cycles; power is supplied at the rate of 220V (single phase), and 220V and 380V (triple phase).More than half of Czech company representatives are able to communicate in English or in German. Trade Events PRAGOMEDICA + NON-HANDICAP April • Prague • incheba.cz/en/veletrh/pragomedica.html One of the two largest medical fairs in the country, combined with a specialized fair for the handicapped. PRAGODENT October • Prague • pragodent.eu/en.html Focused on dental care, services and hygiene. MEDICAL FAIR + REHAPROTEX October • Brno bvv.cz/en/medical-fair-brno • bvv.cz/en/rehaprotex Focused on prosthetics and orthopedics, pro senior, health/wellness, and e-health segments. OPTA February • Brno • bvv.cz/en/opta One of the most important Central and Eastern European fairs for eye optics and ophthalmology. U.S. Commercial Service Healthcare Technologies Resource Guide | 2012–2013 23
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Page 4 and 5: iv What Can the U.S. Commercial Ser
Page 6 and 7: 2 Argentina Summary Overall healthc
Page 8 and 9: 4 Australia Summary The medical equ
Page 10 and 11: 6 Austria Summary Austria is a dyna
Page 12 and 13: 8 The Austrian market for medical e
Page 14 and 15: 10 potential. Orthopedic products,
Page 16 and 17: 12 to replace bigger and more expen
Page 18 and 19: 14 • Demand for invasive and noni
Page 20 and 21: 16 Chile Summary As the United Stat
Page 22 and 23: 18 Barriers Chile has a favorable i
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Page 28 and 29: 24 EXPODENT October • Prague •
Page 30 and 31: 26 the best solution, possibly by b
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Page 34 and 35: 30 Current Market Trends Egypt’s
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Page 38 and 39: 34 Other than the risk assessment s
Page 40 and 41: 36 Coming Soon: New Regulatory Fram
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Page 44 and 45: 40 France Summary Total market dema
Page 46 and 47: 42 Barriers There are no significan
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Page 52 and 53: 48 Trade Events MEDICA with Compame
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Page 56 and 57: 52 Main Competitors In the Greek ma
Page 58 and 59: 54 Guatemala Summary Present situat
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76 Jordan Summary • Medical Touri
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84 Tariffs Tariffs of medical devic
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92 New Zealand Summary All New Zeal
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94 Nigeria Summary Nigeria is a net
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112 Saudi Arabia Summary The Saudi
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114 3. King Faisal Medical City in
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116 Trade Events MEDEXPO Saudi Arab
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118 The Serbian market is very rece
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130 Current Market Trends Two main
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132 Taiwan Summary Taiwan, an islan
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134 Trade Events Taiwan Internation
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136 Medical tourism is a new sector
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138 Ukraine Summary In 2011, the Uk
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140 The Ukrainian market is recepti
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142 Current Market Trends • The U
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144 U.S. Commercial Service Healthc
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146 U.S. Commercial Service Healthc
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148 Certification Reference Chart E
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152 Contacts The U.S. Commercial Se
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154 Vermont Susan Murray—Montpeli
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1208-05-17
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