Healthcare Technologies Resource Guide - Export.gov

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26 the best solution, possibly by being co-located with a university or other research institution. Contact local trade specialist for further guidance. Current Market Trends Total healthcare expenditure in Denmark has expanded faster than GDP over the past decade and now accounts for 11 percent of GDP. This increased spending on healthcare in Denmark will continue to increase in the upcoming years due to the country’s ageing population since around one-third of hospital expenditure goes to those over 66 years of age. In 2009, the estimated public health care spending was around USD 33 billion. This figure is expected to be in the USD 35 billion range in 2014. Main Competitors Denmark has many local manufacturers that posses fair shares in the global market. They specialize in the production of hearing aids, diagnostics, orthopedic and prosthetic devices. Denmark is home to major companies in both the medical device industry and the biotech and pharmaceutical industries, including Novo Nordisk, Lundbeck, Bavarian Nordic, Coloplast, GN ReSound, Oticon and Widex. About 90 percent of the local production is exported. Current Demand The average life-expectancy is 76.3 years for men and 81.1 years for women, which is amongst the lowest in Europe. The low life expectancy may be explained by the fact that Denmark’s medicine expenses per capita is amongst the lowest in Europe. The most common causes of death are various forms of cancer (28 percent) and cardiovascular diseases (28 percent). Chronic obstructive pulmonary disease, neuropsychiatric conditions (Alzheimer, alcohol abuse, and Parkinson), diabetes, and digestive diseases (peptic ulcer disease and cirrhosis of the liver) are also common causes of death. It should be noted that since healthcare in Denmark is free, Danes are very reluctant to spend money on healthcare and treatment themselves. Nevertheless, 89 percent of the Danish population was very or somewhat satisfied with using public services, i.e. consulting a GP, in 2011 (Statens Institut for Folkesundhed, 2011), and Danes are also generally concerned about their health and are willing to spend money on preventive measures including healthy food, dietary supplements and gym memberships. Barriers All products sold in Denmark must carry the CE mark. Various agencies under the Ministry of Interior and Health govern any additional certification and registration procedures in addition to standard EU requirements. Labelling and instructions manuals must be available in Danish (e.g. inserted). Trade Events Lægedage laegedage.dk Scandefa scandefa.dk Health & Rehab Scandinavia health-rehab-scandinavia.com eHealth Observator e-sundhedsobservatoriet.dk Available Market Research Medical technology; dental equipment; lab equipment; biotechnology with healthcare application; pharmaceuticals; vitamins and food supplements; healthcare services; telemedicine; health IT. U.S. Commercial Service Healthcare Technologies Resource Guide | 2012–2013
Dominican Republic Summary In the Dominican Republic, the demand for medical equipment and supplies will continue to grow over the next years driven by the changes in the Dominican Social Security law, the steady growth in the number of privatelyowned hospitals, and the continually-rising need for medical products for a growing population. There is a strong preference for U.S. goods, provided the prices are competitive. U.S. exporters of medical equipment and supplies to the Dominican Republic enjoy numerous advantages, including the positive reputation as manufacturers of good quality; quick delivery time; close proximity to the U.S. that results in reduced shipping charges; and small order accommodations. Since many Dominican physicians have been trained in the U.S., they are highly receptive to U.S. products. Market Entry U.S. products and services enjoy favorable access to the Dominican market. The Central American Free Trade Agreement-Dominican Republic (CAFTA- DR) provides for duty-free entry of medical equipment and pharmaceutical products. To succeed in the Dominican market in the healthcare sector, it is advisable to have a local distributor that can provide after-sales and leasing services, support guarantees, and maintain inventories for parts and supplies. Exporting directly to the private hospitals can be extremely challenging since procurement practices in public hospitals dictate that all purchases must be made through a local Dominican company. Local importers and distributors usually have sales agents who distribute the products to small retailers throughout the country. Local distributors also conduct promotional activities to encourage doctors and nurses to use and recommend their products. However, U.S. exporters should seek local legal counsel prior to signing a representative agreement with a Dominican agent to ensure that their rights to terminate an agreement in the future are safeguarded. Current Market Trends The Dominican market for medical equipment and supplies depends on imports. This market, which is largely dominated by U.S. exporters, has maintained a consistent demand for equipment. It is expected to continue growing, due to a very competitive situation between private- and public-sector healthcare facilities for the acquisition of modern technologies in machinery and equipments. Price is the primary determining factor for the purchase of disposable such as gauze, surgical drapes, surgical catgut, and the like. However, when purchasing surgical sterilizers, ophthalmic surgery instruments, breathing appliances and gas mask, etc., quality is the deciding criterion. The Statistics Capital: Santo Domingo Population: 10 million GDP: USD 94.58 billion (est. 2011) Currency: Dominican Peso Language: Spanish U.S. Commercial Service Healthcare Technologies Resource Guide | 2012–2013 Contact Isolda Frías Commercial Advisor isolda.frias@trade.gov (809) 227-2121 x226 27
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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
Page 24 and 25: 20 driving factors include demand f
Page 26 and 27: 22 Czech Republic Summary The healt
Page 28 and 29: 24 EXPODENT October • Prague •
Page 32 and 33: 28 public sector bases most purchas
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
Page 42 and 43: 38 Finland Summary High quality and
Page 44 and 45: 40 France Summary Total market dema
Page 46 and 47: 42 Barriers There are no significan
Page 48 and 49: 44 surgery where, according to an e
Page 50 and 51: 46 Tariffs, Import Regulation There
Page 52 and 53: 48 Trade Events MEDICA with Compame
Page 54 and 55: 50 the private sector’s expenditu
Page 56 and 57: 52 Main Competitors In the Greek ma
Page 58 and 59: 54 Guatemala Summary Present situat
Page 60 and 61: 56 Medical equipment is constantly
Page 62 and 63: 58 distributors handle several bran
Page 64 and 65: 60 India Summary The Indian healthc
Page 66 and 67: 62 The opportunity also exists for
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Page 74 and 75: 70 Italy Summary Italy is a mature
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76 Jordan Summary • Medical Touri
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78 seeking treatment in the Kingdom
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80 Kenya Summary Kenya is the most
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84 Tariffs Tariffs of medical devic
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86 In summary, selecting the approp
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88 Main Competitors Most large inte
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90 The Inspectorate and the RIVM en
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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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96 Norway Summary Norway is one of
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98 The Philippines Summary The medi
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100 The Center for Device Regulatio
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102 locate an appropriate agent/dis
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104 Trade Events SALMED March 2014
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106 component of the Portuguese med
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108 Current Demand For 2011, the Mi
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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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120 Resources Ministry of health of
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122 Doctors here are also pushing e
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124 Main Competitors Slovakia’s m
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126 Spain Summary According to the
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128 Main Competitors The United Sta
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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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150 Subsector Reference Chart Ratin
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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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