Table of contents:

Report methodology

Executive summary

General overview of the private healthcare market in CEE

• General characteristics and trends in the region
  • Mandatory health insurance
  • Corruption and informal payments
  • Corporate factor
  • Infrastructure
  • Low salaries in the public system
  • Hospital sector
  • PPP boom
  • Consolidation
  • Migration of medical staff
  • Moving to the regions
• Market size and development forecasts 2008-2011
  • Market size and development forecasts for overall private health care market
  • Prospects for the health insurance market
  • Prospects for the medical subscription market

Key reforms and trends in CEE countries

• Key reforms and trends until 2009
• Predicted reforms and trends (2009-2010)

Overall private healthcare market

• Bulgaria: general characteristics and market value
• Czech Republic: general characteristics and market value
• Hungary: general characteristics and market value
• Poland: general characteristics and market value
• Romania: general characteristics and market value
• Russia: general characteristics and market value
• Slovakia: general characteristics and market value

Medical subscriptions market

• Bulgaria: general characteristics and prominent players
• Czech Republic: general characteristics and prominent players
• Hungary: general characteristics and prominent players
• Poland: general characteristics and prominent players
• Romania: general characteristics and prominent players
• Russia: general characteristics and prominent players
• Slovakia: general characteristics and prominent players

Health insurance market

• Bulgaria
• Czech Republic
• Hungary
• Poland
• Romania
• Russia
• Slovakia

Private hospitals

• Bulgaria
• Czech Republic
• Hungary
• Poland
• Romania
• Russia
• Slovakia

Other areas of private healthcare

• Dialysis care
• Dental services

Legal basis for conducting the subscription business and insurance business

Economic trends in CEE

• Increases in purchasing power
• Spending on health
  • Total health expenditure
  • Public sector spending
  • Private sector spending
  • Inpatient expenditures
• Public expenditure by service category: country focus

Consumer behaviour and social trends

• Main socio-demographic drivers of private healthcare
  • Discontent with the public system
  • Ageing population
• Frequency of using medical care
  • General frequency of using healthcare
  • Frequency of using private healthcare
• Socio-demographic profile of persons using private healthcare services
• Attitudes toward medical insurance
• Attitudes toward privatisation of health care
• Medical tourism

List of graphs

List of tables

About PMR

Contact PMR

List of graphs and Tables:

List of graphs

1. Value of the private healthcare market in the CEE region (€ bn) and its growth rates, 2008-2011
2. Average CAGR for the private healthcare market in the CEE countries analysed, 2009-2011
3. Spending on private medical services market in the CEE countries analysed (€ per capita), 2008 and 2011
4. Value of the private medical services market (€ m) and its y-o-y growth in Bulgaria, 2008-2011
5. Value of the private medical services market (€ m) and its y-o-y growth in the Czech Republic, 2006-2011
6. Value of the private medical services market (€ m) and its y-o-y growth in Hungary, 2006-2011
7. Value of the private medical services market (€ m) and its y-o-y growth in Poland, 2005-2011
8. Value of the private medical services market (€ m) and its y-o-y growth in Romania, 2005-2011
9. Value of the private medical services market (€ m) and its y-o-y growth in Russia, 2005-2011
10. Value of the private medical services market (€ m) and its y-o-y growth in Slovakia, 2006-2011
11. Number of Medicover subscribers and y-o-y increase in the Czech Republic, 2005-2008
12. Sanador: turnover (€ m) and y-o-y increase in Romania, 2007-2009
13. Gral Medical: turnover (€ m) and y-o-y increase in Romania, 2006-2009
14. Medsana: turnover (€ m) and y-o-y increase in Romania, 2007-2009
15. Romar: turnover (€ m) and y-o-y increase in Romania, 2007-2009
16. Polisano: turnover (€ m) and y-o-y increase in Romania, 2007-2008
17. Medisystem: turnover (€ m) and y-o-y increase in Romania, 2007-2009
18. Medsi Group: revenues (€ m) and their y-o-y increase in Russia, 2006-2008
19. Premium income health insurance in Bulgaria (€), ranked by the most substantial income, 2008
20. Claims paid for health insurance in Bulgaria (€), ranked by the largest claim, 2008
21. The largest players on the health insurance market in Slovakia, by number of policy holders and market share, 2008
22. The largest players on the health insurance market in Slovakia, by collected premiums, 2006
23. Percentage of private clinics of all dialysis clinics in the CEE countries analysed, 2008
24. Median age in the CEE countries analysed, 2007
25. GP visits per annum in selected CEE and CIS countries, 2006
26. Percentage of respondents who rely on financing from private health insurance in the selected CEE countries in comparison with EU average, 2007
27. Have you ever travelled to another country for a medical procedure?, % of respondents in selected European countries, 2008

List of tables

1. Summary of key trends and events in the CEE countries analysed, until 2008
2. Summary of anticipated key trends and events in the CEE countries analysed, 2009-2011
3. Summary of development forecasts for the CEE countries analysed, 2009
4. Physicians in the CEE countries analysed, ranked by the greatest density, 2008
5. CEE healthcare deals, 2003-2007
6. Users of private health insurance in CEE (% of total population), 2008
7. Users of medical subscriptions in CEE (% of total population), 2008
8. Prominent private medical services companies in Bulgaria, 2009
9. Prominent private medical services companies in the Czech Republic, 2009
10. Medicover: revenues (€ m), number of subscribers and year-on-year increase in Hungary, 2005-2007
11. Prominent private medical services companies in Hungary, 2009
12. Prominent private medical services companies in Poland, 2009 54-
13. The largest private medical services companies in Romania: turnover, increase/reduction of profit, employees, 2007
14. Prominent private medical services companies in Romania, 2009 56-
15. The largest rates of growth in turnover among private medical services companies in Romania, 2008
16. MedLife: turnover (€ m), number of subscribers and y-o-y increase in Romania, 2007-2009
17. CMU: turnover (€ m), number of subscribers and y-o-y increase in Romania, 2007-2009
18. Medcenter: turnover (€ m), number of subscribers and y-o-y increase in Romania, 2007-2009
19. Med-As: turnover (€ m), number of regular patients and y-o-y increase in Romania, 2007-2009
20. Prominent private medical services companies in Russia, 2009
21. Prominent private medical services companies in Slovakia, 2009
22. Prominent private insurers offering health insurance in Bulgaria, 2009
23. Prominent private insurers offering health insurance in the Czech Republic, 2009
24. Prominent private insurers offering health insurance in Hungary, 2009
25. Prominent private insurers offering health insurance in Poland, 2009
26. Prominent private insurers offering health insurance in Romania, 2009
27. Prominent private insurers offering health insurance in Russia, 2009
28. Prominent private insurers offering health insurance in Slovakia, 2009
29. Economic results of hospitals in the Czech Republic, 2006
30. Value of the private dental services market and per capita spending in the CEE countries analysed, 2008
31. Number of dentists in the CEE countries analysed, 2008
32. Comparison of private health insurance and subscriptions available in Bulgaria, 2009
33. Comparison of private health insurance and subscriptions available in the Czech Republic, 2009
34. Comparison of private health insurance and subscriptions available in Hungary, 2009
35. Comparison of private health insurance and subscriptions available in Poland, 2009
36. Comparison of private health insurance and subscriptions available in Romania, 2009
37. Comparison of private health insurance and subscriptions available in Russia, 2009
38. Comparison of private health insurance and subscriptions available in Slovakia, 2009
39. Total health expenditure (% of GDP) in the CEE countries analysed, 2000-2007
40. Per capita total health expenditure (PPT int. $) in the CEE countries analysed, 2000-2008
41. Public sector health expenditure (% of total government spending) in the CEE countries analysed, 2000-2008
42. Public sector health expenditure (% of total health spending) in the CEE countries analysed, 2000-2008
43. Per capita public sector health expenditure (PPT int. $) in the CEE countries analysed, 2000-2007
44. Public sector health expenditure (% of GDP) in the CEE countries analysed, 2000-2008
45. Private sector health expenditure (% of GDP) in the CEE countries analysed, 2000-2007
46. GDP figures: annual increases, value at market prices and per capita in the CEE countries analysed, 2007-2009
47. Private sector health expenditure (% of total health spending) in the CEE countries analysed, 2000-2008
48. Private prepaid plans (% of private health spending) in the CEE countries analysed, 2000-2008
49. Out-of-pocket expenditure (% of private health spending) in the CEE countries analysed, 2000-2008
50. Total inpatient expenditure (% of total health spending) in the CEE countries analysed, 2000-2007
51. Per capita inpatient care ($ at purchasing power parity), 2000-2007
52. Public inpatient expenditure (% of total inpatient spending), 2000-2007
53. Health insurance fund expenditure by category (% of total insurance payments) in Bulgaria, 2000-2006
54. Total healthcare expenditure by category (% of total health expenditure) in the Czech Republic, 2000-2007
55. Health insurance fund expenditure by category (% of total fund expenditure) in Hungary, 2000-2003
56. Public health expenditure by category (% of total public health expenditure) in Hungary, 2000-2006
57. Health insurance fund expenditure by category (% of total fund expenditure) in Poland, 2003-2007
58. Health insurance fund expenditure by category (% of total fund expenditure) in Romania, 2001-2005
59. RZN health expenditure by category (% of total RZN spending) in Russia, 2001-2004
60. Total healthcare expenditure by category (% of total health expenditure) in Slovakia, 2001-2007
61. The frequency of visits to GPs in selected CEE and CIS countries, 2006
62. Outpatient contacts in the CEE countries analysed, 2003-2007
63. Inpatient care admissions in the CEE countries analysed, 2003-2007
64. Private hospital beds (% of all beds) in the CEE countries analysed, 2003-2007
65. Frequency of use of private medical services for inpatient treatment in the CEE countries analysed, 2003-2007
66. Profile of private healthcare service users in the CEE countries analysed, 2009
67. Map of medical tourism destinations in CEE, 2008

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