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Private healthcare market in Central Europe 2011Development forecasts for 2011-2013 |
The report is a comprehensive information guide that presents and analyses the latest findings of an in-depth study of the private healthcare sector in the following CE countries:
- Czech Republic
- Slovakia
- Hungary
- Poland
- Romania
- Bulgaria.
The report also examines the major players in the private healthcare market in Central Europe:
- medical companies
- insurers
- private hospital operators.
Why a report on private healthcare?
- Private healthcare is a rapidly developing sector in Central Europe
- Directive “Patient without borders” will increase medical tourism and improve the standing of healthcare providers
- Recovering economies will boost the potential of the market.
The report answers such questions as:
- What are the perspectives of particular market segments of the private healthcare market?
- What are the main deterrents from investing in the individual CE countries?
- What legislative changes are expected in each country?
- Would it be more beneficial to invest in private insurance or medical subscription segment?
Key report’s sections:
- Forecast trends and influential events: 2011-2013
- Market size:2008-2013
- Trends and perspectives of CE health insurance market
- Trends and perspectives of CE health medical subscription market
- Profiles of the key players in the health insurance markets
- Profiles of key players in the health medical subscription markets
- Private hospitals: number of facilities, details and prospects for future growth
- Analysis of other segments of the private healthcare market: dental and dialysis care
- Expected changes in legal environment and their market impact
Report strengths
- Detailed company profiles – much more detailed than in the last edition
- More information on health insurance and private hospitals
- Unique forecasts for private healthcare market values in each country
Companies mentioned in this raport:
Euromedic, Agel, Medicover, Lux Med Group, MedLife, Medirex Group, Bulgaria Zdrave ZOK, Uniqa, Pojistovna VZP, OTP Orszagos Egeszsegpenztar, PZU Zycie, Allianz Tiriac, Dovera, Avis Medica Hospital, Telki Private Hospital, EMC Instytut Medyczny, Regina MariaExtract from this report
- Public healthcare systems in the CE region continued to be underfunded and characterised by poor infrastructure and underpaid staff.
- A vibrant private medical market has been emerging in Poland and Romania.
- Conversely, Hungary has seen a near-freeze in private investment in healthcare over the past two years. The newly-elected government reined in the privatisation of hospitals and failed to introduce incentives for private investors in the industry.
- The new government in Slovakia is showing signs of support for private initiatives in healthcare, with a revision of the health insurance law in 2011 being the first step in its reform programme for the industry.
Market commentary by expert
The development of the private healthcare sector has been curtailed in all of the six countries analysed in the report. In the past two years investors avoided spending on new ventures in the sector because of the economic downturn. However, the crisis has just as much hit the public sector as budgets shrank over the two years, leading to a deteriorating situation in the public healthcare sector (underfunding deepened owing to cost-containment policies, poor infrastructure, underpaid staff). As a consequence more patients are opting for services in private healthcare facilities.
Monika Stefanczyk, Head Pharmaceutical Analyst
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Report methodology p. 11
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Executive summary p. 15
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Overview of the private healthcare market in CE p. 19
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Major trends and events in the CE region p. 19
- Decline in public spending on health p. 19
- Poor healthcare infrastructure p. 19
- Hospital reform p. 20
- Health insurance provisions p. 21
- Human resources p. 22
- Corruption and informal payments p. 23
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PPP schemes p. 24
- Case study: Euromedic p. 24
- M&A p. 25
- Private hospitals p. 26
- Patients Without Borders Directive p. 27
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Market size and development forecasts, 2007-2013 p. 27
- Market size and development forecasts for overall private healthcare market p. 27
- Prospects for the private health insurance market p. 30
- Prospects for the medical subscription market p. 31
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Major trends and events in the CE region p. 19
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Reforms and trends in CE countries p. 33
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Bulgaria p. 33
- Key reforms and trends until 2011 p. 33
- Predicted reforms and trends (2011-2013) p. 35
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Czech Republic p. 36
- Key reforms and trends until 2011 p. 36
- Predicted reforms and trends (2011-2013) p. 38
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Hungary p. 41
- Key reforms and trends until 2011 p. 41
- Predicted reforms and trends (2011-2013) p. 43
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Poland p. 44
- Key reforms and trends until 2011 p. 44
- Predicted reforms and trends (2011-2013) p. 45
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Romania p. 46
- Key reforms and trends until 2011 p. 46
- Predicted reforms and trends (2011-2013) p. 47
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Slovakia p. 49
- Key reforms and trends until 2011 p. 49
- Predicted reforms and trends (2011-2013) p. 51
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Bulgaria p. 33
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Overall private healthcare market p. 55
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Bulgaria p. 55
- General characteristics and market value p. 55
- Selected key players p. 56
- Planned investments p. 57
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Czech Republic p. 58
- General characteristics and market value p. 58
- Selected key players p. 59
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Hungary p. 62
- General characteristics and market value p. 62
- Selected key players p. 63
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Poland p. 66
- General characteristics and market value p. 66
- Selected key players p. 67
- Planned investments p. 78
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Romania p. 79
- General characteristics and market value p. 79
- Selected key players p. 80
- Planned investments p. 88
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Slovakia p. 88
- General characteristics and market value p. 88
- Selected key players p. 89
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Bulgaria p. 55
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Medical subscriptions market p. 91
- Bulgaria p. 91
- Czech Republic p. 91
- Hungary p. 92
- Poland p. 92
- Romania p. 94
- Slovakia p. 96
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Health insurance market p. 97
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Bulgaria p. 97
- Overview p. 97
- Legal developments p. 98
- Market value p. 99
- Main players in voluntary health insurance p. 101
- Main life insurance companies which offer health insurance p. 108
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Czech Republic p. 116
- Overview p. 116
- Legal developments p. 116
- Market value p. 116
- Selected key players p. 117
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Hungary p. 121
- Overview p. 121
- Legal developments p. 121
- Market value p. 122
- Selected key players p. 123
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Poland p. 130
- Overview p. 130
- Legal developments p. 130
- Market value p. 131
- Selected key players p. 132
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Romania p. 137
- Overview p. 137
- Legal developments p. 138
- Market value p. 138
- Selected key players p. 141
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Slovakia p. 151
- Overview p. 151
- Legal developments p. 151
- Market value p. 152
- Selected key players p. 152
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Bulgaria p. 97
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Private hospitals p. 159
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Bulgaria p. 159
- Overview p. 159
- Selected key players p. 160
- New facilities and proposed investments p. 161
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Czech Republic p. 162
- Overview p. 162
- Selected key players p. 164
- New facilities and proposed investments p. 169
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Hungary p. 170
- Overview p. 170
- Selected key players p. 171
- New facilities and proposed investments p. 172
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Poland p. 172
- Overview p. 172
- Selected key players p. 174
- New facilities and proposed investments p. 183
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Romania p. 185
- Overview p. 185
- Selected key players p. 185
- New facilities and proposed investments p. 189
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Slovakia p. 191
- Overview p. 191
- Selected key players p. 192
- New facilities and proposed investments p. 195
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Bulgaria p. 159
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Other areas of private healthcare p. 197
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Dialysis p. 197
- Private clinics p. 197
- Forecasts p. 198
- Reimbursement level p. 199
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Dental services p. 199
- General overview and market value p. 199
- Forecasts p. 200
- Situation in individual countries p. 201
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Stem cells p. 204
- Bulgaria p. 204
- Czech Republic p. 205
- Hungary p. 205
- Poland p. 205
- Romania p. 206
- Slovakia p. 207
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Dialysis p. 197
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Consumer behaviour and social trends p. 209
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Drivers and barriers in private healthcare p. 209
- Corruption and informal payments p. 209
- Low level of satisfaction with public healthcare p. 211
- Ageing population p. 212
- Growing spending power p. 214
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Medical tourism p. 216
- Legal regulations p. 216
- Prices p. 217
- Hungary p. 217
- Poland p. 218
- Romania p. 219
- Czech Republic p. 219
- Slovakia p. 220
- Bulgaria p. 220
- Patterns of medical care use p. 221
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Attitudes towards private healthcare p. 224
- Bulgaria p. 224
- Czech Republic p. 225
- Poland p. 225
- Romania p. 226
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Drivers and barriers in private healthcare p. 209
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Economic trends in CE p. 229
- Total health spending p. 229
- Public spending p. 230
- Private sector spending p. 231
- Inpatient spending p. 234
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Public spending by service category: country focus p. 235
- Bulgaria p. 235
- Czech Republic p. 235
- Hungary p. 237
- Poland p. 238
- Romania p. 239
- Slovakia p. 239
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List of graphs p. 241
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List of tables p. 247
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About PMR p. 250
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Contact PMR p. 251
List of graphs
- Value (€ m) and change of the private healthcare market in Central Europe, 2007-2013
- Average CAGR for the development of the private healthcare market in the CE countries analysed, 2008-2010
- Average CAGR for the development of the private healthcare markets in the CE countries analysed, 2011-2013
- Hospital beds in CE countries analysed, per 1,000 of population, 1995 and 2008-2009
- Value (€ m) and change of the private healthcare market in Central Europe, 2007-2013
- Shares of individual countries as a proportion of the value of the private healthcare market in Central Europe (%), 2007, 2010 and 2013
- Spending on private medical services markets in the CE countries analysed (€ per capita), 2010
- Average CAGR for the development of private healthcare markets in the CE countries analysed, 2011-2013
- Healthcare Confidence Index for doctors in Hungary (%), December 2002, May 2004, December 2010, March 2011 and June 2011
- Value (€ m) and change of the private medical services market in Bulgaria, 2007-2014
- Value (€ m) and change of the private medical services market in the Czech Republic, 2007-2013
- Financial results of Agel and its subsidiaries in the Czech Republic (€ m), 2007-2009
- Financial results of Euroclinicum in the Czech Republic (€ m), 2008-2009
- Value (€ m) and change of the private medical services market in Hungary, 2007-2013
- Financial results of Euromedic in Hungary (€ m), 2007-2009
- Financial results of Medicover in Hungary (€ m), 2007-2009
- Structure of private spending on healthcare in Poland, 2010
- Value (€ m) and change of the private medical services market in Poland, 2007-2013
- Lux Med Group’s revenue in Poland (PLN m) and revenue change, 2008-2010
- Medicover Group’s revenue in Poland (PLN m) and revenue change, 2005-2010
- Enel-Med’s revenue in Poland (PLN m) and revenue change, 2002-2013
- EMC Instytut Medyczny Group’s revenue in Poland (PLN m) and revenue change, 2005-Q1 2011
- Scanmed Group’s revenue in Poland (PLN m) and revenue change, 2006-2009
- Swissmed Group’s revenue in Poland (PLN m) and revenue change, 2005-Q1 2011
- Falck’s revenue in Poland (PLN m) and revenue change, 2007-2009
- Polmed Group’s revenue in Poland (PLN m) and revenue change, 2009-2010
- Value (€ m) and change of the private medical services market in Romania, 2005-2013
- MedLife turnover (€ m) and change in Romania, 2002-2011
- CMU turnover (€ m) and increase in Romania, 2006-2010
- Medicover turnover (€ m) and increase in Romania, 2007-2011
- Synevo turnover (€ m) and change in Romania, 2006-2010
- Euromedic turnover (€ m) and increase in Romania, 2007-2010
- Gral Medical turnover (€ m) and increase in Romania, 2006-2011
- Sanador turnover (€ m) and increase in Romania, 2007-2010
- Medcenter turnover (€ m) and change in Romania, 2008-2011
- Medsana turnover (€ m) and change in Romania, 2008-2011
- Romar turnover (€ m) and change in Romania, 2010-2011
- Polisano turnover (€ m) and change in Romania, 2008-2009
- Value (€ m) and change of the private medical services market in Slovakia, 2007-2013
- The value (PLN bn) and change of the medical subscription market in Poland, 2005-2013
- Value (€ m) and increase of the medical subscriptions market in Romania, 2007-2012
- Corporate-retail ratio as a proportion of the private medical market in Romania, by value, 2008-2012
- Corporate-individual ratio as a proportion of the private medical subscriptions market in Romania, by value, 2010
- Revenue from premiums charged by voluntary health insurance companies in Bulgaria (BGN m), 2002-Q1 2011
- Premiums charged by voluntary health insurance companies in Bulgaria, by category of healthcare services, Q1 2011
- Premiums charged by life insurance companies for health insurance in Bulgaria (BGN m), 2003-Q1 2011
- Revenue from health insurance premiums of Bulgaria Zdrave in Bulgaria (€ m), 2007-Q1 2011
- Claims paid by Bulgaria Zdrave on health insurance in Bulgaria (€ m), 2007-Q1 2011
- Revenue from health insurance premiums of Generali Zakrila in Bulgaria (€ m), 2007-Q1 2011
- Claims paid by Generali Zakrila on health insurance in Bulgaria (€ m), 2007-Q1 2011
- Revenue from health insurance premiums of UHIF Doverie in Bulgaria (€ m), 2007-Q1 2011
- Claims paid by UHIF Doverie on health insurance in Bulgaria (€ m), 2007-Q1 2011
- Revenue from health insurance premiums of Medico-21 in Bulgaria (€ m), 2007-Q1 2011
- Claims paid by Medico-21 on health insurance in Bulgaria (€ m), 2007-Q1 2011
- Revenue from health insurance premiums of Uniqa Life in Bulgaria (€), 2007-Q1 2011
- Claims paid by Uniqa Life on health insurance in Bulgaria (€), 2007-Q1 2011
- Revenue from health insurance premiums of DZI in Bulgaria (€), 2007-Q1 2011
- Claims paid by DZI on health insurance in Bulgaria (€), 2007-Q1 2011
- Revenue from health insurance premiums of Generali Life in Bulgaria (€), 2007-Q1 2011
- Claims paid by Generali Life Insurance on health insurance in Bulgaria (€), 2007-Q1 2011
- Revenue from health insurance premiums of Bulstrad Life in Bulgaria (€), 2007-Q1 2011
- Claims paid by Bulstrad Life on health insurance in Bulgaria (€), 2007-Q1 2011
- Revenue from health insurance premiums of Allianz Bulgaria Life in Bulgaria (€), 2009-Q1 2011
- Revenue from private health insurance premiums in the Czech Republic (CZK m), 2007-Q3 2010
- Revenue from health insurance premiums of Pojistovna VZP in Czech Republic (€ m), 2007-2010
- Claims paid by Pojistovna VZP on health insurance in Czech Republic (€ m), 2007-2010
- Revenue from health insurance premiums of Ceska pojistovna Zdravi in Czech Republic (€ m), 2007-Q3 2010
- Claims paid by Ceska pojistovna Zdravi on health insurance in Czech Republic (€ m), 2007-2009
- Value (HUF bn) and change of the voluntary health insurance market in Hungary, 2005-H1 2010
- Number of private voluntary health insurance policy holders in Hungary, 2005-2009
- Market shares of voluntary health insurance companies in Hungary, in terms of value, 2009
- Number of OTP voluntary health insurance policy holders in Hungary, 2005-2009
- Revenue from health insurance premiums of OTP in Hungary (€ m), 2005-2009
- Number of MKB’s voluntary health insurance policy holders in Hungary, 2005-2009
- Revenue from health insurance premiums of MKB in Hungary (€ m), 2005-2009
- Number of AXA voluntary health insurance policy holders in Hungary, 2005-2009
- Revenue from health insurance premiums of AXA in Hungary (€ m), 2005-2009
- Number of Patika’s voluntary health insurance policy holders in Hungary, 2005-2009 and 2011
- Revenue from health insurance premiums of Patika in Hungary (€ m), 2005-2009
- Number of Generali voluntary health insurance policy holders in Hungary, 2005-2009
- Revenue from health insurance premiums of Generali in Hungary (€ m), 2005-2009
- Value (PLN bn) and change of private health insurance market in Poland, 2005-2010
- Revenue from health insurance premiums of PZU Zycie in Poland (PLN m), 2008-2010
- Value (€ m) and change of the health insurance market in Romania, 2008-Q1 2011
- Value (€ m) and change of the non-life health insurance market in Romania, 2006-Q1 2011
- Value (€ m) of and change in the life health insurance market in Romania, 2006-2010
- Estimated shares of individual and corporate health insurance in Romania, by value, 2008-2012
- Revenue from health insurance premiums of Allianz-Tiriac in Romania (€ m), 2006-2009
- Claims paid by Allianz-Tiriac on health insurance in Romania (€ m), 2006-2009
- Revenue from health insurance premiums of Eureko in Romania (€ m), 2006-2009
- Claims paid by Eureko in Romania on health insurance (€ m), 2006-2009
- Revenue from health insurance premiums of Omniasig Life in Romania (€ m), 2006-2009
- Claims paid by Omniasig Life on health insurance in Romania (€), 2007-2009
- Revenue from health insurance premiums of Uniqa in Romania (€), 2006-2009
- Claims paid by Uniqa in Romania on health insurance (€), 2006-2009
- Revenue from health insurance premiums of Asirom in Romania (€), 2006-2009
- Claims paid by Asirom on health insurance in Romania (€), 2006-2009
- Claims paid by Astra on health insurance in Romania (€), 2006-2009
- Major players on the health insurance market in Slovakia, market share by revenues, 2010
- Major players on the health insurance market in Slovakia, market share by number of subscribers, 2010
- Revenue from health insurance premiums of Dovera in Slovakia (€ m), 2006-2008
- Claims paid by Dovera on health insurance in Slovakia (€ m), 2006-2008
- Revenue from health insurance premiums of Union in Slovakia (€ m), 2007-2009
- Claims paid by Union on health insurance in Slovakia (€ m), 2007-2009
- Revenues of private hospitals in Bulgaria (BGN m), 2006-2011
- Breakdown of hospital beds by hospital founders in Czech Republic, 2010
- Financial results of Nemocnice Atlas in Czech Republic (€ m), 2008
- Financial results of Nemocnice Prachatice in Czech Republic (€ m), 2007-2010
- Financial results of Nemos Plus in Czech Republic (€ m), 2007-2009
- Financial results of Telki Hospital in Hungary (€ m), 2007-2009
- Ownership structure of hospitals in Poland, September 2010
- The number of hospitals transformed into non-public healthcare facilities in Poland, 1999-2010
- The structure of revenue generated by EMC Instytut Medyczny’s hospitals from inpatient services in Poland (PLN m), by source of funding, 2007-2010
- Revenue (PLN m) and change of Grupa Nowy Szpital in Poland, 2008-2010
- Number of beds in private hospitals in Romania, 2006 and 2009-2012
- Financial results of Euroclinic Hospital in Romania (€ m), 2007-2009
- Financial results of Nemocnica Kosice-Saca in Slovakia (€ m), 2007-2009
- Private clinics as a proportion of total dialysis capacity in the CE countries analysed, 2010
- Reimbursement for haemodialysis in selected European countries (€), 2010
- Value of private dentistry market in selected CE countries (€ m), 2010-2013
- CAGR for private dentistry markets in CE countries analysed, 2011-2013
- Percentage of dentists working at private clinics in the selected CE countries analysed, 2010
- Informal payments to doctors in CE countries analysed, 2009
- Percentage of respondents in the CE countries analysed who regard the quality of their healthcare system as „good”, 2009
- Percentage of respondents in CE assessing the quality of the local healthcare system compared to other EU countries, 2009
- Ability to afford healthcare for the family in CE countries analysed, 2009
- Estimated value of medical tourism in Poland (PLN m), 2005, 2010 and 2012
- Foreigners treated at hospitals in the Czech Republic, by country of origin, 2010
- Intention to purchase a private medical subscription in Romania, 2009
- Intention to purchase a private medical subscription in Bucharest, 2008-2009
- Intention to purchase a private medical subscription in Bucharest, by age, 2009
- Intention to purchase a private medical subscription outside Bucharest, by age, 2009
- Value of healthcare expenditure in Poland, by category, 2008
List of tables
- Key trends and events in CE countries analysed, until 2011
- Trends and events expected in CE countries analysed, 2011-2013
- Number of practising physicians in CE countries analysed, ranked by density per 1,000 residents, 2008
- Number of dentists in selected CE countries, ranked by density per 100,000 people, 2008
- Number of hospitals in CE countries analysed, by category of ownership, 2010
- Users of private health insurance in CE countries analysed (% of total population), 2010
- Users of medical subscriptions in CE countries analysed (% of total population), 2011
- Other major private medical services companies in Bulgaria, 2011
- Other major private medical services companies in the Czech Republic, 2011
- Other major private medical services companies in Hungary, 2011
- Other major private medical services companies in Poland, 2011
- Selected investment projects planned at private outpatient clinics in Poland, 2011
- The largest private medical services companies in Romania, in terms of turnover, 2010
- Selected major private medical services companies in Slovakia, 2011
- The market of private voluntary health insurance in Bulgaria, Q1 2011
- Voluntary health insurers in Bulgaria, by share of revenue from health premiums, 2010-Q1 2011
- Other prominent voluntary health insurers in Bulgaria, 2011
- Life insurance companies which offer health insurance in Bulgaria, by share of revenue from premiums, 2010-Q1 2011
- Ceska prumyslova zdravotni pojistovna’s preliminary financial results (CZK ’000), 2010
- Other major private insurers which offer health insurance in the Czech Republic, 2011
- Other prominent private insurers which offer health insurance in Hungary, 2011
- Other major private insurers which offer health insurance in Poland, 2011
- Major players in non-life insurance subgroup in Romania, by health insurance gross written premium, 2009
- Players on life insurance market in Romania, by health insurance gross written premium, 2009
- Other major companies which offer health insurance in Romania, 2011
- Slovak health insurance companies by number of insurees, 2010-2011
- Economic results of hospitals in the Czech Republic, 2008-2010
- Selected private hospitals established in Poland, 2010-2011
- Selected investment projects planned at non-public hospitals in Poland, 2011
- Selected major private hospitals in Romania, 2011
- Value of the private dental services market and per capita spending in the CE countries analysed, 2008 and 2010
- Number of dentists in the CE countries analysed, 2010
- Revenues of selected top dental clinics in Romania (€ m), 2009-2011, and share of foreign patients (%) in 2010 revenues
- Euro Health Consumer Index in selected CE countries, 2009
- Population and median age in CE countries analysed, 2010
- Predictions pertaining to the elderly population, 65 or over, in the CE countries analysed (million people), 2007-2060
- Labour market indicators in CE countries analysed, 2005-2010
- Minimum monthly wages in CE countries analysed (€), 2005-2011
- Gross National Income per capita in CE countries analysed ($*), 2005-2009
- Comparison of prices for selected dental care services in selected Western European and Central European countries (in GBP), 2008
- Map of medical tourism destinations in CE, 2010
- Average length of hospital stay in CE countries analysed (number of days), 2000 and 2005-2009
- Outpatient contacts per person per year in the CE countries analysed, 2003-2009
- Inpatient care admissions in CE countries analysed, 2003-2009
- Private inpatient hospital beds in selected CE countries (% of all beds), 2003-2009
- Frequency of use of private inpatient medical care in the CE countries analysed, 2003-2008
- Profile of private healthcare service users in CE countries analysed, 2010
- Total health spending as % of GDP in CE countries analysed, 2002-2010
- Total health spending as % of GDP in CE countries analysed, 2020-2060
- Public health spending per capita in the CE countries analysed ($), 2002-2009
- Private sector health spending as % of GDP in CE countries analysed, 2000-2009
- Private health spending as % of total health spending in CE countries analysed, 2002-2009
- Private prepaid plans as % of private health spending in CE countries analysed, 2000-2008
- Out-of-pocket spending as % of private health spending in CE countries analysed, 2002-2009
- Inpatient care spending as % of total health spending in CE countries analysed, 2000-2008
- Inpatient care spending per capita in CE countries analysed ($ at purchasing power parity), 2000-2008
- Private spending on inpatient care as % of total inpatient spending in CE countries analysed, 2000-2008
- Healthcare spending by category as % of public health spending in Bulgaria, 2002-2007
- Healthcare spending by category as % of public health insurance funds in the Czech Republic, 2000-2008
- Healthcare spending by sources of funding in the Czech Republic (%), 2004-2009
- Revenues of Health Insurance Fund in Hungary (HUF m), 2007-2009
- Healthcare spending by category as % of public health spending in Hungary, 2001-2008
- Health insurance fund spending by category in Poland (% of total fund spending), 2003-2011
- Health insurance fund spending by category in Romania (% of total fund spending), 2005-2010
- Healthcare spending by category as % of public health spending in Slovakia, 2002-2008
Private healthcare market in Central Europe 2011
Development forecasts for 2011-2013
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