Dentistry services market in Poland 2011

• implantology
• conservative dentistry and endodontics
• orthodontics
• surgery.

Why did we decide to write the report?

• important role of the private sector and consumerist nature of the services offer ample opportunities for investment in the area
• high growth potential
• prospect of introducing additional health insurance creates opportunities for dentist insurance
• further opportunities are also presented by the currently developed European Union directive “Patients Without Borders”, which will facilitate providing services to EU citizens abroad, and abolish the monopoly of the National Health Fund (NFZ) on contracting medical services.

What is the aim of the report?

• important role of the private sector and consumerist nature of the services offer ample opportunities for investment in the area
• high growth potential
• prospect of introducing additional health insurance creates opportunities for dentist insurance
• further opportunities are also presented by the currently developed European Union directive “Patients Without Borders”, which will facilitate providing services to EU citizens abroad, and abolish the monopoly of the National Health Fund (NFZ) on contracting medical services. 

Who is the report for?

• executive staff, managers, marketing departments of private medical, insurance or consulting companies
• providers of medical supplies for dentistry (although the report is concerned with services and not equipment or medicines, it gives a general idea)
• distributors of medical supplies for dentistry (although the report is concerned with services and not equipment or medicines, it gives a general idea)
• firms from the medical industry (dentistry)
• foreign firms investing in dentistry
• consulting, research and analytical firms
• government institutions, embassies
• chambers of commerce, professional organisations
• universities, scientific institutes
• financial institutions (banks, brokerage firms, investment funds)

Questions that the report answers

• What are the growth prospects for the Polish market of dentistry services?
• What is the saturation of the market?
• Is it worth investing in such objects?
• What are the main competitors?
• What are the average prices of dentistry services, also when compared with other countries?
• Which sector is the most attractive regarding potential revenues in the future?
• What are the key trends on the market, and what events can be expected in the near future?
• What is the dental health of the Polish society like?
• What is the attitude of Poles towards prevention and visits to the dentist like?
• How is health care organised?
• What is reimbursed within public health care?

Key report sections

• Value of the market and growth prospects in 2010-2013 for the Polish market of medical services and its main sectors – conservative dentistry, orthodontics, prosthetics and cosmetic dentistry, implantology
• Profiles of key players
• Overview of the situation in Poland – key trends
• Situation on the market of medical tourism, value and growth prospects of this market
• Analysis of consumer behaviours, epidemiological situation, legal environment.

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1. Report methodology p. 7

2. Executive summary p. 11

3. Overview of the Polish market of dental services p. 15

   • Main trends and events p. 15
     • Current trends and events p. 15
     • Expected trends and events p. 19
   • Value of the Polish market of dental services p. 20
     • Public sector p. 22
   • Number of consults provided in Poland p. 27
     • Types of dental services p. 31

4. Segments of the market p. 51

   • Conservative dentistry p. 51
   • Orthodontics p. 52
   • Prosthetics p. 52
     • Implants p. 53
   • Shares of individual market segments p. 54

5. Organisation of dental care in Poland p. 55

   • Basic features of the Polish health care system p. 55
     • Public spending on dental care p. 55
     • Private spending on dental care p. 56
   • Number of dentists p. 57
   • Number of dental practices p. 62

6. Profiles of selected leading dentistry clinics p. 65

7. Epidemiology p. 81

   • Tooth pain p. 81
   • Caries p. 82
     • Situation for the group of three-year-olds p. 83
     • Situation for the group of six-year-olds p. 84
     • Situation for the group of twelve-year-olds p. 86
     • Situation for the group of fifteen-year-olds p. 88
     • Situation for the group of eighteen-year-olds p. 88
   • Periodontal diseases p. 90
     • Situation for the group of twelve-year-olds p. 91
     • Situation for the group of fifteen-year-olds p. 91
     • Situation for the group of eighteen-year-olds p. 91
     • Situation for the group of elderly patients p. 92
   • Toothlessness p. 92

8. Consumer behaviour p. 95

   • Users of dental services p. 95
   • Frequency of visits to the dentist p. 96
     • Poland vs. other European countries p. 96
     • Situation for the group of three-year-olds p. 97
     • Situation for the group of twelve-year-olds p. 97
     • Situation for the group of fifteen-year-olds p. 98
     • Situation for the group of eighteen-year-olds p. 99
     • Situation for the group of patients aged p. 65-74 p. 99
   • Reasons for visits/avoiding visits to the dentist p. 100
   • Dental service providers p. 102
   • Behaviour promoting health p. 103
     • Brushing teeth p. 103
       • Situation for the group of three-year-olds p. 103
       • Situation for the group of twelve-year-olds p. 104
       • Situation for the group of fifteen-year-olds p. 105
       • Situation for the group of eighteen-year-olds p. 105
       • Situation for the group of elderly patients p. 106
     • Food habits p. 106
   • Use of removable dentures p. 107

9. Medical tourism p. 109

   • Situation on the market and forecasts p. 109
   • Nationality of patients p. 110
   • Facilities p. 111
     • Public facilities p. 111
     • Private facilities p. 112
   • Prices p. 112
   • Organisation of tourism p. 113
   • Legal regulations p. 114

10. Legal environment p. 115

    • Overview of the most important regulations p. 117
      • Act on publicly funded health care services p. 117
      • Act on health care institutions p. 117
      • Act on medical professions p. 117
      • Act on chambers of physicians p. 118
      • Act on free business activity p. 118
    • Overview of the most essential ordinances p. 119
      • Ordinance/draft of a regulation amending the regulation on guaranteed dental care services p. 119
      • Cash register requirement p. 119
      • Draft of regulation on conditions of signing and implementation of contracts for dental treatment for 2011 p. 120

11. The macroeconomic and demographic situation of Poland p. 123

    • GDP p. 124
    • Employment p. 124
    • Wages p. 125
    • Inflation p. 126
    • Income and spending of households p. 126
    • Demographics p. 127

12. List of graphs p. 131

13. List of tables p. 137

14. About PMR p. 139

15. Contact PMR p. 140

List of graphs

1. Value (PLN m) and change for the Polish market of dental services, 2008-2013
2. Value shares of individual market segments for the Polish dentistry market, 2010 and 2013
3. Value (PLN m) and change for the Polish market of dental services, 2008-2013
4. Value (PLN m) and change for the Polish market of private dental services, 2008-2013
5. Value shares of private and public outlays on dental care in Poland, 2008-2011
6. Value shares of private and public outlays on dental care in Poland, 2008
7. NFZ outlays on dental care in Poland (PLN m), 2004-2011
8. Share of dental care outlays in all medical care spending of the NFZ in Poland, 2004-2011
9. Contracted amount per one inhabitant by provinces in Poland, 2010-2011
10. Dental consults in Poland, by provinces, 2008
11. Dental consults in Poland, by provinces, 2009
12. Number of dental consults per one inhabitant in Poland, by province, 2008-2009
13. Number of dental consults in Poland (m), 2000 and 2004-2009
14. Dental services in Poland, by institution type, 2008
15. Dental consults in Poland, by institution type, 2009
16. Number of dental consults (‘000) in Poland, by type, 2006-2009
17. Number of dental consults (‘000) provided in Poland, by the crucial groups of patients, 2009
18. Number of dental consults in the Slaskie province by place of residence, 2009
19. Number of dental consults in the Slaskie province, by age, 2009
20. Number of dental consults in the Mazowieckie province, by place of residence, 2009
21. Number of dental consults in the Mazowieckie province, by age, 2009
22. Number of dental consults in the Malopolskie province, by place of residence, 2009
23. Number of dental consults in the Malopolskie province, by age, 2009
24. Number of dental consults in the Lubelskie province, by place of residence, 2009
25. Number of dental consults in the Lubelskie province, by age, 2009
26. Number of dental consults in the Lodzkie province, by place of residence, 2009
27. Number of dental consults in the Lodzkie province, by age, 2009
28. Number of dental consults in the Dolnoslaskie province, by place of residence, 2009
29. Number of dental consults in the Dolnoslaskie province, by age, 2009
30. Number of dental consults in the Wielkopolskie province, by place of residence, 2009
31. Number of dental consults in the Wielkopolskie region, by age, 2009
32. Number of dental consults in the Pomorskie province, by place of residence, 2009
33. Number of dental consults in the Pomorskie province, by age, 2009
34. Number of dental consults in the Zachodniopomorskie province, by place of residence, 2009
35. Number of dental consults in the Zachodniopomorskie province, by age, 2009
36. Number of dental consults in the Podkarpackie province, by place of residence, 2009
37. Number of dental consults in the Podkarpackie province, by age, 2009
38. Number of dental consults in the Kujawsko-Pomorskie province, by place of residence, 2009
39. Number of dental consults in the Kujawsko-Pomorskie province, by age, 2009
40. Number of dental consults in the Warminsko-Mazurskie province by place of residence, 2009
41. Number of dental consults in the Warminsko-Mazurskie province, by age, 2009
42. Number of dental consults in the Podlaskie province, by place of residence, 2009
43. Number of dental consults in the Podlaskie province, by age, 2009
44. Number of dental consults in the Swietokrzyskie province by place of residence, 2009
45. Number of dental consults in the Swietokrzyskie province, by age, 2009
46. Number of dental consults in the Lubuskie province, by place of residence, 2009
47. Number of dental consults in the Lubuskie province, by age, 2009
48. Number of dental consults in the Opolskie province, by age, 2009
49. Number of dental consults in the Opolskie province, by age, 2009
50. Value (PLN bn) and change for the Polish market of conservative dentistry, 2008-2013
51. Value (PLN bn) and change for the Polish market of orthodontics, 2008-2013
52. Value (PLN bn) and change for the Polish market of dental prosthetics, 2008-2013
53. Value shares of individual market segments for the Polish dentistry market, 2010 and 2013
54. Financing of dental care in Poland, 2010
55. Number of jobs for dentists with a right to practice in Poland (‘000), 2003-2011
56. Number of dentists in Poland, by specialisation, 2011
57. Number of dentists in Poland, by primary place of employment, 2009
58. Number of dentists in Poland, by region, 2009
59. Number of dentists posts in Poland by region, 2011
60. Number of dentists in Poland per 10,000 inhabitants by region, 2009
61. Number of dentists in Poland per 10,000 inhabitants, 1970-2009
62. Number of dental practices registered in Poland, 2007-2009
63. Number of dental practices registered in Poland, by region, 2009
64. Structure of dental practices providing publicly funded services in Poland, 2009
65. Number of dental practices providing publicly funded services in Poland, 2001-2009
66. Percentage of dental practices with a NFZ contract in Poland, 2009
67. Ownership structure of Dent-a-Medical in Poland, 2011
68. Revenues from sales (PLN m) of Dent-a-Medical in Poland, 2006-2010
69. Net result (PLN ‘000) of Dent-a-Medical in Poland, 2006-2010
70. Revenues from sales (PLN m) of Dom Lekarski in Poland, 2004-November 2010
71. Net result (PLN ‘000) of Dom Lekarski in Poland, 2004-November 2010
72. Value of NFZ contract for dental care (PLN ‘000) of Dom Lekarski in Poland, 2007-2011
73. Value of NFZ contract for dental care (PLN m) of Centrum Stomatologii Uniwersytetu Medycznego im. Karola Marcinkowskiego, 2007-2011
74. Revenues from sales (PLN m) of Enel-Med in Poland, 2007-Q3 2010
75. Net result (PLN m) of Enel-Med in Poland, 2007-H1 2010
76. Revenues from sales (PLN m) of CM Luxmed in Poland, 2003-2009
77. Net profit (PLN’000) of CM Luxmed in Poland, 2003-2009
78. Value of NFZ contract for dental care (PLN‘000) of CM Luxmed in Poland, 2007-2011
79. Value of NFZ contract for dental care (PLN m) of Puls-Med in Poland, 2007-2011
80. Value of NFZ contract for dental care (PLN ‘000) of TMK in Poland, 2007-2011
81. Frequency of tooth and gum pain in Poland, compared with the EU average, 2009
82. Average number of teeth affected by caries in Poles up to the age of 44, 2008
83. Percentage of children affected by caries by age group in Poland, 2008
84. Percentage of caries-freeyear-olds in Poland, by region, 2009
85. Percentage of caries-freeyear-olds in Poland, 2002 and 2009
86. Percentage of caries-freeyear-olds in Poland, by region, 2008
87. Percentage of caries-freeyear-olds in Poland, 1997, 1999, 2005, 2007 and 2008
88. Percentage of caries-freeyear-olds in Poland, by region, 2007
89. Percentage of caries-free children aged 12 in Poland, 1995, 2000, 2005, 2007 and 2010
90. Percentage of caries-free childrenyear-olds in Poland, by region, 2008
91. Percentage of caries-freeyear-olds in Poland, 1995, 2004 and 2008
92. Percentage of caries-freeyear-olds in Poland, by region, 2008
93. Percentage ofyear-olds with teeth missing due to caries in Poland, 2004 and 2008
94. Percentage of Poles suffering from periodontal diseases, 2007, 2008 or 2009
95. Percentage of 65 toyear-olds with healthy periodontium in Poland, 2002 and 2009
96. Percentage of toothless Poles, 1998, 2002 and 2009
97. Percentage of people with a full set of teeth in Poland, compared with selected countries, 2009
98. Date of last visit to the dentist in Poland in comparison to the EU average, 2009
99. Date of last visit to the dentist in Poland,year-olds, 2009
100. Date of last visit to the dentist in Poland,year-olds, 2007
101. Date of last visit to the dentist in Poland,year-olds, 2008
102. Date of last visit to the dentist in Poland,year-olds, 2008
103. Date of last visit to the dentist in Poland, 65 toyear-olds, 2009
104. Reasons for latest visit to the dentist in Poland in comparison to the EU average, 2009
105. Reasons for avoiding visits to the dentist in Poland in comparison to the EU average, 2009
106. Excessive costs as a reason for avoiding visits to the dentist in European countries, 2009
107. Dental service locations in Poland in comparison to the EU average, 2009
108. Frequency of brushing teeth in Poland,year-olds, 2009
109. Frequency of brushing teeth in Poland,year-olds, 2007
110. Frequency of brushing teeth in Poland,year-olds, 2008
111. Frequency of brushing teeth in Poland,year-olds, 2008
112. Frequency of brushing teeth in Poland, 65 toyear-olds, 2009
113. Frequency of consuming candies, biscuits and chewing gum in Poland in comparison to EU average, 2009
114. Percentage of removable denture users in Poland and selected countries, 2009
115. Problems with wearing removable dentures in Poland, 2010
116. Estimated value of medical tourism in Poland, 2005, 2010 and 2012
117. Funding dental care services in Poland, by source, February 2010
118. Real change of GDP in Poland (y-o-y), 2000-2012
119. Unemployment rate in Poland (end of period), 2006-2012
120. Average gross monthly wages in Poland (PLN), 2000-2009
121. Yearly indexes for the prices of consumer goods and services in Poland, 2000-2012
122. Average monthly income and spending per capita in Polish households (PLN), 2000-2009
123. Population in Poland by place of residence, 2009
124. Percentage of urban population in Poland by region, 2009

List of tables

1. NFZ outlays on dental care in Poland (PLN m), 2009-2011
2. Amount of NFZ contracts for one inhabitant, selected counties in Poland, 2010
3. Number of dental consults (‘000) provided in Poland, by type and province, 2006-2009
4. Number of dentist jobs in Poland, by type of right to practice, 2011
5. Number of shares and votes at Dom Lekarski SA AGM*, 2011
6. Comparison of prices for selected dental care services in Poland and selected Western European and Central European countries, 2010
7. Comparison of prices for selected dental care services in Poland and United Kingdom, 2010
8. Comparison of prices for selected dental care services in Poland and Germany, 2010
9. The largest Polish urban agglomerations by number of inhabitants, 2009