Global Markets and Technologies for Home Medical Equipment--Focus on the European Union

REPORT HIGHLIGHTS

• The global market for home medical equipment (HME) reached $17.9 billion in 2010 and $18.9 billion in 2011. It is expected to grow to $26.2 billion by 2016, a compound annual growth rate (CAGR) of 6.7%.
• The EU market for HME was worth more than $4.7 billion in 2010 and $5 billion in 2011.  By 2016, the market is projected to reach more than $7.4 billion, a CAGR of 8.1% between 2011 and 2016.
• In Germany, the market for HME was worth $876.9 million in 2010 and $920.8 million in 2011.  By 2016, the market is projected to reach more than $1.2 billion, a CAGR of 5.8% between 2011 and 2016.

INTRODUCTION

Home medical equipment (HME) is a multibillion-dollar market.  Since BCC published its last study of the HME market in 2010, the market has continued to evolve, as populations age and a growing number of older people wish and are financially able to live in their own homes for as long as possible, rather than going into a nursing home or other institutional care facility.  These demographic and attitudinal shifts in the health care market are reinforced by technological developments such as wireless home monitoring, and economic trends, like the rising cost of institutional care and a growing receptivity to home health care among physicians and private and public insurers.

Since the prior research study was published, the market has continued to evolve, due to factors such as an aging population, increased incidence of heart disease and other conditions requiring close patient monitoring and technological developments such as wireless remote monitoring.

STUDY BACKGROUND

These trends are global, at least in advanced industrial nations.  However, most published analyses of the HME market focus on the U.S. market.  Since U.S. medical equipment manufacturers are among the largest suppliers to the global health care market, they need to gain the most detailed understanding of international markets for their products, including HME.

STUDY GOALS AND OBJECTIVES

This report is intended to provide an objective, quantitative analysis that addresses the global market for HME in the context of technological change and an evolving market.  More specific objectives are to

• Identify and segment the main types of HME that have been commercialized to date.
• Analyze the historical and current value of shipments of each of these product segments in specified applications, end-user and geographical markets.
• Identify and evaluate the impact of demographic, technological, regulatory and other factors that will drive future demand in each of these segments.
• Forecast the value of future shipments in each segment.
• Identify promising new technologies and products still in the development and testing stage that are likely to be commercialized successfully in the next five years.
• Identify leading HME vendors.

INTENDED AUDIENCE

The report has been written for the entire medical and health care interest community, but it is tailored especially for readers with an interest in the marketing and management dimensions of home medical equipment, such as

• Manufacturers and distributors of HME.
• Regulators and health insurers.
• Investors.
• The financial and analyst community.

SCOPE AND FORMAT

This report is an analytical business tool whose primary purpose is to describe and analyze the dynamics of the global market for home medical equipment.  Home medical equipment is defined as durable equipment (i.e., equipment with an expected service life of at least three years) that:

• Can withstand repeated use.
• Is primarily and customarily used to serve a medical purpose.
• Generally is not useful to a person in the absence of an illness or injury.
• Is not implanted inside the patient’s body.
• Is appropriate for use in the home.
• Does not require a trained medical professional to operate.
• Usually requires a doctor’s prescription to buy (e.g., excludes most canes, walkers and other elderly and disabled assistive devices).
• Generally does not include drugs and other consumables.

While the report’s coverage is global, it focuses on selected international markets for HME, including:

• North America (United States, Canada).
• European Union (France, Germany, Italy, U.K., other European countries).
• Japan.
• BRIC nations (Brazil, Russia, India, China).
• Rest of the world.

The report includes sections on the following topics:

• Major product types and applications, both commercial and developmental.
• Market size and segmentation, including historical data on sales by product type and geographical market.
• Market drivers and constraints.
• Detailed market projections through 2016.
• Patent analysis.
• Competitor profiles.

METHODOLOGY AND INFORMATION SOURCES

This study was prepared using both primary and secondary research methodologies.  The findings and conclusions of this report are based on information gathered from manufacturers and distributors of HME, multilateral and government agencies, caregivers, insurance companies and other knowledgeable sources.   Interview data were combined with information gathered through an extensive review of secondary sources such as trade publications, trade associations, company literature and online databases to produce the baseline market estimates contained in this report.

The base year for analysis and projection is 2010.  With 2010 as a baseline, market projections were developed for 2011 to 2016.  These projections are based on a combination of a consensus among primary research sources and our understanding of key market drivers and their impact from a historical and analytical perspective.  The analytical methodologies used to generate the market estimates are described in detail in the section titled Detailed Market Projections.

All dollar projections presented in this report are in 2010 constant dollars.

ANALYST CREDENTIALS

The author of this report is Andrew McWilliams.  Mr. McWilliams is a partner in the Boston-based international technology and marketing consulting firm, 43rd Parallel LLC.  In addition to being the author of the previous (2007 and 2010) editions of this report, Mr. McWilliams  is the author of several other Business Communications Company studies of health care and related industries. These include HLC016D Microelectronic Medical Implants: Products, Technologies and Opportunities; HLC036D Medical Robotics and Computer-assisted Surgery: The Global Market;  HLC038C Patient Monitoring; HLC047C Disabled and Elderly Assistive Technologies; HLC051F The Market for Minimally Invasive Medical Devices; HLC070A Preventive Healthcare Technologies, Products and Markets; and AVM050B Smart and Interactive Textiles.

Table of Contents

Chapter- 1: INTRODUCTION
STUDY BACKGROUND
STUDY GOALS AND OBJECTIVES
INTENDED AUDIENCE
SCOPE AND FORMAT
METHODOLOGY AND INFORMATION SOURCES
ANALYST CREDENTIALS
RELATED BCC RESEARCH
BCC ON-LINE SERVICES
DISCLAIMER

Chapter- 2: EXECUTIVE SUMMARY
Summary Table : GLOBAL SALES OF HOME MEDICAL EQUIPMENT, THROUGH 2016
Summary Figure : HOME MEDICAL EQUIPMENT SHARES BY REGION, 2009–2016

Chapter- 3: OVERVIEW
GENERAL DESCRIPTION
PRODUCT SEGMENTS
HEALTH CONDITIONS THAT AFFECT THE MARKET FOR HME
DEMOGRAPHICS AND ECONOMICS
OTHER FACTORS DRIVING THE HME MARKET

Chapter- 4: GLOBAL HME MARKETS
SUMMARY

Chapter- 5: THE EUROPEAN UNION MARKET
SUMMARY
ASSISTIVE DEVICES
INFUSION PRODUCTS
RESPIRATORY THERAPY PRODUCTS
DIALYSIS EQUIPMENT
HOME DEFIBRILLATORS
MONITORS AND SENSORS
GLUCOSE MONITORS
BLOOD PRESSURE MONITORS
APNEA AND OTHER TYPES OF SLEEP MONITORS
CHOLESTEROL MONITORS
FETAL MONITORS
PEAK FLOW (ASTHMA) MONITORS
HOME ECG MONITORS
TELEMETRY DEVICES
OTHER TYPES OF HME
Table 34 : EU HOME LYMPHEDEMA PUMP MARKETS, THROUGH 2016

Chapter- 6: APPENDIX A: PATENT ANALYSIS
Table 35 : U.S. HME PATENTS ISSUED SINCE 1975
Figure 18 : U.S. HME PATENTS ISSUED SINCE 1975
Figure 19 : LARGEST HME PATENT HOLDERS

Chapter- 7: APPENDIX B: COMPANY PROFILES
A&D MEDICAL/LIFESOURCE
ABBOTT LABORATORIES, INC.
AEROTEL MEDICAL SYSTEMS, LTD.
ALLIED HEALTHCARE PRODUCTS, INC.
AMERICAN TELECARE, INC.
ANALOGIC INC.
ARADIGM CORP.
BAXTER INTERNATIONAL, INC.
CARD GUARD AG
CARETRENDS
CYBERNET MEDICAL CORP.
ECHO THERAPEUTICS
FRESENIUS MEDICAL CARE AG & CO. KGAA
HEALTH FRONTIER, INC.
HONEYWELL HOMMED
INVACARE CORP.
LIFESCAN, INC.
MEDLINE INDUSTRIES, INC.
MEDTRONIC, INC.
MEDTRONIC MINIMED
NIPRO DIAGNOSTICS INC.
NXSTAGE MEDICAL, INC.
NONIN MEDICAL, INC.
OBS MEDICAL
OMRON HEALTHCARE, INC.
PARI PHARMA
PHILIPS HEALTHCARE
POLYMER TECHNOLOGY SYSTEMS
PREMD INC.
PRIDE MOBILITY PRODUCTS CORP.
PULSE METRIC INC.
RESMED, INC.
ROCHE DIAGNOSTICS
SCOTTCARE CORP.
SENSATEX INC.
SOLIANIS MONITORING AG
SUNRISE MEDICAL INC.
VECTURA GROUP PLC
VIVOMETRICS INC.

List of Tables

Summary Table : GLOBAL SALES OF HOME MEDICAL EQUIPMENT, THROUGH 2016
Table 1 : GLOBAL PREVALENCE OF MOTION IMPAIRMENTS REQUIRING THE USE OF A WHEELCHAIR OR SCOOTER, THROUGH 2016
Table 2 : TRENDS IN PREVALENCE OF MOTION IMPAIRMENTS REQUIRING A WHEELCHAIR OR SCOOTER, BY GEOGRAPHICAL MARKET, THROUGH 2016
Table 3 : OBESITY LEVELS IN SELECTED COUNTRIES
Table 4 : TRENDS IN PREVALENCE OF HYPERTENSION, THROUGH 2016
Table 5 : TRENDS IN PREVALENCE OF ARRHYTHMIA, THROUGH 2016
Table 6 : TRENDS IN PREVALENCE OF DIABETES, THROUGH 2016
Table 7 : TRENDS IN THE PREVALENCE OF ASTHMA, THROUGH 2016
Table 8 : TRENDS IN DIALYSIS PATIENT POPULATION, THROUGH 2016
Table 9 : TRENDS IN TOTAL POPULATION, BY COUNTRY, THROUGH 2016
Table 10 : TRENDS IN POPULATION OF PEOPLE AGE 65 YEARS AND OLDER, BY COUNTRY, THROUGH 2016
Table 11 : GLOBAL HME SALES BY TYPE OF EQUIPMENT, THROUGH 2016
Table 12 : HME MARKET BY TYPE OF DISEASE/CONDITION TREATED, THROUGH 2016
Table 13 : MAJOR GEOGRAPHICAL MARKETS FOR HME, THROUGH 2016
Table 14 : EUROPEAN UNION MARKETS FOR HME BY COUNTRY, THROUGH 2016
Table 15 : EUROPEAN UNION MARKETS FOR HME BY PRODUCT TYPE, THROUGH 2016
Table 16 : EU MARKETS FOR ASSISTIVE DEVICES, THROUGH 2016
Table 17 : EU MARKETS FOR WHEELCHAIRS AND SCOOTERS, THROUGH 2016
Table 18 : EU MARKETS FOR HOME CARE BEDS, THROUGH 2016
Table 19 : EU MARKETS FOR INSULIN PUMPS, THROUGH 2016
Table 20 : EU RESPIRATORY THERAPY MARKET, BY PRODUCT TYPE, THROUGH 2016
Table 21 : EU MARKETS FOR RESPIRATORY THERAPY PRODUCTS, BY COUNTRY, THROUGH 2016
Table 22 : EU DIALYSIS MACHINE MARKET, THROUGH 2016
Table 23 : EU HOME DEFIBRILLATOR MARKET, THROUGH 2016
Table 24 : EU MARKET FOR HOME MONITORING DEVICES BY TYPE OF DEVICE, THROUGH 2016
Table 25 : EU MARKETS FOR HOME MONITORING PRODUCTS, THROUGH 2016
Table 26 : EU MARKETS FOR GLUCOSE SELF-MONITORING DEVICES, THROUGH 2016
Table 27 : EU MARKETS FOR HOME BLOOD PRESSURE MONITORS, THROUGH 2016
Table 28 : EU SLEEP APNEA MONITOR MARKETS, THROUGH 2016
Table 29 : EU HOME CHOLESTEROL ANALYZER MARKETS, THROUGH 2016
Table 30 : EU HOME FETAL MONITOR MARKETS, THROUGH 2016
Table 31 : EU PEAK FLOW (ASTHMA) METER MARKETS, THROUGH 2016
Table 32 : EU HOME ECG MONITOR MARKETS, THROUGH 2016
Table 33 : EU HOME TELEMETRY EQUIPMENT MARKETS, THROUGH 2016
Table 34 : EU HOME LYMPHEDEMA PUMP MARKETS, THROUGH 2016
Table 35 : U.S. HME PATENTS ISSUED SINCE 1975

List of Figures

Summary Figure : HOME MEDICAL EQUIPMENT SHARES BY REGION, 2009–2016
Figure 1 : LEADING CONDITIONS ASSOCIATED WITH WHEELCHAIR/SCOOTER USE
Figure 2 : MISCARRIAGES AND STILLBIRTHS IN THE U.S., 2010
Figure 3 : GLOBAL DIALYSIS PATIENT POPULATION TREND, 2010–2016
Figure 4 : GLOBAL POPULATION TRENDS, 2010–2016
Figure 5 : TRENDS IN THE GLOBAL POPULATION AGE 65 YEARS AND OLDER, 2010–2016
Figure 6 : PERCENTAGE OF PEOPLE AGE 65 AND OLDER LIVING IN THEIR OWN HOMES OR WITH CHILDREN BY COUNTRY, 2002
Figure 7 : TRENDS IN THE PERCENTAGE OF AMERICANS 65 AND OLDER REMAINING IN THEIR HOMES, 1985-2009
Figure 8 : TRENDS IN THE MEDIAN INCOME OF U.S. ELDERLY HOUSEHOLDS, 2003–2009
Figure 9 : DISTRIBUTION OF U.S. ELDERLY HOUSEHOLDS BY INCOME LEVEL, 2000 AND 2008
Figure 10 : TRENDS IN U.S. EXPENDITURES ON HOME HEALTH CARE, 2002–2010
Figure 11 : TREND IN THE NUMBER OF MEDICARE-PAID PHYSICIAN HOUSE CALLS, 2000 AND 2010
Figure 12 : Center for Medicare and Medicaid Services
Figure 13 : PER CAPITA EXPENDITURES ON HME, 2010
Figure 14 : TRENDS IN THE GLOBAL HME MARKET, 2010–2016
Figure 15 : HME MARKET BY TYPE OF HME, 2010 AND 2016
Figure 16 : HME MARKET BY TYPE OF DISEASE/CONDITION TREATED, 2010 AND 2016
Figure 17 : HME MARKET BY REGION, 2010 AND 2016
Figure 18 : U.S. HME PATENTS ISSUED SINCE 1975
Figure 19 : LARGEST HME PATENT HOLDERS