Market research

Cross-Border Healthcare Services

in France

Methodology Market research – Cross-Border Healthcare Services in

France

Dashboard: Cross-border Health Services in France- 2011

Estimate of Health Related travel market

Estimate of the Export of Health related travel for 2011– France

Estimate of the Import of Health related Travel for 2011– France

Estimate of Cross-Border « Other Healthcare Services » market

Estimate of the Export of Health Services for 2011 – France

Estimate of the Import of Health Services for 2011– France

Agenda

Methodology Market research – Cross-Border Healthcare Services in France

Using the Balance of Payment to estimate Cross Border Healthcare Services

*Source: OECD

Balance of payment

The Balance of Payments is a statistical statement that provides a record of an economy‟s economic transactions with the rest of the world.

The Extended Balance of Payments ServicesClassification (EBOPS 2010) allow to find health services export approximation within 2 categories depending on their mode of supply

An Estimate of cross-border Healthcare

services

Include the movement of the patient abroad for medical purpose.

(-) includes not just the health services acquired but also consumption of all goods and services (food, transport, accommodation)

(-) The purchase of any medical goods by travelers is not not included

Heath related travel Other Health services

Covers human health services provided by hospitals, doctors, nurses and paramedical and similar personnel, as well as laboratory and similar services, whether rendered remotely (through telemedicine or tele-diagnosis) or on –site

(-) includes the presence of a non-resident health-care provider on the territory

Dashboard: Cross-border Health Services in France- 2011

Category Trade Value (m$)Export of Health related travel 524.7Export of Other Health Services 183.7

Total Export of Health Services 708.4

Export of Health Services - France - 2011Category Trade Value (m$)Import of Health related travel 476.0Import of Other Heath Services 144.8

Total Imports of Health Services 620.8

Import of Health Services - France - 2011

Breakdown of 2011 Export of Health Services by region

Breakdown of 2011 Import of Health Services by region

*Source: UN statistics *Source: UN statistics

Estimate of Health Related travel market

Estimate of the Export of Health related travel for 2011– France

Country Trade Value (m$) Country Trade Value (m$)1 Germany 82.1 1 Spain 83.52 Belgium 71.0 2 Italy 50.13 United Kingdom 65.4 3 United Kingdom 27.84 Netherlands 45.9 4 USA 25.15 Italy 40.4 5 Greece 19.56 Switzerland 39.0 6 Turkey 19.57 Spain 29.2 7 Belgium 16.78 USA 26.4 8 Morocco 15.39 Australia 9.7 9 Portugal 12.510 Brazil 9.7 10 Switzerland 11.111 Canada 8.4 11 Luxembourg 9.712 Luxembourg 7.0 12 Germany 8.413 China 5.6 13 Canada 7.014 Austria 4.2 14 Egypt 7.015 Denmark 4.2 15 Ireland 7.016 Morocco 4.2 16 Austria 5.617 Portugal 4.2 17 China 5.618 Russian Federation 4.2 18 India 5.619 Sweden 4.2 19 Netherlands 5.620 Ireland 2.8 20 Croatia 4.221 Japan 2.8 21 Thailand 4.222 Mexico 2.8 22 Argentina 2.823 Norway 2.8 23 Australia 2.824 Poland 2.8 24 Brazil 2.825 Argentina 1.4 25 Czech Rep. 2.826 Czech Rep. 1.4 26 Indonesia 2.827 Egypt 1.4 27 Mexico 2.828 Finland 1.4 28 Norway 2.829 Greece 1.4 29 Russian Federation 2.830 Hungary 1.4 30 South Africa 2.831 India 1.4 31 Chile 1.432 Israel 1.4 32 Denmark 1.433 New Zealand 1.4 33 Finland 1.434 Nigeria 1.4 34 Hungary 1.435 Rep. of Korea 1.4 35 Iceland 1.436 Romania 1.4 36 Iran 1.437 Singapore 1.4 37 Israel 1.438 Slovenia 1.4 38 Malta 1.439 South Africa 1.4 39 New Zealand 1.440 Other 25.1 40 Poland 1.4

41 Sweden 1.442 Venezuela 1.443 Other 83.513045

Total 524.7 Total 476.0

2011 Export Health related travelBreakdown by countryountry

Total€524.7m

Inbound Health related travel

*Source: UN statistics

Europe/North America is an interesting market to explore?

Explore the possibility to include other interesting countries in English speaking Africa:

Nigeria, Ghana, South Africa, Egypt?

In that case, need to build partnerships with english speaking medical staff ( American Hospital…)

Region Trade Value (m$)Europe 423.1North America 37.6North Africa 11.1Other (Subsaharan Africa & Asia) 52.9World 524.7

2011 Export of Health related travel

Estimate of the Import of Health related Travel for 2011– France

Breakdown by countryountry

Total€476m

Outbound Health related travel

*Source: UN statistics

French patients traveling for health purpose could be an interesting target

Morocco is an interesting destination for French patients: to explore in more details

Region Travel Value (m$)Europe 302.0North Africa 39.0North America 34.8Other (Subsaharan Africa & Asia) 100.2World 476.0

2011 Trade Import Health related travel

Country Trade Value (m$) Country Trade Value (m$)1 Germany 82.1 1 Spain 83.52 Belgium 71.0 2 Italy 50.13 United Kingdom 65.4 3 United Kingdom 27.84 Netherlands 45.9 4 USA 25.15 Italy 40.4 5 Greece 19.56 Switzerland 39.0 6 Turkey 19.57 Spain 29.2 7 Belgium 16.78 USA 26.4 8 Morocco 15.39 Australia 9.7 9 Portugal 12.510 Brazil 9.7 10 Switzerland 11.111 Canada 8.4 11 Luxembourg 9.712 Luxembourg 7.0 12 Germany 8.413 China 5.6 13 Canada 7.014 Austria 4.2 14 Egypt 7.015 Denmark 4.2 15 Ireland 7.016 Morocco 4.2 16 Austria 5.617 Portugal 4.2 17 China 5.618 Russian Federation 4.2 18 India 5.619 Sweden 4.2 19 Netherlands 5.620 Ireland 2.8 20 Croatia 4.221 Japan 2.8 21 Thailand 4.222 Mexico 2.8 22 Argentina 2.823 Norway 2.8 23 Australia 2.824 Poland 2.8 24 Brazil 2.825 Argentina 1.4 25 Czech Rep. 2.826 Czech Rep. 1.4 26 Indonesia 2.827 Egypt 1.4 27 Mexico 2.828 Finland 1.4 28 Norway 2.829 Greece 1.4 29 Russian Federation 2.830 Hungary 1.4 30 South Africa 2.831 India 1.4 31 Chile 1.432 Israel 1.4 32 Denmark 1.433 New Zealand 1.4 33 Finland 1.434 Nigeria 1.4 34 Hungary 1.435 Rep. of Korea 1.4 35 Iceland 1.436 Romania 1.4 36 Iran 1.437 Singapore 1.4 37 Israel 1.438 Slovenia 1.4 38 Malta 1.439 South Africa 1.4 39 New Zealand 1.440 Other 25.1 40 Poland 1.4

41 Sweden 1.442 Venezuela 1.443 Other 83.5

Total 524.7 Total 476.0

2011 Import Health related travel

Estimate of Cross-Border « Other Healthcare Services » market

Country Trade Value (m$) Country Trade Value (m$)1 Germany 40.4 1 Germany 30.62 United Kingdom 25.1 2 United Kingdom 22.33 USA 23.7 3 USA 11.14 Belgium 16.7 4 Belgium 8.45 Switzerland 8.4 5 Spain 8.46 Netherlands 7.0 6 Switzerland 5.67 Spain 7.0 7 Italy 4.28 Luxembourg 5.6 8 Luxembourg 4.29 Italy 4.2 9 Japan 2.810 Canada 2.8 10 Netherlands 2.811 Sweden 2.8 11 Singapore 2.812 Argentina 1.4 12 Canada 1.413 Brazil 1.4 13 China 1.414 Chile 1.4 14 China, Hong Kong SAR 1.415 China 1.4 15 Denmark 1.416 China, Hong Kong SAR 1.4 16 Egypt 1.417 Ireland 1.4 17 Hungary 1.418 Japan 1.4 18 India 1.419 Portugal 1.4 19 Ireland 1.420 Russian Federation 1.4 20 Morocco 1.421 Singapore 1.4 21 Norway 1.422 Other 26.4 22 Poland 1.4

23 Portugal 1.424 Russian Federation 1.425 South Africa 1.426 Turkey 1.427 Other 20.9

Total 183.7 Total 144.8

2011 Export Health Services

Estimate of the Export of Health Services for 2011 – France

Breakdown by countryountry

Total€183.7m

Export of Health Services

Region Trade Value (m$)Europe 122.5North America 26.4North Africa 5.6Other (Subsaharan Africa & Asia) 29.2World 183.7

2011 Export of Health Services

*Source: UN statistics

Estimate of the Import of Health Services for 2011– France

Breakdown by countryountry

Total€144.8m

Import of Health Services

*Source: UN statistics

Region Travel Value (m$)Europe 107.2North America 12.5Northern Africa 4.2Other (Subsaharan Africa & Asia) 20.9World 144.8

2011 Import Health ServicesCountry Trade Value (m$) Country Trade Value (m$)

1 Germany 40.4 1 Germany 30.62 United Kingdom 25.1 2 United Kingdom 22.33 USA 23.7 3 USA 11.14 Belgium 16.7 4 Belgium 8.45 Switzerland 8.4 5 Spain 8.46 Netherlands 7.0 6 Switzerland 5.67 Spain 7.0 7 Italy 4.28 Luxembourg 5.6 8 Luxembourg 4.29 Italy 4.2 9 Japan 2.810 Canada 2.8 10 Netherlands 2.811 Sweden 2.8 11 Singapore 2.812 Argentina 1.4 12 Canada 1.413 Brazil 1.4 13 China 1.414 Chile 1.4 14 China, Hong Kong SAR 1.415 China 1.4 15 Denmark 1.416 China, Hong Kong SAR 1.4 16 Egypt 1.417 Ireland 1.4 17 Hungary 1.418 Japan 1.4 18 India 1.419 Portugal 1.4 19 Ireland 1.420 Russian Federation 1.4 20 Morocco 1.421 Singapore 1.4 21 Norway 1.422 Other 26.4 22 Poland 1.4

23 Portugal 1.424 Russian Federation 1.425 South Africa 1.426 Turkey 1.427 Other 20.9

Total 183.7 Total 144.8

2011 Import Health Services