Table of Contents
1 Table of Contents 2
1.1 List of Tables 9
1.2 List of Figures 11
2 Introduction 13
2.1 What Is This Report About? 13
2.2 Definitions
13
2.2.1 Healthcare IT 13
2.2.1.1 Hospital Information Systems (HIS)
13
2.2.1.2 Storage and Communication Systems 14
3 Healthcare Sector
Review 15
3.1 Healthcare Expenditure 16
3.2 Healthcare Infrastructure
19
3.3 Healthcare Policy 21
3.3.1 Health and Medical Services Act,
1982 21
3.3.2 DAGMAR Reform, 1985 22
3.3.3 ADEL Reform, 1992 22
3.3.4 National Drug Benefit Scheme 22
3.3.5 Dental care reform, 1999
22
4 Healthcare IT in Sweden 23
4.1 Healthcare IT Overall Revenues
(2000-2012) 23
4.2 Healthcare IT Overall Company Share (2006-2007) 29
5 Hospital Information Systems in Sweden 30
5.1 Hospital Information
Systems Overall Revenues (2000-2012) 30
5.1.1 Electronic Medical Records
Overall Revenues (2000-2012) 34
5.1.2 Computerized Physician Order Entry
Overall Revenues (2000-2012) 36
5.1.3 Practice Management Overall Revenues
(2000-2012) 38
5.2 Hospital Information Systems Distribution Share
(2006-2007) 40
5.3 Hospital Information Systems Company Share (2006-2007)
41
6 Storage and Communication Systems in Sweden 42
6.1 Storage and
Communication Systems Overall Revenues (2000-2012) 42
6.1.1 PACS Overall
Revenues (2000-2012) 46
6.1.2 RIS Overall Revenues (2000-2012) 48
6.2
Storage and Communication Systems Distribution Share (2006-2007) 50
6.3
Storage and Communication Systems Company Share (2006-2007) 51
7 Profdoc
ASA Company Profile 52
7.1 Company Overview 52
7.2 Business Overview
52
7.2.1 Products 53
7.2.2 History 53
7.3 Locations And
Subsidiaries 54
8 TietoEnator Corporation Company Profile 56
8.1
Company Overview 56
8.1.1 Products 56
8.2 Locations and Subsidiaries
57
9 Sectra AB Company Profile 58
9.1 Company Overview 58
9.2
Business Overview 58
9.2.1 Medical Systems 58
9.2.1.1 Overview 58
9.2.1.2 Financials 58
9.2.1.3 Market View 58
9.2.1.4 Key Strategies
59
9.2.2 Other operations 59
9.2.2.1 Overview 59
9.2.2.2
Financials 59
9.2.3 Secure Communication 59
9.2.3.1 Overview 59
9.2.3.2 Financials 59
9.2.3.3 Market View 59
9.2.3.4 Key Strategies
59
9.2.4 Products 60
9.2.5 History 60
9.3 Value Chain Analysis
61
9.3.1 Manufacturing 62
9.3.1.1 In House Manufacturing 62
9.3.2
Product Development 62
9.3.2.1 Regulatory Approvals 62
9.3.2.2
Research and Development 62
9.3.3 Sales and Marketing 62
9.3.3.1
Partnerships and Alliances 62
9.3.3.2 Licensing Agreements 62
9.4 SWOT
Analysis 63
9.4.1 Sectra AB Strengths 63
9.4.1.1 Extensive investment
in expansion 63
9.4.1.2 Growing installation base 63
9.4.1.3
Development assignments and customer-specific products 64
9.4.2 Sectra AB
Weaknesses 64
9.4.2.1 Low operating margin 64
9.4.2.2 Negative net
change in cash 64
9.4.3 Sectra AB Opportunities 64
9.4.3.1 Government
and defense market in Europe 64
9.4.3.2 Market growth for medical systems
64
9.4.3.3 Product approvals 65
9.4.4 Sectra AB Threats 65
9.4.4.1
Disputes 65
9.4.4.2 Few large customers 65
9.4.4.3 Pricing pressures
65
9.5 Financial and Operational Review 66
9.5.1 Financial Statements
66
9.6 Financial Ratios 67
9.7 Locations and Subsidiaries 68
9.8
Sectra AB Pipeline Products 70
9.8.1 Sectra MicroDose Mammography L30
70
9.8.1.1 Product Overview 70
9.8.1.2 Product Description 70
9.8.1.3 Product Status 70
10 Elekta AB Company Profile 71
10.1 Company
Overview 71
10.2 Business Overview 71
10.2.1 Treatment for Cancer and
Brain disorder 71
10.2.1.1 Overview 71
10.2.1.2 Financials 71
10.2.1.3 Market View 71
10.2.1.4 Key Strategies 72
10.2.2 Products
72
10.2.3 History 73
10.3 Value Chain Analysis 75
10.3.1
Manufacturing 75
10.3.1.1 In House Manufacturing 75
10.3.1.2
Outsourcing 75
10.3.2 Product Development 76
10.3.2.1 Regulatory
Approvals 76
10.3.2.2 Clinical Trials 76
10.3.2.3 Research and
Development 76
10.3.3 Sales and Marketing 76
10.3.3.1 Partnerships and
Alliances 76
10.3.3.2 Licensing Agreements 76
10.4 SWOT Analysis
77
10.4.1 Elekta AB Strengths 77
10.4.1.1 Gamma Knife surgery 77
10.4.1.2 Medical Intelligence 78
10.4.1.3 Broad installation base 78
10.4.2 Elekta AB Weaknesses 78
10.4.2.1 Low sales growth 78
10.4.2.2
Weak liquidity position 78
10.4.3 Elekta AB Opportunities 79
10.4.3.1
Aging population results in increased cancer incidence 79
10.4.3.2 Private
finance initiatives 79
10.4.3.3 Acquisitions 79
10.4.4 Elekta AB
Threats 79
10.4.4.1 Intense competition 79
10.4.4.2 Government
Regulation 80
10.5 Financial and Operational Review 81
10.5.1
Financial Statements 81
10.5.2 Financial Ratios 82
10.6 Locations And
Subsidiaries 83
10.7 Elekta AB Pipeline Products 86
10.7.1 Elekta
Infinity 86
10.7.1.1 Product Overview 86
10.7.1.2 Product Description
86
10.7.1.3 Product Status 86
10.7.1.4 Product Patent Details 86
10.7.2 Elekta VMAT 87
10.7.2.1 Product Overview 87
10.7.2.2 Product
Description 87
10.7.2.3 Product Status 87
10.7.2.4 Product Milestone
88
11 GE Healthcare Company Profile 89
11.1 Company Overview 89
11.2 Business Overview 89
11.2.1 Products 90
11.3 Locations And
Subsidiaries 91
11.4 GE Healthcare Pipeline Products 93
11.4.1
Gemstone CT detector 93
11.4.1.1 Product Overview 93
11.4.1.2 Product
Description 93
11.4.1.3 Product Status 93
11.4.2 Vivid e 08 93
11.4.2.1 Product Overview 93
11.4.2.2 Product Description 93
11.4.2.3
Product Status 94
11.4.3 LOGIQ e 94
11.4.3.1 Product Overview 94
11.4.3.2 Product Description 94
11.4.3.3 Product Status 94
11.4.4
Logiq Book XP (Upgradation) 94
11.4.4.1 Product Overview 94
11.4.4.2
Product Description 95
11.4.4.3 Product Status 95
11.4.5 Modified
lightSpeed VCT scanner 95
11.4.5.1 Product Overview 95
11.4.5.2
Product Description 95
11.4.5.3 Product Status 96
11.4.5.4 Clinical
Trials 96
11.4.6 Responder 96
11.4.6.1 Product Overview 96
11.4.6.2 Product Description 97
11.4.6.3 Product Status 97
11.4.6.4
Product Milestone 97
12 Regulation System 98
12.1 Medical Equipment
Approval Process 98
12.1.1 Classification of Medical Devices 98
12.1.2
Conformity Assessment Process 108
12.1.2.1 Class I devices 108
12.1.2.2 Class IIa devices 109
12.1.2.3 Class IIb devices 110
12.1.2.4
Class III devices 111
12.2 Post-Market Surveillance (PMS) 112
13
Pricing and Reimbursement 113
13.1 Market Pricing 113
13.2 Diagnosis
Related Groups 113
14 Distribution Structure 114
15 Appendix 115
15.1 Global Markets Direct Research Methodology 115
15.2 Coverage 116
15.3 Secondary Research 116
15.4 Primary Research 117
15.5 Models
117
15.6 Forecasts 118
15.7 Expert Panels 118
15.8 Currency
Conversion 119
15.9 Contact Us 120
15.10 Disclaimer 120
1.1
List of Tables
Table 1: Doctors by Specialty in Sweden, 2000-2006 20
Table 2: Wards by Type in Sweden, 2000-2006 21
Table 3: Healthcare IT,
Sweden, Overall Revenues ($ mn), 2000-2012 23
Table 4: Healthcare IT,
Sweden, Overall Revenues ($ mn), Historic, 2000-2007 24
Table 5:
Healthcare IT, Sweden, Overall Revenues ($ mn), Forecast, 2007-2012 25
Table 6: Healthcare IT, Sweden, Overall Revenues ($ mn), 2000-2012 26
Table 7: Healthcare IT, Sweden, Overall Revenues ($ mn), Historic, 2000-2007
27
Table 8: Healthcare IT, Sweden, Overall Revenues ($ mn), Forecast,
2007-2012 28
Table 9: Healthcare IT, Sweden, Overall Company Share by
Revenue ($ mn), 2006-2007 29
Table 10: Hospital Information Systems,
Sweden, Overall Revenues ($ mn), Historic, 2000-2007 30
Table 11: Hospital
Information Systems, Sweden, Overall Revenues ($ mn), Forecast, 2007-2012
31
Table 12: Hospital Information Systems, Sweden, Revenue by Segment ($
mn), Historic, 2000-2007 32
Table 13: Hospital Information Systems,
Sweden, Revenue by Segment ($ mn), Forecast, 2007-2012 33
Table 14:
Electronic Medical Records, Sweden, Overall Revenues ($ mn), Historic,
2000-2007 34
Table 15: Electronic Medical Records, Sweden, Overall
Revenues ($ mn), Forecast, 2007-2012 35
Table 16: Computerized Physician
Order Entry, Sweden, Overall Revenues ($ mn), Historic, 2000-2007 36
Table
17: Computerized Physician Order Entry, Sweden, Overall Revenues ($ mn),
Forecast, 2007-2012 37
Table 18: Practice Management, Sweden, Overall
Revenues ($ mn), Historic, 2000-2007 38
Table 19: Practice Management,
Sweden, Overall Revenues ($ mn), Forecast, 2007-2012 39
Table 20: Hospital
Information Systems, Sweden, Distribution Share by Revenue ($ mn), 2006-2007
40
Table 21: Hospital Information Systems, Sweden, Company Share by
Revenue ($ mn), 2006-2007 41
Table 22: Storage and Communication Systems,
Sweden, Overall Revenues ($ mn), Historic, 2000-2007 42
Table 23: Storage
and Communication Systems, Sweden, Overall Revenues ($ mn), Forecast,
2007-2012 43
Table 24: Storage and Communication Systems, Sweden, Revenue
by Segment ($ mn), Historic, 2000-2007 44
Table 25: Storage and
Communication Systems, Sweden, Revenue by Segment ($ mn), Forecast, 2007-2012
45
Table 26: PACS, Sweden, Overall Revenues ($ mn), Historic, 2000-2007
46
Table 27: PACS, Sweden, Overall Revenues ($ mn), Forecast, 2007-2012
47
Table 28: RIS, Sweden, Overall Revenues ($ mn), Historic, 2000-2007
48
Table 29: RIS, Sweden, Overall Revenues ($ mn), Forecast, 2007-2012
49
Table 30: Storage and Communication Systems, Sweden, Distribution Share
by Revenue ($ mn), 2006-2007 50
Table 31: Storage and Communication
Systems, Sweden, Company Share by Revenue ($ mn), 2006-2007 51
Table 32:
Profdoc ASA, Other Locations 54
Table 33: Profdoc ASA,
Subsidiaries 55
Table 34: Sectra AB, SWOT Analysis , 2007 63
Table 35: Sectra AB, Financial Statements, SEK Thousand, 2003-2007 66
Table 36: Sectra AB, Financial Ratios, SEK Thousand, 2003-2007 67
Table 37: Sectra AB, Other Locations 68
Table 38: Sectra AB,
Other Locations(Contd..) 69
Table 39: Elekta AB, SWOT Analysis , 2007
77
Table 40: Elekta AB, Financial Statements, SEK Million, 2003-2007
81
Table 41: Elekta AB, Financial Ratios, SEK Million, 2003-2007
82
Table 42: Elekta AB, Other Locations 83
Table 43: Elekta
AB, Other Locations(Contd..) 84
Table 44: Elekta AB, Subsidiaries
85
Table 45: GE Healthcare, Other Locations 91
Table 46: GE
Healthcare, Other Locations(Contd..) 92
Table 47: Currency Conversion
from USD to Local Currency at 2007 Constant Rate 119
1.2 List of
Figures
Figure 1: Organization of Health Services in Sweden, 2007 16
Figure 2: Healthcare Financing in Sweden, 2007 17
Figure 3: Total
Healthcare Expenditure in Sweden, 2000 - 2006 18
Figure 4: Healthcare IT,
Sweden, Overall Revenues ($ mn), 2000-2012 23
Figure 5: Healthcare IT,
Sweden, Overall Revenues ($ mn), Historic, 2000-2007 24
Figure 6:
Healthcare IT, Sweden, Overall Revenues ($ mn), Forecast, 2007-2012 25
Figure 7: Healthcare IT, Sweden, Overall Revenues ($ mn), 2000-2012 26
Figure 8: Healthcare IT, Sweden, Overall Revenues ($ mn), Historic, 2000-2007
27
Figure 9: Healthcare IT, Sweden, Overall Revenues ($ mn), Forecast,
2007-2012 28
Figure 10: Healthcare IT, Sweden, Overall Company Share (%),
2007 29
Figure 11: Hospital Information Systems, Sweden, Overall Revenues
($ mn), Historic, 2000-2007 30
Figure 12: Hospital Information Systems,
Sweden, Overall Revenues ($ mn), Forecast, 2007-2012 31
Figure 13:
Hospital Information Systems, Sweden, Revenue by Segment ($ mn), Historic,
2000-2007 32
Figure 14: Hospital Information Systems, Sweden, Revenue by
Segment ($ mn), Forecast, 2007-2012 33
Figure 15: Electronic Medical
Records, Sweden, Overall Revenues ($ mn), Historic, 2000-2007 34
Figure
16: Electronic Medical Records, Sweden, Overall Revenues ($ mn), Forecast,
2007-2012 35
Figure 17: Computerized Physician Order Entry, Sweden,
Overall Revenues ($ mn), Historic, 2000-2007 36
Figure 18: Computerized
Physician Order Entry, Sweden, Overall Revenues ($ mn), Forecast, 2007-2012
37
Figure 19: Practice Management, Sweden, Overall Revenues ($ mn),
Historic, 2000-2007 38
Figure 20: Practice Management, Sweden, Overall
Revenues ($ mn), Forecast, 2007-2012 39
Figure 21: Hospital Information
Systems, Sweden, Company Share (%), 2007 41
Figure 22: Storage and
Communication Systems, Sweden, Overall Revenues ($ mn), Historic, 2000-2007
42
Figure 23: Storage and Communication Systems, Sweden, Overall Revenues
($ mn), Forecast, 2007-2012 43
Figure 24: Storage and Communication
Systems, Sweden, Revenue by Segment ($ mn), Historic, 2000-2007 44
Figure
25: Storage and Communication Systems, Sweden, Revenue by Segment ($ mn),
Forecast, 2007-2012 45
Figure 26: PACS, Sweden, Overall Revenues ($ mn),
Historic, 2000-2007 46
Figure 27: PACS, Sweden, Overall Revenues ($ mn),
Forecast, 2007-2012 47
Figure 28: RIS, Sweden, Overall Revenues ($ mn),
Historic, 2000-2007 48
Figure 29: RIS, Sweden, Overall Revenues ($ mn),
Forecast, 2007-2012 49
Figure 30: Storage and Communication Systems,
Sweden, Company Share (%), 2007 51
Figure 31: Sectra AB, Value Chain
Analysis 61
Figure 32: Elekta AB, Value Chain Analysis 75
Figure
33: Flowchart for Classification of Non-invasive Devices in Sweden, 2007
100
Figure 34: Flowchart for Classification of Invasive Devices in Sweden,
2007 101
Figure 35: Flowchart for Classification of Invasive Devices in
Sweden, 2007 102
Figure 36: Flowchart for Classification of Invasive
Devices in Sweden, 2007 103
Figure 37: Flowchart for Classification of
Invasive Devices in Sweden, 2007 104
Figure 38: Flowchart for
Classification of Active Devices in Sweden, 2007 105
Figure 39: Flowchart
for Classification of Active Devices in Sweden, 2007 106
Figure 40:
Flowchart for Classification of Devices except Non-invasive, Invasive and
Active Devices in Sweden, 2007 107
Figure 41: Conformity Assessment of
Class-I Medical Devices in Sweden, 2007 108
Figure 42: Conformity
Assessment of Class-IIa Medical Devices in Sweden, 2007 109
Figure 43:
Conformity Assessment of Class-IIb Medical Devices in Sweden, 2007 110
Figure 44: Conformity Assessment of Class-III Medical Devices in Sweden, 2007
111
Figure 45: Global Markets Direct Methodology 115