Computer Tomography 2007: Market Size and Investment Potential in European Hospitals

Interviews with 50% of all hospitals regarding availability of radiography, digitalisation and investment plans, ca 20% of all hospitals provided input regarding, supplier, age, replacement. Hospitals with recent investment or investment plans provided input to buying processes and supplier selection criteria. Date collection took place from June 2006 - November 2006 in Germany, France, Italy, Spain, Sweden, Finland, Netherlands, Poland, Russia, Czech Republic. Projections cover the next 3 years until 2009.
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Introduction & Executive Summary


1. Introduction 4
1.1. Project Objectives 4
1.2. Methodology 4
1.3. Geographic Scope 5
1.4. Respondent Population & Data Reliability 6
1.5. Analysis 7
1.6. Report Structure 8
2. Executive Summary 9
2.1. Overview 9
2.2. CT 9
2.3. Service and Support 10
2.4. Equipment Utilisation 10
2.5. Purchasing, Selection and Financing Process 10



Part 1 – Market Landscape Definition


3. Radiography in Healthcare Institutions 13
3.1. Availability of Radiography 13
3.2. Alternatives to In-house Radiography and Radiology Departments 13
3.3. Structure of Radiography in Healthcare Institutions 14



Part 2 – Market Quantification


4. Computer Tomography (CT) 19
4.1. Installed Base 19
4.1.1 Number of Rooms 19
4.1.2 Room Configuration 20
4.1.3 Supplier Structure 22
4.1.4 Age Profile and Expected Life Span 24
4.2 Future Investment Potential & Plans 25
4.2.1 Hospitals Offering Potential 26
4.2.2 Number of Rooms and Key Reasons 27
4.2.3 Supplier Trend 28
4.2.4 Timing of Investment 29
5. Service and Support 30
5.1. Usage of Service and Support Offerings with CT Systems 30
5.2. Service & Support Budgets and Spend 32
5.3. Interest in Service & Support Offerings 32



Part 3 – Market Qualification


6. Equipment Utilisation 35
6.1. Radiographic Examinations and Images 35
6.2. Trends in Radiographic Examinations 37
7. Purchasing Process 38
7.1. Stakeholders in the Decision Making Process 38
7.2. Selection Process and Financing 41
8. Supplier Selection Criteria and Satisfaction 43
9. Appendices 46
9.1. List of Acronyms and Abbreviations 46
9.2. Statistical Terms and Definitions 48
9.2.1 Statistical Terms 48
9.2.2 Topic Related Terminology 49
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Figure 1.1: Target Sample Size – Market Quantification (Sample C), All Countries 5
Figure 1.2: Respondent Population by Project Step and by Target Segment, Czech Republic 6

Figure 3.1: Radiography in Healthcare Institutions by Type Number of Institutions 12
Figure 3.2: Alternatives to In.house Radiography and Radiology Departments Percentage of Institutions without Dedicated Radiology 13
Figure 3.3: Radiologists in Inpatient Healthcare Institutions by Type 14
Figure 3.4: Radiography Rooms Out. and Inside Radiology Departments 14
Figure 3.5: Radiography Rooms in Clinical Specialities by Type of Institution Number of Institutions and Mean Number of Rooms 16

Figure 4.1: Availability and Number of Rooms by Segment . CT Percentage of Hospitals and Numbers 18
Figure 4.2: Distribution of Rooms by Size and Ownership . CT Percentage of Hospitals 18
Figure 4.3: Configuration of Rooms by Segment . CT Percentage of Rooms 19
Figure 4.4: Configuration of Rooms by Segment . CT Percentage and Number of Rooms 20
Figure 4.5: Supplier Market Penetration . CT Percentage of Hospitals 21
Figure 4.6: Supplier Shares by Segment – CT Percentage of Rooms 22
Figure 4.7: Supplier Shares . CT Percentage and Number of Rooms 22
Figure 4.8: Age Profile by Segment – CT Range and Quartiles of Year of Installation 23
Figure 4.9: Period of Installation of Rooms . CT Percentage and Number of Rooms 23
Figure 4.10: Expected Life Span – CT Mean Expected Life Span in Years 24
Figure 4.11: Investment Potential – CT Number of Hospitals 25
Figure 4.12: Investment Potential – CT Number of Rooms 26
Figure 4.13: Supplier Trend . CT Percentage of Rooms 27
Figure 4.14: Timing of Investment . CT Number of Rooms 28

Figure 5.1: Usage of Service & Support Offerings by Segment with CT Installations Percentage of Hospitals 29
Figure 5.2: Provider of Service & Support for CT Installations Percentage of Hospitals 30
Figure 5.3: Overall Service & Support Budgets and Spend Minimum, Mean, Median, Maximum per Institution 31
Figure 5.4: Interest in Service & Support Offerings Mean Importance, Percentage of Hospitals Planning Investments 32

Figure 6.1: Examinations per Day per Institution by Type and Segment Mean Number 34
Figure 6.2: Daily Throughput per Room by Type and Segment Mean Number 34
Figure 6.3: Contrast Media Usage by Segment – R&F, CT, MRI Percentage of Examinations and Total Number 35
Figure 6.4: Trends in Radiographic Examinations by Segment Percentage of Hospitals 36

Figure 7.1: Differences in Decision Making Processes for Modalities and IT Percentage of Hospitals 37

Figure 7.2: Stakeholder Involvement by Phase of Decision Making Process % of Hospitals 38
Figure 7.3: Stakeholder Influence in Group Decisions by Phase of Decision Making Process Mean Relative Weight in Percent 39
Figure 7.4: Supplier Selection Method Percentage of Hospitals 40
Figure 7.5: Financing Method Percentage of Hospitals 41

Figure 8.1: Supplier Selection Criteria Importance & Supplier Satisfaction Mean Rating, 1 to 5 42
Figure 8.2: Supplier Selection Criteria Importance Mean, Median and Range of Rating, 1 to 5 43
Figure 8.3: Supplier Selection Criteria Importance & Supplier Performance Mean Rating, 1 to 5 44

Figure 9.1: Schematic for Radiographic Imaging Equipment 48
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