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Spain’s New Business Models in Medical Imaging, Forecast to 2020

Spain’s New Business Models in Medical Imaging, Forecast to 2020

Low economic growth and limited access to capital funding compel hospitals in Spain to adopt new purchasing and service models for imaging equipment. The drive to operationalize capital and service costs favors non-conventional business models in Spain over traditional capital-intensive purchasing and service models. Vendor-customer engagement over 10 to 15 years includes a broad range of value-adding services not limited to in-time renewal and procurement of new equipment. Equipment vendors and multi-vendor service providers are improving their solutions designed to provide a long-term partner-based service model with a commitment to outcomes and a risk-sharing component. This study presents the addressable market for medical imaging Managed Equipment Services (MES) and Multi-vendor Services (MVS) in Spain. The research service also discusses case studies, market opportunity, the competitive landscape, along with growth opportunities and companies to action.


  • Research Methodology and Study Scope
    • Methodology
    • Geographical Study Scope-Spain
  • Executive Summary-Prospects for Development of New Business Model in Spain
    • Key Findings
    • Executive Summary
    • MES and MVS Appetite and Adoption in Spain
    • Medical Imaging MES/MVS Vendor Positioning in Spain
    • Key Questions for the Spanish MES/MVS Market
  • Study Introduction-The Importance of New Business Models in the Current Landscape
    • Study Rationale
    • Frost & Sullivan Medical Imaging MES/MVS Study Plan
  • Market Definition and Segmentation-Managed and Multi-Vendor Equipment Services
    • MES and MVS Business Models-Definitions
    • MES and MVS Business Models-Description
    • Market Segmentation by Type of Equipment
    • MES and MVS Business Model Maturity
  • The Legacy of Large Public-Private Healthcare Initiatives in Spain
    • Public-Private Legacy as a Basis for Future MES/MVS
    • Significance of the `Alzira Model' for the Market Landscape
    • Public-Private Healthcare Collaborations in Spain
    • Hospitals Developed through Public-Private Partnerships
      • Table Administrative Concession for Full Management of Public Healthcare Service (PPPS) Model
    • Hospitals Developed through Private Financing Initiatives
      • Table Administrative Concession for Construction and Non-healthcare Management (PFI) Model
    • Public Hospital Procurement Process in Spain
    • MES/MVS Contracts in the Context of Public Procurement
  • Addressable Market for Medical Imaging MES and MVS in Spain
    • CT/MR Imaging Equipment Infrastructure in Spain
    • Illustrative List of Active Diagnostic Imaging MES Contracts
      • Table Illustrative List of Active Diagnostic Imaging MES Contracts
    • Illustrative List of Active Diagnostic Imaging MVS Contracts
      • Table Illustrative List of Active Diagnostic Imaging MVS Contracts
    • Annual MES and MVS Market Revenue Forecast
      • Table MES and MVS Market: Revenue Forecast, Spain, 2009-2020
    • Market Revenue Forecast Discussion
    • Medical Imaging MVS Market Opportunity
    • Autonomous Communities with MES/MVS High Adoption
    • MES and MVS Market Revenue Breakdown
  • Drivers and Restraints in the Medical Imaging MES and MVS Market in Spain
    • Sensitive National Economic Situation
      • Table MES and MVS Market: Estimated Public Healthcare Spending as Percent of GDP, Spain, 2012-2015 E
    • Decreasing Public Spend and Increasing Private Spend
    • Public-Private Collaborations in Healthcare Provision
    • Distinct Needs Across the Public and Private Sectors
    • Ageing Imaging Equipment Fleets
    • Regional Disparities across Autonomous Communities
    • Disparities in Regions' Purchasing Power
    • Political Uncertainty and Risk for Left/Right Switching
    • Private Hospital Acquisitions and Consolidations
    • Rise in Privately-Insured Patient Populations
    • Concentration of MRI in Private Settings
  • Medical Imaging MES and MVS Assessment Framework and Case Studies
    • MES/MVS Contract Characteristics-Who is the Customer?
    • Assessment of the Customer in Current MES Contracts
    • MES/MVS Characteristics-What is the Scope?
    • Assessment of the Scope of Current MES Contracts
    • MES/MVS Characteristics-What is the Contract Objective?
    • Assessment of the Objective of Current MES Contracts
    • MES/MVS Characteristics-What is the Contract Duration?
    • Assessment of the Duration of Current MES Contracts
    • MES/MVS Characteristics-What is the Contract Worth?
    • Assessment of the Current Worth of MES Contracts
    • MES/MVS Characteristics-What is the Risk Element?
    • Assessment of the Risk Element in Current MES Contracts
    • Case Study-Siemens Healthineers' $147.7 Million Murcia Contract
    • Case Study-Philips Healthcare's CNIC Contract
  • Market Opportunity for Medical Imaging MVS in Spain
    • OEMs to Develop Multi-vendor Service Capabilities, Driving Market Adoption Beyond Third-party Vendor Offerings
    • A Competitive Landscape Undergoing New Dynamics
      • Table MES and MVS Market: CT and MRI Units Install base and Maintenance Ratio by Type, Spain, 2014
  • MES and MVS Competitive Landscape
    • Current and Future Landscape Dynamics
    • Vendor Profile-Philips Healthcare
    • Philips Records Highest Number of MES Deals in Spain
    • Vendor Profile-GE Healthcare
    • GE Healthcare Signing in Technology Partnership MES's
    • Vendor Profile-Siemens Healthineers
    • Vendor Profile-Medical Equipment Solutions and Applications (MESA) by Pantheon Group
    • Vendor Profile-Grupo Empresarial Electromedico (GEE)
    • Competitive Landscape-MES Vendor Positioning Framework in Spain
  • Growth Opportunities and Companies to Action
    • Spain's New Medical Imaging Business Model-2015
    • Growth Opportunity 1-MES and MVS Business Model
  • The Last Word
    • Frost & Sullivan's Three Big Predictions
    • One or Two Large-scale Medical Imaging MES Contracts will be Signed with a High-profile Public Organization Every Two-to-three Years
    • The Onset of Integrated Care Models in the Consolidating Private Sector will Gradually Translate to New Ways of Engaging Imaging Vendors
    • The Spanish Healthcare Market will Remain Progressive, and Leveraged as a Testbed for Vendors to Experiment with New Business Models
  • Appendix
    • Market Engineering Methodology

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