1.1 Market definition and scope
An ambulance is a vehicle specially equipped and fitted out for the rapid, safe transport of patients requiring emergency medical care or medical assistance during their transfer to a healthcare facility. These vehicles are fitted with advanced medical equipment, such as vital signs monitoring equipment, resuscitation devices and emergency medicines.
The ambulance services market is part of the broader sector of medical transport services. This highly competitive sector also includes light medical vehicles (VSL) and contract cabs, which have recovered market share over the years to the detriment of ambulances.
The sanitary transport market has grown at an average annual rate of 3.57% between 2011 and 2021representing cumulative growth of 47% in 11 years. On the other hand, the ambulance services market grew at an average annual rate of 2,69% over the same period, for cumulative growth of almost 34%.
Several factors, both cyclical and structural, have stimulated ambulance service activity. These includean ageing population, the increase in chronic diseasesand the "ambulatory shift " offer sustainable, assured growth for this sector. The Covid-19 pandemic accentuated these phenomena, highlighting the pressure under which medical services operate in France.
However, current inflation, which has led toan increase in the minimum wage of over 12% in two yearsas well as rising petrol and diesel prices, have led to a significant increase in operating costs over the past few years. With the inability to pass on these rising costs to our fixed fares, this has led tolower operating margins ambulance services sector, which must adapt to this reality.
Scope of the study :
Ambulance services are listed by INSEE under NAF code 86.90A. Entitled "Ambulances", this class covers :
- Patient transport by any mode of transport (including air). These services are sometimes provided in the event of a medical emergency;
- the activity of intensive care ambulances.
On the other hand, NAF code 86.90 A excludes patient transfers without operating equipment or medical personnel (NAF 49, 50 and 51), as well as mobile operating theatres (NAF 86.10Z).
1.2 Domestic market
To assess the size of the ambulance services market in France, we have opted for an approach based on demand for medical transport services, as published by DEES (***). most of the sales generated by players in this sector derive from this demand for transport, which is largely reimbursed by health insurance ...
1.3 The global market
Globally, the outlook for the ambulance services market is as follows:
According to data from Market Business Insights, the global ambulance services market is forecast to generate revenues reaching $**.** billion by ****, with an estimated compound annual growth rate (***) of *.*% for the period **** to ****. By ****, this market is expected to reach $**.** billion, ...
2.1 An aging population: Growth in ambulance services structurally guaranteed
Number of people aged ** and over France, ****-****P INSEE forecast: ****-**** Source: ****
Between **** and INSEE projections for ****, the number of people aged ** and over is expected to increase by around **% in the number of people aged over **bringing this figure to **.* million. It should be noted that between **** and ****, this ...
2.2 Prévalences des affectations de longue durée en augmentation constante
Le sigle « ALD » désigne l'expression « affection de longue durée ». Ce dispositif vise à couvrir les frais de traitement prolongé et onéreux associés à certaines pathologies. Il existe plusieurs catégories d'ALD, à savoir les ALD exonérantes et les ALD non exonérantes, chacune conférant des droits différents. ...
2.3 "Virage ambulatoire": An increase in demand for medical travel services
Number of full and partial hospital beds in France (***) France, ****-****, Number of beds Source: ****
over the period from **** to ****, there will be a significant reduction in full hospitalization capacity, with over **,*** fewer beds, i.e a decrease of *%. At the same time, partial hospitalization capacity has grown by around **,*** places, ...
2.4 Steadily rising consumption of healthcare and medial goods
Consumption of healthcare and medical goods in France (***) France, ****-****, billion euros Source: ****
over the period from **** to ****, spending on medical care and products has grown significantly, from ***.* billion euros to ***.* billion euros, representing an increase of around ** billion over a decade, representing growth of **%. This upward trend can be attributed ...
3.1 Value chain
Ambulance companies are private entities specializing in transporting patients between their homes and various care facilitiesprivate entities specialized in transporting patients between their homes and various care facilitieswhether for scheduled medical interventions or recurrent treatments such as dialysis, chemotherapy or radiotherapy. Their activity is based exclusively on medical prescriptionsthey can also ...
3.2 A still highly fragmented French market
The ambulance services market is currently significantly fragmented, but there is a persistent trend towards consolidation over the years. Regional ambulance operators are moving towards strategic groupings to counter the growing influence of industry leaders. A prime example of this dynamic is the formation of an economic interest group in July ...
3.3 A highly competitive sector
in France, there are three main types of medical transport, depending on the patient's state of health: The VSL (***) and the CPAM-approved cab are the two most commonly used means of transporting seated patients. unlike the VSL, which is reserved exclusively for medical use, the CPAM-approved cab can be used to ...
4.1 Very little fluctuation in conventional rates
The rates charged by medical carriers are establishedadministrativelyaccording to the type of vehicle used. In the case of ambulances and VSLs (***), these rates are defined at national level within the framework of theagreement with the health insurance funds. For cabs, on the other hand, rates are determined locally within the framework ...
4.2 Operating margins in perdition
Gross monthly minimum wage in France (***) France, ****- **/****, € Source: INSEE Employee remuneration within companies is partly influenced by fluctuations in the SMIC (***). In ****, the SMIC underwent four revalorizations, with a further increase of *.**% on January *ᵉʳ, ****. This change initially impacts the lowest salaries, but is also reflected across all pay levels. Between ...
The medical transport sector is characterized by a rigorous regulatory framework. To operate in this field, companies must obtain accreditation from the Agence Régionale de Santé (***) and sign an agreement with the Assurance Maladie. In addition, they must have a fleet of at least two vehicles, one of which must ...
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