1.1 Definition and scope of the study
Medical assistance at home is a practice of allowing patients to receive medical care in their own homes. The duration and therapeutic conditions of home care are defined by a health professional. This type of service is intended for people who are dependent, disabled or suffering from certain pathologies or health problems.
Home assistance generally requires the use of medical equipment, but differs from HAH (hospitalization at home) in that it involves less intensive care. The illnesses treated include chronic illnesses requiring recurrent treatment (chronic obstructive pulmonary disease, sleep apnoea, diabetes, Parkinson's disease, etc.).
The French home medical assistance market is growing, particularly due to the ageing of the population, which favours the appearance of numerous private structures. One of the major opportunities of the eastern sector technological progress (remote monitoring, connected medical equipment, etc.) which promises to be a growth lever in the years to come.
There is a great diversity of players on the market such as SOS Oxygen, Bastide Group or Air Liquide via various subsidiaries such as Orkyn' or LVL Medical. The market has undergone significant consolidation in recent years, which may continue in the future.
The staffing needs in this sector of the home health care providers (PSAD) are growing, with an average annual increase of 6% in recent years.
During the Covid-19 crisis, HHCP players were important in treating patients at home or in nursing homes, with an investment of €8 million in new concentrators in 2020. Nevertheless, the postponement of the treatment of certain chronic patients has affected the activity of the players.
1.2 A growing global market
The home care market is a growing market globally. The market is estimated to be worth $*** billion globally in **** and is expected to grow at an average rate of *.*% per annum to ****.
The ageing of the population is a major factor in this growth, as is the access of more and ...
1.3 A dynamic French market
In ****, Les Echos estimated in **** the market to be worth €*.* billion, with an average annual growth rate of *% in recent years.
In ****, according to the Federation of home care providers (***), the market size is to be €* billion, proof of the strong growth of the sector in recent years.
The Federation also ...
1.5 The ambivalent impact of the Covid-19 crisis
The positive impact related to the management of Covid-** patients:
From the beginning of the health crisis to November ****, **,*** Covid-** patients were managed by PSAD. The home health care providers also helped the nursing homes with their services.
Players have also sought to integrate remote monitoring processes with connected medical ...
ANALYSIS OF THE DEMAND
2.1 Patients managed by home health care
Approximately * million people a year use the services of the home health care providers (***).
The reasons for using PSAD services are diverse, but dominated by a few types of pathologies:
**% of patients have sleep apnoea ** % are dependent elderly people (***) *% are patients with disabilities
Patients treated by home medical assistance by ...
2.2 The ageing of the French population and dependent persons
A structural dynamic: the ageing of the population
The first reason for the good health of the home health care sector is the ageing of the French population.
Indeed, life expectancy in France in **** was **.* years compared to ** years in ****, an increase of about *% in ** years.
In ****, ** million people are expected ...
2.3 Chronic diseases or health problems in France
Chronic or long-lasting diseases or health problems develop mainly in the oldest people and among people in the most precarious living conditions.
Thus, on average, **.*% of the French middle and upper classes have chronic or long-lasting illnesses or health problems, in comparison to the **.*% of French people from the more working ...
2.4 French people's perception of home health care providers
Harris-interactive conducted a survey for Orkyn' in **** among *,*** people in October **** using the quota method in order to perceive the French people's knowledge and vision of home health care providers.
Confused knowledge of the areas and diseases covered by home health care providers:
The survey below highlights that the French do ...
2.5 Focus on sleep apnoea: the largest market segment
Sleep apnoea is also called obstructive sleep apnoea-hypopnea syndrome (***) breathing during sleep, depending on Ameli.
This causes a lack of oxygen, which causes the person to wake up to catch their breath. Sleep is then no longer restful, which can cause significant health problems.
Approximately *% of French people suffer from OSA, ...
3.1 Forces at work
Home health care providers (***).
Among the home health care providers that have received the label are:
Bastide Orkyn AADAIRC Agir à domicile Alliance Soins Proximed Santélys Santélynes
They offer a wider range of services than the rental or purchase of medical equipment. They provide personalized support, taking into account the ...
3.2 Stakeholder strategy
The following are some (***) examples of competitive strategies pursued by the players.
M&A: to enter new markets (***) or to strengthen the treatment of a disease
In ****, Air Liquide (***) while developing "Chronic care connect ": a system for remote home medical monitoring and support for patients suffering from chronic diseases.
Partnership with ...
3.3 ADSP Value Chain
The various PSAD stakeholders
The chain of stakeholders involved in PSAD can vary greatly in size and nature.
In the treatment of complex chronic diseases such as cancer, the chain of medical actors involved in the PSAD can be very important prescribing oncologists, coordinating physicians, pharmacists from in-house pharmacies, health managers, ...
3.4 Employment dynamics and structure in the sector
According to Fedepsad, there are more than **,*** employees in the PSAD sector, of which approximately **% are health professionals, divided between:
Pharmacists Dieticians / nutritionists Nurses Masseurs - physiotherapists
The need for personnel is growing, especially for health professionals, according to the PSAD federation. This is *% per year on average.
These employees are ...
3.5 Home help: evolution of companies and employees in the sector
Home help is not part of the home health care providers sector, but is a complementary activity that some companies in the sector can (***) provided to the elderly and disabled. It also includes assistance in collective accommodation and in rural areas. Both companies and employees have seen a sharp increase in ...
ANALYSIS OF THE OFFER
4.1 Pricing according to the type of structure and care
The French government is banking on the development of the home medical assistance sector thanks to the reimbursement of medical services included in the LPPR list (***) and thanks to the aid offered in certain cases.
The objective of the State, behind the development of this sector, is to fight against overcrowding ...
4.2 Services and care
The various business segments of the home health care providers can be grouped into four categories below.
The market for home care services is therefore more essential than ever to guarantee a comfortable life and medical assistance to dependent people. The maintenance of the person at home is done ...
4.3 A market driven by technological innovation
E-health and technological progress as growth drivers
The e-health sector has been very dynamic in recent years. There is a **% growth between **** and **** worldwide, with more numerous fundraising events. According to a study by the start-up Health, all the young players in the sector had raised over $** billion in *** fundraisings in ...
5.1 Regulations in force
Article L.***-* of the Social Security Code defines the List of Reimbursable Products and Services (***). To be reimbursed by social security, a medical service must be considered essential in the therapeutic process. The registration of a service on the LPPR must have a proven therapeutic interest and be approved by ...
POSITIONING OF THE ACTORS
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