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Summary
The homecare market is growing rapidly worldwide, with a particularly large increase in demand due to the aging of the population. The number of people aged over 65 was 703 million, and is expected to double by 2050. The global home healthcare market, valued at $282 billion, is expected to grow at a compound annual growth rate of 7.8% between 2019 and 2026. Europe's growth is being driven by government support and infrastructure development, with Italy acknowledging a dramatic increase in the dependent elderly population.
The COVID-19 pandemic has further amplified the importance of the sector, leading to a strengthening of homecare services to protect vulnerable populations, while thethe EU delayed certain regulations on medical devices and suspended customs duties on imported medical products to avoid shortages. Meanwhile, the Italian homecare market reveals significant regional disparities in terms of costs and benefits, reflecting the diversity of healthcare services in the country.
Demographic trends boost demand for homecare in Italy
The demand for homecare services in Italy is undergoing significant changes linked to evolving demographics and socio-economic conditions. The aging of the population remains a critical factor influencing the homecare market, with a growing number of elderly people in need of assistance. Estimates suggest that around 2.9 million elderly people are not self-sufficient, and forecasts suggest that by 2050, between 32% and 37% of people over 75 could be dependent. Life expectancy in Italy is one of the highest in Europe, and the segment of the population aged over 65 has been growing steadily.
Between 2003 and 2023, the population aged over 65 rose from less than 20% to almost a quarter of the Italian population, and this trajectory is set to continue unimpeded until 2050. This trend is accompanied by an increase in the number of cases treated by integrated home care, which has risen by around 27.2% in five years, accounting for around 82% of the elderly contingent. The market for homecare services comprises several elements, including equipment and services, with the latter accounting for the lion's share. Estimates show that around 80% of the market will revolve around services. With an average of around 18 hours of home care per year, Italy lags behind other OECD countries in the provision of these services. Factors such as the prevalence of dementia and Alzheimer's disease, as well as severe motor, sensory and memory/concentration difficulties, demand robust home healthcare.
In Italy, around 3 million (860,000) elderly people have severe functional difficulties, underscoring the need to improve homecare services and make them more accessible. In addition, market dynamics are also influenced by the different levels of care required, ranging from health maintenance to chronic disease management. The response to these needs comes mainly from four categories of professionals: homecare nurses, general practitioners, physiotherapists and medical specialists. The homecare sector in Italy involves both public and private expenditure, with government spending on the various programs to support dependent elderly people reaching around 15 billion euros in 2021. Private spending amounts to around 9.6 billion euros, mainly allocated to caregivers and private residential services. Geographically, regions such as Piedmont, Lazio and Sicily are at the forefront of integrated homecare provision, with over 100 health authorities involved. However, one of the obstacles within the industry is the recruitment of homecare workers, with greater challenges in rural areas.
Key players in the Italian homecare market
The above text mentions several organizations and entities that play a central role in the Italian homecare market, although the companies are not explicitly named and their sales figures are not discussed. The main players can be classified into different categories according to their role and functions in the market.
Below is an overview of these categories and the roles they play:
- Public health authorities (ASL, ATS and ASP) Health authorities, such as ASL (Azienda Sanitaria Locale), ATS (Azienda Tutela Salute) and ASP (Azienda Servizi alla Persona), play a central role in the provision of home healthcare services in Italy. These public entities are responsible for organizing integrated home assistance (IHA) and collaborating with other service providers. They cater for a wide range of needs, from basic home care to specialized palliative care. Their organizational models may include the exclusive provision of public services, the use of private companies or a mixed approach.
- ASL Torino 5, ASL Triestina, and ASL Rome 2: These local health authorities directly provide healthcare services, including home medical and nursing care, in line with public health objectives.
- ATS Milan, ATS Brianza, ATS Mountain, ATS Padana Valley: These organizations not only manage home healthcare services in their respective regions, but also contract with private for-profit and not-for-profit service providers.
- ASREM Molise and ASP Potenza: Like the ATS organizations, these entities manage homecare services in their respective regions, with ASP Potenza having a high cost per individual care.
Private service providers (profit and non-profit)
- The homecare market in Italy also benefits from significant private-sector participation, complementing the public system. For-profit and not-for-profit organizations contract with public health authorities to provide care services ranging from nursing care to specialized medical services.
- For-profit providers: These entities operate for profit and provide a variety of homecare services. They compete in the marketplace with each other and with non-profit organizations to provide care services.
- Non-profit providers: These organizations focus on providing care without the primary aim of making a profit. They often work closely with public authorities and play an important role in the care of the elderly and disabled population.
Homecare workers and nurses
- Homecare assistants and nurses represent a more personalized face of the sector. They are the direct providers of care, and may work independently or be employed by public health authorities or private service providers.
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- Number of pages : 30 pages
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- Last update : 19/09/2022
Summary and extracts
1 Market Summary
1.1 Definition and presentation
Home care is a health care service provided for dependent, elderly and disabled individuals and delivered in their own homes.
Worldwide, life expectancy is gradually lengthening, and in Italy first and foremost, the phenomenon has accelerated sharply, placing the country at the top of the European rankings. In addition, the Italian population is gradually aging, with the age group of those over 60 exceeding that of those over 30. The above two trends on the one hand could stimulate demand, but the market is still expected to be affected by the growing interest in preventive medicine and health and personal care, limiters in the potential pool of those in need of medical care.
Home care according to the Italian health care system can be divided into four categories:
- Basic
- Level I
- Level II
- Level III
In Italy, home care is entirely paid for by the health care system for the first 30 days after hospital discharge and then divided equally between the referring municipality and the private sector.
1.2 The fast-growing global market
The home health care market is growing rapidly worldwide, mainly due to the increasing number of elderly people. according to the WHO (***), the number of people over the age of ** reached *** million in **** and is expected to double to *.* billion by ****.
In Europe, market growth is driven by government policy support ...
1.3 The Italian market
in Italy, the number of non-self-sufficient elderly, that is, people aged ** years and older who are unable to perform activities of daily living independently and without the need for assistance, is approximately *.* million. This is a number that has grown significantly in the past decades and is destined to increase further ...
1.4 Impact of Covid-19
The coronavirus epidemic has affected the market in several ways. People involved in the home health care market are by definition the most vulnerable to the virus, so countries have had to develop appropriate responses to protect them. During the Covid-** emergency, home care services were strengthened in order to limit ...
2 Demand analysis
2.1 Main determinants of demand
The main driver of the home health care market is clearly the progressive aging of the population, a consistent trend in countries of the Western world over the past decades. Italy is one of the countries where life expectancy is among the highest in Europe and one of the countries with ...
2.2 Characteristics of the Application
On average, about ** hours of care delivered mostly by nursing staff(***) were devoted to each patient. Specifically, the hours devoted to each elderly patient were **, of which ** were delivered by nursing staff, while the hours devoted to each terminally ill patient amounted to **, of which ** were delivered by nursing staff. Hours ...
2.3 Conditions requiring home care
There are several types that require home medical care. The most frequent, and requiring the most attention are listed below.
Dementia and Alzheimer 's are among the diseases that require the most care given the severe motor-cognitive impediment caused and the chronicity of the disease that causes aprogressive decline in cognitive ...
2.4 Market trends
Thus, two main macro-trends in Italian society and public health policies impacting the Italian home care market can be identified Demographic and social changes The profile of the population is changing, with the proportion of the elderly increasing relative to the young. As people age, they become increasingly dependent on outside ...
3 Market structure
3.1 Market structure
The activities that characterize the home care process can be of three types:
Health maintenance(***). These are activities that aim to ensure the general well-being and health of the person to prevent disability and illness. Short-term care for temporary conditions(***). These are those activities that aim to provide brief medical treatment ...
3.2 A sector divided between public and private
State spending on different programs to assist the dependent elderly was ** billion in ****. As seen, there are different ways in which the state provides services to the dependent elderly, and thus there are different expenditure items to consider.
Monetary transfers amounted to *.* billion euros entirely absorbed by spending on the Accompaniment ...
3.3 Geographic Distribution of Health Authorities Offering Home Health Care
Geographically, the region that has offered the most Integrated Home Care is Piedmont with ** Health Authorities, followed by Latium with ** and Sicily and Veneto with *. A total of *** Health Authorities have offered this type of service.
Regarding the totality of home medical services offered, three main organizational models can be found ...
3.4 The difficulties of the industry
The home care market is quite competitive for several structural reasons. First, it is a market with low barriers to entry and exit with fairly limited fixed costs. The only nonlabor costs are transportation costs, which are higher in rural areas. The main difference with other branches of the health sector ...
4 Supply analysis
4.1 The costs of the service
As seen in Italy there is a strong heterogeneity of organizational and care models. This has led over the years to the development of different ways of reporting on home care, both between regions and between health authorities themselves. While in some realities the number of accesses performed is counted, in ...
4.2 The prices
The following table gives an idea of market prices for home care by type of care
4.3 The development of telemedicine
The development of telemedicine has had a major impact on the field and deserves special attention. This term refers to the use of digital information and communication technologies, such as computers and mobile devices, to access health services remotely and manage health care. This is a segment of e-health that is ...
4.4 New trends
The market is undergoing a major revolution, also aided by the effect of Covid on the industry. The development of the Internet of Things (***), a neologism for objects gaining "intelligence" through the ability to be able to communicate data and access external information, is playing a primary role in the digitization ...
5 Rules and regulations
5.1 Regulation
The National Health Service (***).
The care aims to stabilize the clinical picture, limit functional decline and improve the person's quality of life in his or her familiar environment, avoiding, as far as possible, recourse to hospitalization or a residential facility. In any case, the ASL ensures continuity between hospital care and ...
5.2 The enhancement of home care through the NRP
The National Recovery and Resilience Plan is the plan approved in **** by Italy to revive its economy after the COVID-** pandemic to enable the country's green and digital development. The total amount of money paid by the EU to Italy will be ***.* billion euros. The plan is divided into several missions, ...
6 Positioning of actors
6.1 Segmentation
A complete list of accredited subjects is available at the following link.
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- ARCA SOCIETA' COOPERATIVA SOCIALE
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- Soc. Cooperativa Sociale Actl
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