Content of the study:
The market for psychiatric clinics - France

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MARKET OVERVIEW

1.1 Presentation and definition of the market

There are different types of clinics: clinics specializing in surgery, follow-up care and rehabilitation centers, and psychiatric clinics. The latter are grouped together within the UNCPSY (Cliniques Psychiatriques de France)

The market for psychiatric clinics includes all psychiatric care units with private status These clinics, previously called "health centres", have an average of 60 to 80 beds, outside the public hospital psychiatric sector. The clinics represent a liberal alternative to hospitalizations within public structures

The European market shows very unequal situations between different countries in terms of the number of beds per capita, but also in the approaches and methods of care of patients

France is the second country in Europe in terms of capacity to receive psychiatric patients In France, there is a concentration of private actors A gradual decline in the number of beds (despite sustained demand) and a gradual reduction of public allocations .

The market is 90% made up of full-time adult hospitalizations, with children's hospitalizations accounting for just over 4% of hospitalizations. Between 2010 and 2018, clinic activity grew by around 16.71%.

However, according to our estimates, the market is growing and is worth several billion euros. Psychiatric clinics tend to expand their services to younger patients and the offers of part-time hospitalizations are  in growth

The Covid crisis has also impacted the mental health of the French, especially students, of whom, according to a survey, 11.4 per cent of them had suicidal thoughts, which indicates a very alarming situation

1.2 Very unequal reception capacities in Europe

The observation of the number of psychiatric hospital beds in European countries shows a higher number of beds for two countries: France and Germany . However, these data must be qualified. On the one hand, because patient care is highly dependent on the type of social security system in force in a ...

1.3 The French market: decrease in available supply and market estimate

There are no precise data on the turnover of the private psychiatric clinic sector in France. However, it can be approximated using the volume of activity (***) and the average cost . It is thus possible to estimate its evolution over the period ****-****

First, the chart below highlights the number of psychiatric ...

1.4 Psychiatric impact of Covid-19

Many cases of psychotic disorders are appearing in **** so that the situation in France is alarming at the end of the health crisis

We hear a lot about the cases of depression caused by the crisis and the isolation of individuals, but in reality all sectors of psychiatry are affected. Whether ...

ANALYSIS OF THE DEMAND

2.1 The profile of patients hospitalized in psychiatry

Source: ****

Observation of the characteristics of patients followed in psychiatric institutions reveals several structural differences:

In children and adolescents The proportion of men is higher **% of the total number of patients treated in hospital and **% of those treated as outpatients in this category The share of partial hospitalization is higher than ...

2.2 The type of treatment depends on the individual being treated

Source: ****

There are significant differences in the type of disease depending on the gender of the individual

For hospitalization, among men, the three most frequent pathologies are

schizophrenia and delusional disorders (***) mood disorders (***) mental and behavioural disorders related to the use of psychoactive substances (***)

For women, there are:

mood disorders (***) schizophrenia ...

MARKET STRUCTURE

3.1 Three types of players coexist in a market where full-time hospitalization clearly dominates

Distribution of the number of beds or places by type of actor France, ****, in % Source: ****

The following figures are for general psychiatry:

With nearly two-thirds of the market In terms of capacity, public establishments remain in the majority (***)

Private for-profit institutions represent only **% of capacity while private non-profit institutions (***) have an ...

3.2 A concentration of the private psychiatric clinic market

A dynamic of concentration of hospital players

A concentration movement can be observed in the private psychiatric clinic market The acquisition by Inicea of Korian's psychiatric activity in **** as well as the purchase the acquisition of the ** Médipsy psychiatric clinics from Générale de Santé by Ramsay Santé in ...

3.3 Unequal distribution of density and hospital places

Number of Psychiatrists by Region

France, ****, in number of units

Source: ****

Source: ****

Observation of the density of psychiatrists, but also of psychiatric hospital beds in metropolitan France reveals strong regional disparities.

It is partly to fight against this territorial divide that the Ministry of Health has announced a increase in the ...

ANALYSIS OF THE OFFER

4.1 Costs in 2017 and structural trends

The unit of measurement used to assess the cost of care provided is the costs for work units (***) which is calculated from national data for public and private not-for-profit institutions.

These data show the unit costs of care activities and support functions in the following categories:

Cost per day of clinical ...

4.2 Price examples and downward pressure

Examples of prices charged

The prices charged by private psychiatric clinics are not always visible. As a comparison, we can show the prices charged in the Maison-Blanche Health Establishment, which takes care of the mental health of the population of the north and east of Paris.

Source: ****

However, we can note ...

4.3 Diversity of supply: the type of care structure depends on the patient's pathology and age

The type of care depends on The type of establishment

Of age

Patient autonomy

It can be assessed through * variables that make up the scale ADL (***) :

Dressing or grooming ; Movement and locomotion ; Power supply ; Continence; Behavior; Communication.

Each variable is then classified according to four rating levels:

Independence ; Supervision or arrangement ...

4.4 An evolving service offering

In order to develop the market, new care units are being created: gerontopsychiatry (***), eating disorders, care of adolescents and young adults, perinatal disorders, overwork syndromes.. The progression of ambulatory care While private for-profit establishments were totally absent from this type of service in **** (***) which is a private mental health establishment offering ...

REGULATION

5.1 T2A has had a major impact on activity

One of the events that had the greatest impact on the activity of psychiatric clinics concerned activity-based pricing (***) for private clinics

Its application to psychiatric institutions had been postponed to **** . Its implementation has crystallized many critics [***] not all activities are valued in the same way

While some (***) are well paid, prevention ...

5.2 The role of the SRAs

The Regional Health Agencies are public institutions under the supervision of the Ministry of Health and Social Affairs

According to Ecohealth their role is to " to ensure unified management of health care in the regions, to better meet the needs of the population and to increase the efficiency of the system ...

POSITIONING OF THE ACTORS

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Reviews (2)

Reviews (2)

The Insulin Pump Market - France

Publicado en 11/01/2022 by Amaury Wernert

A very precise and detailed study of this market, driven by the strong growth of this disease in the world


Businesscoot Response:

Hello Amaury, Thank you for your feedback. We are happy to read that the content of the study has fully met your expectations. :)

The Parapharmacy Market - France

Publicado en 07/01/2022 by Client anonyme - Ce client a souhaité rester anonyme

Clear and concise generic study. Well documented. However, I would have liked to see that the actors' files at the end of the report corresponded precisely to those stated in the report.


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