Summary

The global skilled nursing facility market, which includes nursing homes, was valued at $362.2 billion in 2023 and is projected to reach $592.10 billion by 2030, growing at a CAGR of 7.2% from 2021. The market growth is primarily driven by the aging global population, with an increase in chronic diseases such as heart problems, Alzheimer's, cancer, diabetes, and dementia. North America holds the largest market share, while Asia Pacific and Latin America are emerging markets expected to grow at significant rates, partly due to their aging populations and lower healthcare costs. The Italian nursing home market, with about 549 facilities, faces challenges such as a fragmented market with variable returns, a steady decline in available beds, and a growing elderly population that is expected to double in number by 2051. Italy's nursing care sector is trying to adapt through investments and strategic expansions, with major providers like Sereni Orizzonti group building new facilities. The COVID-19 pandemic heavily impacted nursing homes, leading to financial instability and the increasing need for sufficient heating due to rising energy costs. Demand is mainly driven by Italy's aging population, with a high prevalence of chronic diseases and a growing awareness of healthcare needs..**Trends in the Italian Nursing Home Market** Italy's nursing home market presents a paradigm defined by the growing demand and an industry in transformation, shaped by aging demographics, private sector prevalence, and the consequential implications of recent global events. The primary driver fueling this demand is Italy's significantly aging population, renowned as one of Europe's oldest, with over 23 percent of its residents aged 65 or older as of 2021. This number is forecasted to inflate, touching nearly 36 percent in the coming decades. Financial accessibility to quality nursing care remains a defining characteristic of the growing demand. Italian families, with an average yearly income bracketing between 39,000 and 47,000 euros, allocate a noticeable segment—approximately 3.7 percent of their household expenditure—towards healthcare, signifying the value placed on high-standard patient care even amidst other financial pressures. However, the expenditure on healthcare varies dramatically with age, particularly pronounced in households with members over 65 years old, where it has been observed to exceed 6 percent of total spending. The apparent skew towards females in the consumption of nursing home services further narrows the typology of the market. In 2020, records show a substantially higher number of women than men receiving care in such facilities, with numbers for women running into the hundreds of thousands. Disease prevalence acts as an undercurrent in these markets, with chronic conditions like diabetes and hypertension forming the core of healthcare needs for the aged demographic. A sector heavily reliant on private patronage, Italian nursing homes grapple with market structure nuances. The divide between accredited and non-accredited facilities mirrors the broader inequalities prevalent across the country, with the northern regions housing a heftier sum of nursing homes compared to their southern counterparts. The sector's stratification exacerbates the challenge of equitable access to care, given the minimum capacity regulations that dictate 150 and 50 bed criteria for varied categories of nursing homes. Market supply struggles to sync with burgeoning demand. The spectrum of services offered by nursing homes is vast, yet disproportionate to the requirements. Diagnostic imaging services top the list in availability, followed by resuscitation and dialysis—indicative of Italy's response to the chronic ailment matrix that preoccupies its aging population. Noteworthily, the Italian nursing home market is at an inflection point driven by innovative operational approaches. A keen emphasis on harnessing cutting-edge technological solutions and partnerships is increasingly evident. The landscape is witnessing a drift towards digitization and smart care structures, aiming to enhance efficiency.### Key Players Shaping the Italian Nursing Home Landscape As Italy's elderly population continues to grow, the demand for quality nursing care rises in tandem. Several key players dominate the Italian nursing home market, each contributing unique approaches to elder care and rehabilitation services. These organizations have become central to the evolving landscape of long-term care in the country. **Sereni Orizzonti Group** – Pioneering in Expansion and Accessibility Sereni Orizzonti stands as a beacon of expansion in the Italian nursing home sector. This ambitious group has been actively increasing its footprint, constructing new facilities across various regions, including Piedmont, Sardinia, Friuli Venezia Giulia, and Liguria. Nearly 550 additional beds will be assimilated into the market upon the completion of these facilities. Sereni Orizzonti's dedication to growth signals a robust response to the increasing need for elderly care services. **San Raffaele Hospital** – A Leader in Specialized Care Capturing the highest market share among all institutions offering hospital and nursing care services, San Raffaele Hospital is a pillar of specialized medical and nursing care in Italy. Renowned for its advanced healthcare services and research, it has established itself as a prestigious provider in the care of the elderly and frail. **Humanitas Mirasole** – Excellence in Integrated Healthcare Humanitas Mirasole follows closely with a comprehensive approach to health care. It has distinguished itself with an advanced clinical institute that supports patients throughout the healing and rehabilitation process. The integration of innovative research and cutting-edge medical treatment has earned Humanitas Mirasole its well-regarded position in the market. **Kos Care** – Commitment to Quality Elderly Care Kos Care represents another significant entity in the landscape of Italian nursing homes. Their dedication to providing high-quality residential care for the elderly stretches across its network of facilities. Through a patient-centric approach, Kos Care has carved out a strong presence in the sector, ensuring compassionate and professional care. **Codess Sociale** – Strong Presence in Long-Term Care Codess Sociale is another player in the Italian nursing home market, holding a notable market share particularly within long-term care (LTC). With their focus on social welfare and the well-being of their residents, Codess Sociale has become synonymous with reliable and supportive elder care services. As the competition among these distinguished players heightens, each organization strives through varying strategies such as mergers, collaborations, and technological advancements to not only secure their position but also
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  • Last update : 13/03/2023
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Summary and extracts

1 Market Overview

1.1 Definition and presentation

In Italy, there are different levels of care and different types of medical and residential facilities for the self-sufficient, non-self-sufficient or partially self-sufficient elderly.

The nursing home, in particular, is a residential health care facility aimed at elderly people who are self-sufficient or partially self-sufficient and suffering from acute or serious illnesses and therefore in need of specialized care. The nursing home houses medical and health care staff, but does not provide 24-hour coverage, as is the case in Italian healthcare residences (residenze sanitarie assistenziali, RSAs). Thus, the nursing home is a middle ground between an RSA used to house non-self-sufficient elderly people and a rest home. The latter residential facility is used to house the self-sufficient elderly.

Most nursing homes are private and for that reason, stay in them is conditional on the payment of a fee by either the guest himself or his family members.

The value of the global market is expected to grow at an annual growth rate of 7.2 percent and reach a value of $592.10 billion by 2030.

The latest analysis by the Ministry of Health shows that the Italian nursing home market consists of about 549 accredited and non-accredited facilities. In addition, the geographical distribution of nursing homes on the Italian territory is not uneven: three regions, namely Lazio, Lombardy, and Campania obtain the absolute primacy by providing almost 50 percent of the total number of accredited nursing homes.

The strong growth of the sector also explains the growing interest of many investors in these facilities as a form of investment.

1.2 A growing global market

In ****, The global skilled nursing facility market, which includes nursing homes, was valued at $***.** billion, instead $***.* billion in ****. Themarket value is projected to reach $***.** billion by ****, with a recorded CAGR of *.*% during the **** - **** forecast period.

Valore Mercato Mondiale delle strutture infermieristiche qualificate Mondo, **** - ****, in miliardi di dollari Fonte: Precedence ...

1.3 An Italian market struggling to meet growing demand

The private nursing home sector in Italy is highly fragmented and includes many small and medium-sized companies, as well as a few large national and international players, shown in section *.* of the segmentation. This means that the returns of individual facilities can vary widely depending on their location, the characteristics of ...

1.4 Consequences of COVID-19 and the war in Ukraine

Assisted living facilities, including nursing homes, have been one of the sectors most affected by the COVID pandemic. The causes can be traced to the presence of the elderly who are considered a highly vulnerable group. A meta-analysis found that the age-specific infection mortality rate is very low for children and ...

2 Demand analysis

2.1 Determinants of demand

The main driver of demand is the growing aging of the Italian population, which has a steady increasing trend in countries of the Western world in recent decades. In ****, Italy was ranked as the oldest country in Europe with:

**.* percent of the total population being ** years of age or older. ...

2.2 Characteristics of growing demand

The demand for nursing homes in Italy is expected to grow in the near future due to increased life expectancy and greater awareness of the importance of health care and treatment.

It is not possible to provide a precise typology of those admitted to nursing homes in Italy and their preferences, ...

3 Market structure

3.1 Differentiation of nursing homes

Nursing homes are assisted-living residences that can be operated by private individuals or legal entities, which provide for the hospitalization of Italian or foreign citizens for diagnostic, curative or rehabilitative purposes.

Nursing homes are distinguished into:

General medical and surgical nursing homes, which admit patients with morbid forms pertaining to general ...

3.2 A fragmented market

The assisted living residences market in Italy consists of two main segments: the public sector and the private sector.

The public sector is represented by health and social care facilities managed directly by the National Health Service, which offer health and social care services to citizens based on patients' needs and ...

3.3 Distribution channels

In Italy, nursing homes use different distribution channels to reach their patients and provide their services. Some of the common distribution channels for nursing homes in Italy include:

GP referrals: many nursing homes receive patients through referrals from GPs or other hospitals. Direct between nursing homes and patients: nursing homes may ...

4 Supply analysis

4.1 Analysis of supply struggling to meet demand

the accessibility and quality of services offered can vary considerably. In addition, the public supply of nursing homes is often insufficient in relation to demand, which could lead to the need for more investment and public policies aimed at improving the care offered to people in need of treatment.

The most ...

4.2 The rates of nursing homes

In Italy, they can vary significantly by region, city, facility, type of service required and length of stay. In addition, nursing homes are almost private. Thus, monthly fees vary depending on whether the facilities are accredited or not, that is, whether it has entered into an agreement with the National Health ...

5 Regulations

5.1 Technical requirements on private nursing homes

Ministerial Decree No. *** of August *, ****, approved ** articles relating to the determination of technical requirements on nursing homes.

Art. *, Chapter I, refers to the previously given definition of private nursing homes. Private nursing homes are those health establishments operated by private individuals or legal entities, which provide for the hospitalization of Italian ...

6 Positioning of actors

6.1 Segmentation

belgium and Spain.

  • Ospedale San Raffaele
  • Humanitas Mirasole S.p.A.
  • KOS SPA
  • Sereni Orizzonti
  • Codess Sociale
  • Universiis

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Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

Ospedale San Raffaele
Humanitas Mirasole S.p.A.
KOS SPA
Sereni Orizzonti
Codess Sociale
Universiis

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