Healthcare & Medical Technologies Thailand Market Study FEBRUARY 2017 © Copyright EU Gateway | Business Avenues The information and views set out in this study are those of the author(s) and do not necessarily reflect the official opinion of the European Union. Neither the European Union institutions and bodies nor any person acting on their behalf may be held responsible for the use which may be made of the information contained therein. The contents of this publication are the sole responsibility of EU Gateway | Business Avenues and can in no way be taken to reflect the views of the European Union. The purpose of this report is to give European companies selected for participation in the EU Gateway | Business Avenues Programme an introductory understanding of the target markets countries and support them in defining their strategy towards those markets. For more information, visit www.eu-gateway.eu. EU Gateway to Thailand Central Management Unit Thailand Market Study February 2017 Submitted to the European Commission on 10 February 2017 Healthcare & Medical Technologies – Thailand Market Study - Page 3 of 107 Table of Contents LIST OF TABLES ........................................................................................................................................................ 6 LIST OF FIGURES ...................................................................................................................................................... 7 LIST OF ABBREVIATIONS ........................................................................................................................................ 8 EXECUTIVE SUMMARY ............................................................................................................................................. 9 ASSISTIVE TECHNOLOGIES .............................................................................................................................. 9 MEDICAL DEVICES .......................................................................................................................................... 9 TELEMEDICINE AND E-HEALTH ...................................................................................................................... 11 NANOMEDICINE ............................................................................................................................................ 12 DENTAL PRODUCTS ...................................................................................................................................... 13 2. WHAT ARE THE CHARACTERISTICS OF THAILAND? .................................................................................... 15 2.1 ECONOMY .............................................................................................................................................. 15 2.2 POLITICAL SYSTEM ................................................................................................................................. 16 2.3 WORKFORCE .......................................................................................................................................... 18 2.4 CIVIL SOCIETY ........................................................................................................................................ 18 3. MARKET OVERVIEW AND EU ENTRY OPPORTUNITIES ................................................................................ 20 3.1 MEDICAL SECTOR OVERVIEW .................................................................................................................. 20 3.1.1 Hospitals in Thailand ...................................................................................................................... 21 3.1.2 Medical Insurance Coverage .......................................................................................................... 23 3.1.3 Challenges Facing the Hospital Sector in Thailand ........................................................................ 24 3.1.4 Healthcare Financing and Expenditure .......................................................................................... 25 3.2 ASSISTIVE TECHNOLOGIES ...................................................................................................................... 28 3.2.1 Market Overview ............................................................................................................................. 28 3.2.2 EU Opportunities............................................................................................................................. 33 3.3 MEDICAL EQUIPMENT.............................................................................................................................. 35 3.3.1 Market Overview ............................................................................................................................. 35 3.3.2 EU Opportunities............................................................................................................................. 53 3.4 TELEMEDICINE AND E-HEALTH................................................................................................................. 60 3.4.1 Market Overview ............................................................................................................................. 60 3.4.2 EU Opportunities............................................................................................................................. 73 Healthcare & Medical Technologies – Thailand Market Study - Page 4 of 107 3.5 NANOTECHNOLOGY HEALTHCARE ........................................................................................................... 81 3.5.1 Market Overview ............................................................................................................................. 81 3.5.2 EU Entry Opportunities ................................................................................................................... 90 3.6 DENTAL PRODUCTS ................................................................................................................................ 91 3.6.1 Market Overview ............................................................................................................................. 91 3.6.2 EU Opportunities............................................................................................................................. 97 4. REGULATORY FRAMEWORK .......................................................................................................................... 101 4.1 MEDICAL DEVICE CLASSIFICATIONS ...................................................................................................... 102 4.1.1 Medical Device Labelling .............................................................................................................. 103 4.1.2 Advertising .................................................................................................................................... 103 4.2 IMPORT LICENSE REQUIREMENTS .......................................................................................................... 103 4.3 REGULATORY RISK ............................................................................................................................... 104 BIBLIOGRAPHY ..................................................................................................................................................... 105 Healthcare & Medical Technologies – Thailand Market Study - Page 5 of 107 List of Tables Table 1: Overview of Thailand’s Medical Sector ........................................................................ 21 Table 2: List of Supplying Markets for Carriages for Disabled Person Imported by Thailand; Carriages for Disabled Persons, Not Mechanically Propelled ...................................... 29 Table 3: List of Supplying Markets for Parts and Accessories for Carriages for Disabled Persons Imported by Thailand; Parts and Accessories for Carriages for Disabled Persons, n.e.s.(not elsewhere specified) ..................................................................... 29 Table 4: List of Importing Markets for Carriages for Disabled Persons Exported by Thailand; Carriages for Disabled Persons, Not Mechanically Propelled ...................................... 30 Table 5: Thailand's Imports of Major Medical Devices, 2015 ..................................................... 39 Table 6: Analysis of Medical Device Sectors ............................................................................. 40 Table 7: Thailand's Exports of Major Medical Devices, 2015 Source: UN Comtrade ................ 43 Table 8: E-medical treatments for each of these diseases ......................................................... 63 Table 9: List of Supplying Markets for a Product Imported by Thailand ..................................... 93 Table 10: List of Supplying Markets for a Product Imported by Thailand ................................... 94 Table 11: Market for Dental Appliances and Instruments by Type in Thailand, 2009-2020 ....... 95 Table 12: List of Importing Companies in Thailand for a Product ............................................... 96 Healthcare & Medical Technologies – Thailand Market Study - Page 6 of 107 List of Figures Figure 1: Medical Insurance Coverage in Thailand .................................................................... 24 Figure 2: General Government Expenditure on Health, 2008-2014 ..........................................