Denmark TFHC Market Study Aligning Dutch Smart Solutions to Danish Opportunities April 2017 Commissioned by: In collaboration with: Onderzoeksrapport TFHC Market Report 2 Table of Contents I. Top 10 Reasons: Why Denmark is Interesting for the Dutch Health Sector .............................. 4 II. Snapshot: Denmark Compared to Sweden and Norway ............................................................ 5 III. Glossary of Terms ........................................................................................................................ 7 IV. List of Figures and Tables ............................................................................................................ 7 1. Introduction ..................................................................................................................................... 8 1.1. An Introduction to Denmark ................................................................................................. 8 1.2. About this Market Study ....................................................................................................... 9 1.3. Methodology ......................................................................................................................... 9 2. The Danish Healthcare Sector ....................................................................................................... 10 2.1. Historical Background.......................................................................................................... 10 2.2. The Danish Healthcare System ............................................................................................ 11 2.3. Healthcare Expenditure and Financing ............................................................................... 14 2.4. Healthcare Infrastructure .................................................................................................... 15 2.5. Healthcare Professionals ..................................................................................................... 16 2.6. Health Outcomes ................................................................................................................. 17 3. Market Structure ........................................................................................................................... 18 3.1. Business Climate .................................................................................................................. 18 3.2. Market Entry ........................................................................................................................ 18 3.3. Procurement ........................................................................................................................ 20 4. Aligning Dutch Smart Solutions to Danish Opportunities ............................................................. 22 4.1. Mobility and Vitality ............................................................................................................ 22 4.2. eHealth ................................................................................................................................ 23 4.3. Hospital Build ...................................................................................................................... 25 4.4. Product Development ......................................................................................................... 27 4.5. Public Health ....................................................................................................................... 28 4.6. Medical Devices ................................................................................................................... 29 5. Conclusions .................................................................................................................................... 30 References ............................................................................................................................................. 32 Appendices ............................................................................................................................................ 35 A. Results from Survey amongst the Dutch Life Sciences & Health Sector ............................. 35 B. Meetings during Fact-Finding Visit to Denmark 2017 ......................................................... 36 C. Agencies under the Ministry of Health ............................................................................... 37 D. Geographic Spread of Hospitals under Construction in Denmark ...................................... 38 E. List of Important Healthcare Organizations ........................................................................ 39 Market Study | Aligning Dutch Smart Solutions to Danish Opportunities 3 F. List of Relevant Trade Fairs and Events ............................................................................... 40 G. Overview of Danish Hospital Build Projects under The Quality Fund 2011- Present ......... 41 H. List of National Health Registers in Denmark (39) ............................................................. 42 I. National and Multinational Medical Product Companies in Denmark ............................... 43 J. Top 50 Life Science Companies in Medicon Valley (41) ..................................................... 44 K. List of Distributors in Denmark ........................................................................................... 45 L. SWOT Analysis of the Danish Healthcare Market ............................................................... 46 TFHC Market Report Market Study | Aligning Dutch Smart Solutions to Danish Opportunities 4 I. Top 10 Reasons: Why Denmark is Interesting for the Dutch Health Sector 1. Easy Market Access - European Union Standards: Denmark is a member of the European Union. This makes it easier for Dutch companies to navigate procurement processes and medical device certification. See Section 4.3. and Section 5.4. 2. Supporting Infrastructure for Foreign Actors: Organizations such as Invest in Denmark, Copenhagen Capacity, Welfare Tech, and Medicon Valley Alliance provide local market entry support and networking opportunities for companies new to Denmark. See Chapter 4. 3. Highly Qualified Workforce: Denmark has one of the highest rates of doctoral level education per capita and master’ equivalent degrees. This workforce provides support to Dutch companies looking to establish operations in Denmark. See Section 4.1. 4. Centralized Decision Making and Purchasing in Healthcare: From national hospital plans to national telemedicine initiatives, decision making in Denmark is centralized. National planning make it easy for companies to identify opportunities in Denmark. Procurement bidding is through centralized on the national and regional levels. See Section 4.3. and Chapter 5. 5. Large Hospital Projects need Medical Supplies: The Danish national hospital plan will centralize and specialize care. Hospital construction and medical supply procurement is ongoing in more than 16 specialized hospitals until 2025. See Section 5.3. and Section 5.6. 6. Fast Adoption of Innovations: From clinical trials to test beds, innovation in Denmark is a focal point of the life science sector. Hospitals, companies, and research institutes are open to international collaboration. These opportunities provide a platform for Dutch companies to establish a network for market entry. See Section 5.2. and Section 5.4. 7. Optimal and Intelligent Just-In-Time Solutions: The 16 new specialized hospitals are looking to optimize their logistics including patient flows, laboratory tests, and sterile goods tracking. Dutch smart solutions should target this rapidly growing market segment. See Section 5.3. 8. Research Collaboration Opportunities: In 2015, Denmark was ranked number one in the world for the number of clinical trials per capita (1). See Section 5.5. National health registers can be linked with other national registries to create unique epidemiological studies. This data and studies provide many research opportunities. 9. Dutch Solutions gain Traction: Denmark has adopted Dutch solutions in the healthcare sector. In 2016, the first ‘dementia village’ opened in Denmark having adapted Dutch practices in dementia care (2). Newly constructed hospitals in Denmark have been inspired by Dutch hospital design (3). These examples highlight the willingness of the Danes to integrate Dutch solutions into their healthcare systems. See Section 5.1. and Section 5.3. 10. Denmark as a Stepping Stone to The Nordics: With a strategic geographical position in mainland Europe and cultural similarities with Sweden and Norway, Denmark is a potential bridge for Dutch companies looking to break into the Nordic healthcare market. See Section 4.2. Market Study | Aligning Dutch Smart Solutions to Danish Opportunities 5 II. Snapshot: Denmark Compared to Sweden and Norway Denmark, Sweden, and Norway are similar in many ways, including shared cultures, similar languages, and societal structures based on a welfare state. To understand the nuanced differences between these Scandinavian countries, this section provides a comparative snapshot of the healthcare markets and opportunities (see also Table 1). To learn more on communication in this region, review the document provided by the Embassies of the Netherlands in the Nordics. What Makes Denmark Different? Compared to Sweden and Norway, Denmark is the smallest country and has the highest population density with