£810 / $1295 / €985
The Russian market is potentially huge, given its population and potential wealth of natural resources. Health expenditure remains low however, and patients are often forced to rely on out-of-pocket payments for treatment. A system of medical insurance is in place, but it is badly managed and the quality of treatment varies from region to region.
The Russian healthcare system retains many of its Soviet-era characteristics, remaining bureaucratic and inefficient. However, the government’s national Health project aims to improve healthcare standards. Since the project’s implementation, numerous medical facilities have been upgraded and a substantial number of medical personnel have been awarded salary increases. The government will continue to work on the project over 2012-2014.
In 2012, the Russian market for medical equipment and supplies is estimated at US$5,455.7 million. Per capita spending stands at US$39; per capita expenditure is low by western standards, but is in line with that found in other ex-Communist states such as Belarus or Bulgaria.
Russian medical device manufacturers are generally small and undercapitalised, and tend to produce obsolete products; they can only compete with Western products in terms of cost. The country has a strong scientific research base but has no experience of commercialising new products. Exports are low and centred on other former USSR markets.
In November 2010, the government developed a strategy that will help the medical device industry to attract investment, create new jobs and produce competitive, safe, good quality and affordable products to fulfil the healthcare system’s requirements. Currently, the bulk of high-tech medical equipment comes from abroad. If the objectives of the plan are realised, by 2020, the local industry will be able to meet 50% of the local demand for medical devices.
Around 73% of the market is supplied by imports. Germany, the USA and China were the leading suppliers in 2011, accounting for 53.6% of imports between them. Despite the sharp fall in 2009, the value of imports has more than doubled since 2006.
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