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米国の腎臓透析クリニック市場

U.S. Kidney Dialysis Clinics

発行 Marketdata LLC 商品コード 888607
出版日 ページ情報 英文 82 Pages; 28 Tables
納期: 即日から翌営業日
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本日の銀行送金レート: 1USD=109.81円で換算しております。
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米国の腎臓透析クリニック市場 U.S. Kidney Dialysis Clinics
出版日: 2019年07月15日 ページ情報: 英文 82 Pages; 28 Tables
概要

米国の腎臓透析センターの市場規模は、2016年に247億米ドルに達しており、なおも成長し続けています。現在は上位4社で全体の85%以上を独占している状態ですが、市場競争も激しくなっています。

当レポートでは、米国国内の腎臓透析センター/クリニックの市場動向について分析し、市場の基本構造や背景事情 (患者数の変化など)、近年の戦略状況、市場規模の動向見通し (過去10年間・今後7年間分)、市場の主要指標の推移 (市場規模など)、主な市場促進・抑制要因、主な主要企業のプロファイル、を調査しております。

分析範囲・手法

業界の規模・構造

  • 米国/世界の腎臓透析センター:定義と件数
  • 業界の主な動向と課題
    • 業界再編
    • 在宅透析の推進
    • オバマケアと医療費償還
    • トランプ政権下での新たな動向
    • 人員不足
    • 指導者に対する罰金・捜査
  • 透析の主な種類
    • 血液透析、腹膜透析、急性透析
  • 在宅透析オプションに関する議論
    • コスト抑制、シリンダー装置
  • 産業構造
    • 施設の件数
    • 市場収益額
    • 年間給与総額
    • 従業員数
    • 施設1件当たり平均収益額
  • 腎臓透析
    • 腎臓透析センターの主流の運営モデル
  • 腎臓透析の需要への影響要因
    • 人口高齢化、肥満症、糖尿病、腎臓移植・提供、景気動向
  • 経営状況
    • 収益源
    • 典型的な患者数
    • 患者1人当たり収益額
    • 施設ごとの粗利益率
  • 市場競争/再編
    • 主要企業に関する議論
    • ベンチャーキャピタル側の関心度
    • NIH (米国国立衛生研究所) の再編事例と、患者の選択
  • 医療費償還の状況:議論
    • 昨今の医療保険削減の動き

市場規模・成長率と将来予測

  • 産業規模・成長率の推計
  • 腎臓透析センターの市場規模/市場収益額 (過去12年間分)
  • 市場規模の推計値・予測値
  • 過去の不況と回復軌道と現状に関する議論・分析
  • 産業成長への主な影響要因に関する議論
    • 医療費償還制度、需要規模、人口高齢化、人口密度、生活習慣病の患者増加、臓器提供など

顧客の人口構造

  • 議論と統計データ:人口高齢化の傾向
  • 議論と統計データ:肥満症患者の動向
  • 議論と統計データ:糖尿病患者の動向
  • 議論と統計データ:腎不全・ESRD (末期腎疾患) の傾向
  • 議論と統計データ:腎臓移植件数

業界の業績指標

  • 業界の主要指標 (概略)、NAICS (北米産業分類) コードの適用範囲
  • 業界の主要指標の動向 (過去15年間分)
    • 給与総額、企業数、市場収益額総額、1社当たり平均収益額
  • 市場収益額の年間増加率 (過去12年間分)
  • 業界の主要指標:企業形態別
  • シングル/マルチユニット手術:規模別
  • 市場集中度:上位4社/8社/20社/50社の場合
  • 各企業の市場収益額 (10万米ドル以下/1000万米ドル以上)
    • 州別動向

企業プロファイル

  • Fresenius Medical Care
  • Davita Kidney Care
  • U.S. Renal Care

参考文献/連絡先一覧

目次
Product Code: FS70

This analysis by Marketdata examines the $24.7 billion kidney dialysis centers sector - a growth industry. The kidney dialysis business is highly concentrated, with the 4 largest competitors comprising more than 85 % of the market, but substantial competition still takes place.

While there are a few large national companies, Fresenius Medical Care and DaVita Healthcare Partners, this industry is experiencing heightened M&A activity from both strategic suitors and private equity investors. The industry has come under scrutiny by the government for some of its practices and very high profit margins, and there is a push toward cheaper home dialysis services to save Medicare dollars.

This new study by Marketdata examines the nature of the industry, types of dialysis used, national receipts/growth from 2007 to 2023 forecast, customer demand and demographics, key industry trends, industry structure and operating ratios (national and state Census data for establishments and firms), industry regulation, top companies market share, insurance/ Medicare reimbursement trends, emerging home dialysis services, and more.

Competitor Profiles for: Fresenius Medical Care, DaVita Healthcare Partners, and U.S. Renal Care.

Table of Contents

Report Scope and Methodology

  • Sources and methodology used for the report, report scope.

Nature & Structure of the Industry

  • Definition and number of kidney dialysis centers in the U.S. worldwide
  • Major industry trends and issues: consolidation, push for home dialysis, Medicare and insurance reimbursement, new 2019 Trump executive order, staff shortages, fines & investigations of the leaders.
  • Main types of dialysis: hemodialysis, peritoneal dialysis, acute dialysis
  • Discussion of home dialysis options: cost savings, cycler devices
  • Industry structure: key metrics: no. of facilities, receipts, annual payroll, no. of employees, avg. receipts per facility - 2002, 2007, 2012, 2016
  • Main operating models used by kidney dialysis centers
  • Factors affecting demand for kidney dialysis (aging population, obesity, diabetes, organ transplants and donations, economy)
  • Operations: sources of revenue, typical patient volumes, revenues per patient visit, facility profit margins
  • Competition and Consolidation: discussion of main competitors, interest by venture capital, NIH study of consolidation from 2001-2011 and its effect on patient choices
  • Reimbursement situation discussion, requirements and cuts under Medicare

Tables:

  • Kidney Dialysis Industry Snapshot: 2016, 2012, 2007, 2002

Market Size, Growth, Forecasts

  • Estimates of industry size and growth published by other research firms (IBIS World, First Research, Anything Research, NEJM Catalyst, Marketdata)
  • Size / Annual Receipts of kidney dialysis centers industry from 2007-2016, official government Census 5-year survey data and annual County Business Patterns data
  • Marketdata estimates & forecasts of receipts for 2017-2019, 2023 F
  • Discussion & analysis of historical growth trends, during last recession, recovery
  • since then, current situation, rationale for forecasts
  • Discussion of major factors affecting industry growth: reimbursement, demand, aging of population, obesity, increase in lifestyle diseases, organ donations, etc.

Tables:

  • Size of the U.S. Kidney Dialysis Market: 2007-2016
  • Annual Growth Rate of the Kidney Dialysis Market: 2007-2016
  • Revenues of the leaders (Davita, Fresenius) for 2012-2018
  • Forecast Size of the U.S. Kidney Dialysis Market: 2017, 2018, 2019, 2023

Customer Demographics

  • Discussion and statistics related to population aging trends
  • Discussion and statistics related to obesity trends
  • Discussion and statistics related to diabetes trends
  • Discussion and statistics related to kidney failure and ESRD (end stage renal disease) trends
  • Discussion and statistics related to kidney transplants

Tables:

  • Prevalence of obesity in the U.S. by state and region: 2000-2017
  • Participants with diabetes, self-reported cardiovascular disease: 2007-2012
  • Hospital discharge status of first AKI hospitalization for Medicare patients aged 66+, 2013
  • Causes of death in ESRD patients, 2012-2014
  • All-cause mortality rates (per 1,000 patient years at risk) for Medicare patients aged 66+, by CKD status and year, 2001-2013

Industry Economic Operating Ratios

  • Summary of key industry metrics, NAICS code for the industry, what it includes
  • Industry snapshot: 2002, 2007, 2012, 2016: key ratios (payroll, no. estabs., receipts, Avg. receipts per estab.)
  • Annual % change in receipts: 2007-2016
  • Industry ratios (no. of firms, establishments, receipts, payroll as % receipts for 2012) by:
  • legal form of organization -corporations, sole proprietorships, partnerships: no. of employees).
  • Single vs. multi-unit operations, by size (statistics as above)
  • Concentration Ratios: ratios for top 4, 8, 20, 50 largest firms
  • Receipts size of establishments (under $10,000 to $10+ mill.)
  • Receipts size of firms (under $100,000 to $100+ mill.)
    • No. of establishments, receipts & avg. receipts per establishment, by state: 2012
    • No. of establishments, receipts & avg. receipts per establishment, by state - 2016 (County Business Patterns, Marketdata estimates)

Competitor Profiles

(description and history of company, no. of clinics operated, headquarters address, specialties, acquisitions, services, financial data when available, 2018 results, fines and actions against the company)

  • Fresenius Medical Care
  • Davita Kidney Care
  • U.S. Renal Care

Reference Directory

List of kidney dialysis national/regional trade associations, journals, consulting firms, reports, articles, other key contacts - address & phones, description of activities.

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