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Specialist Medical Practices in Germany - Market Research Report (2014-2029)

Clara-Camille Schneider Clara-Camille Schneider Frankfurt, Germany Last Updated: July 2024 WZ Q86.22DE

Revenue

€25.9bn

2024

€25.9bn

Past 5-Year Growth

Profit

€X.Xbn

Employees

334k

Businesses

39,687

Wages

€X.Xbn

Specialist Medical Practices in Germany industry analysis

The range of services offered by specialist practices for certain illnesses, injuries or preventative measures is essential for healthcare. However, in some specialities and planning areas in particular, the shortage of specialist practices is becoming increasingly acute and is slowing down revenue growth in the sector. Industry revenue from specialist medical care services in Germany has fallen by an average of 3.3% per year over the past five years. The ongoing budgeting of services as well as cost increases in energy, rents and wages, which have not been adequately refinanced, have increasingly burdened the earnings situation of industry players in recent years. Specialist practices in energy-intensive areas such as radiology or neurology have been particularly hard hit by rising energy prices.In 2024, turnover in the sector is expected to amount to 25.9 billion euros. This corresponds to a decline in turnover of 1.4% compared to the previous year. In addition to various cost increases, structural problems such as a worsening shortage of skilled workers, an inadequate digitalisation strategy in the healthcare sector and excessive bureaucracy are weighing on the outpatient care structure. An increasing number of requirements, documentation obligations and controls are taking up time and increasingly restricting the time and location-based care of patients. There is a threat of long waiting times for specialist appointments, a continuous freeze on the admission of new patients and further service cuts for patients in specialist practices. This development will in turn dampen the sector-specific sales trend.In order to reduce the pay gap to nursing staff and prevent the high labour market fluctuation, there was a pay rise for medical assistants across all tariff groups on 1 March 2024. However, such pay rises are not feasible for many specialist practices. The existing budgeting of medical services and the refusal to introduce a new scale of fees for doctors (GOÄ) continue to stand in the way of corresponding counter-financing.IBISWorld expects industry turnover to increase at an average annual rate of 0.9% over the next five years and reach 27.1 billion euros in 2029. The increasing level of digitalisation and rising investment in new medical technology equipment should lead to more efficient practice processes. Against the backdrop of a shortage of skilled labour, however, the supply bottleneck is likely to worsen in the coming years and place an additional burden on the workforce. In all likelihood, waiting times for specialist appointments will continue to rise as a result and fewer new clients will be accepted.

Trends and Insights

  • The shortage of specialists will continue to worsen in the coming years. In rural areas in particular, practices are likely to reach their capacity limits and appointment waiting times will become longer.
  • Internal medicine is the specialist area with the highest turnover. The coronavirus pandemic has further increased the demand for internal medicine services and thus exacerbated the shortage of specialists.
  • The supply situation in the cities is far better than in the rural regions. There is a pronounced shortage of skilled labour, particularly in the sparsely populated eastern region.
  • Quality and the range of services offered are the most important competitive factors. In addition, practices can set themselves apart from their competitors through their reputation, fast appointments and a good choice of location.

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  • Critical performance data and rankings
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Industry Statistics and Trends

Market size and recent performance (2014-2029)

Industry revenue has declined at a CAGR of 3.3 % over the past five years, to reach an estimated €25.9bn in 2024.

Trends and Insights

The shortage of medical specialists has worsened in recent years

  • In the labour market for doctors, competition for qualified specialists has intensified between specialist practices, hospitals and other medical facilities. Many medical assistants are migrating to health insurance companies, for example, because they offer higher salaries.
  • Additional trends and insights available with purchase
Specialist Medical Practices in Germany
Revenue (2014-2029)
IBISWorld Logo Source: IBISWorld

Industry outlook (2024-2029)

Market size is projected to grow over the next five years.

Trends and Insights

The cancellation of the new patient regulation is likely to lead to poorer medical care

  • The New Patient Regulation came into force in 2019 with the Appointment Service and Care Act, which was intended to create financial incentives for medical practices to accept new patients. As a result, the treatment of new patients was remunerated on an extra-budgetary basis and not from a capped pot.

Biggest companies in the Specialist Medical Practices in Germany

Company
Market Share (%)
2024
Revenue (€m)
2024

There are no companies that hold a large enough market share in the Specialist Medical Practices in Germany industry for IBISWorld to include in this product.

Products & Services Segmentation

Specialist Medical Practices in Germany
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Internal medicine, Radiology, nuclear medicine and radiotherapy and Orthopaedics. Internal medicine is the largest segment of the Specialist Medical Practices in Germany.

Trends and Insights

Internal medicine is experiencing a severe shortage of specialists

  • Internal medicine encompasses all organ systems of the body. The field of activity of internists includes the prevention, detection, treatment and rehabilitation of malfunctions or functional failures of the internal organs.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

This sector includes consultation and treatment services provided by specialists outside of general medicine. It also includes examination and treatment services in outpatient clinics. However, inpatient treatment in hospitals and the various activities of healthcare professionals are not included in this definition.

What's included in this industry?

Internal medicineRadiology, nuclear medicine and radiotherapyOrthopaedicsGynaecologySurgery, oral and maxillofacial surgery and neurosurgeryOphthalmologySkin and sexually transmitted diseases

Companies

Purchase this report to view all major companies in this industry.

Related Terms

AMBULATORYAPPROBATIONHEALTHCARE PROFESSIONTELEMEDICINECONTRACT DOCTOR

Industry Code

WZ 2008

WZ 86.22 - Specialist Medical Practices in Germany

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

The shortage of specialists will continue to worsen in the coming years. In rural areas in particular, practices are likely to reach their capacity limits and appointment wai...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2014-2023) and forecast (2024-2029)
  • Employees, including historical (2014-2023) and forecast (2024-2029)
  • Businesses, including historical (2014-2023) and forecast (2024-2029)
  • Profit, including historical (2014-2024)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

Internal medicine is the specialist area with the highest turnover. The coronavirus pandemic has further increased the demand for internal medicine services and thus exacerba...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2024
  • Product innovation level

Charts

  • Products & services segmentation in 2024
  • Major market segmentation in 2024

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

The supply situation in the cities is far better than in the rural regions. There is a pronounced shortage of skilled labour, particularly in the sparsely populated eastern r...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each region
  • Share of population compared to establishments in each region in 2024

Tables

  • Number and share of establishments in each region in 2024
  • Number and share of revenue each region accounts for in 2024
  • Number and share of wages each region accounts for in 2024
  • Number and share of employees in each region in 2024

Detailed analysis

  • Geographic spread of the industry across Europe, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Quality and the range of services offered are the most important competitive factors. In addition, practices can set themselves apart from their competitors through their rep...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2019-2024
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

There are no main players in the sector. The specialist practices are mostly individual practices.

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2020 through 2024
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2024

Detailed analysis

    External Environment

    Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

    Analyst insights

    The growing health awareness is having an ambivalent effect on specialist practices. On the one hand, more preventive services and individual health services are being utilis...

    In this chapter

    • External Drivers
    • Regulation & Policy
    • Assistance

    Key metrics

    • Regulation & policy level and trend
    • Assistance level and trend

    Charts

    • Regulation & Policy historical data and forecast (2014-2029) 
    • Assistance historical data and forecast (2014-2029) 

    Detailed analysis

    • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
    • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
    • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

    Financial Benchmarks

    View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

    Analyst insights

    Staff costs at practices have risen recently This is due to rising salaries for medical specialists and medical assistants as a result of the shortage of skilled staff.

    In this chapter

    • Cost Structure
    • Financial Ratios
    • Key Ratios

    Key metrics

    • Profit margin, and how it compares to the sector-wide margin
    • Average wages, and how it compares to the sector-wide average wage
    • Largest cost component as a percentage of revenue
    • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

    Charts

    • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
    • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2024
    • Investment vs. share of economy

    Data tables

    • Cash Flow & Debt Service Ratios (2014-2029)
    • Revenue per Employee (2014-2029)
    • Revenue per Enterprise (2014-2029)
    • Employees per Establishment (2014-2029)
    • Employees per Enterprise (2014-2029)
    • Average Wage (2014-2029)
    • Wages/Revenue (2014-2029)
    • Establishments per Enterprise (2014-2029)
    • IVA/Revenue (2014-2029)
    • Imports/Demand (2014-2029)
    • Exports/Revenue (2014-2029)

    Detailed analysis

    • Trends in the cost component for industry operators and their impact on industry costs and profitability 

    Key Statistics

    Industry Data

    Data Tables

    Including values and annual change:

    • Revenue (2014-2029)
    • IVA (2014-2029)
    • Establishments (2014-2029)
    • Enterprises (2014-2029)
    • Employment (2014-2029)
    • Exports (2014-2029)
    • Imports (2014-2029)
    • Wages (2014-2029)

    Top Questions Answered

    Unlock comprehensive answers and precise data upon purchase. View purchase options.

    What is the market size of the Specialist Medical Practices industry in Germany in 2024?

    The market size of the Specialist Medical Practices industry in Germany is €25.9bn in 2024.

    How many businesses are there in the Specialist Medical Practices in Germany industry in 2024?

    There are 39,687 businesses in the Specialist Medical Practices industry in Germany, which has grown at a CAGR of 0.2 % between 2019 and 2024.

    Has the Specialist Medical Practices industry in Germany grown or declined over the past 5 years?

    The market size of the Specialist Medical Practices industry in Germany has been declining at a CAGR of 3.3 % between 2019 and 2024.

    What is the forecast growth of the Specialist Medical Practices industry in Germany over the next 5 years?

    Over the next five years, the Specialist Medical Practices industry in Germany is expected to grow.

    What does the Specialist Medical Practices in Germany include?

    Internal medicine and Radiology, nuclear medicine and radiotherapy are part of the Specialist Medical Practices industry.

    How competitive is the Specialist Medical Practices industry in Germany?

    The level of competition is moderate and increasing in the Specialist Medical Practices industry in Germany.

    Related Industries

    Widen your competitive advantage with related industries

    Competitors

    • Opticians in Germany
    • Other Healthcare Activities in Germany

    Complementors

    • Hospitals in Germany
    • General Medical Practices in Germany
    • Dental Practices in Germany

    International industries

    • Specialist Doctors in the US
    • Primary Care Doctors in Canada
    • Specialist Medical Services in Australia
    • Specialist Medical Services in New Zealand
    • Specialist Medical Practices in the UK

    View all industries in Germany

    Methodology

    How are IBISWorld reports created?

    IBISWorld has been a leading provider of trusted industry research for over 50 years to the most successful companies worldwide. With offices in Australia, the United States, the United Kingdom, Germany and China, we are proud to have local teams of analysts that conduct research, data analysis and forecasting to produce data-driven industry reports.

    Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

    IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

    What data sources do IBISWorld analysts use?

    Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

    Key data sources in Germany include:

    • German Federal Statistics Office (Destatis)
    • European Statistics Office (Eurostat)
    • United Nations Comtrade

    Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

    These sources include:

    • Industry and trade associations
    • Industry federations or regulators
    • Major industry players annual or quarterly filings

    Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

    How does IBISWorld forecast its data?

    IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

    IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

    Learn more about our methodology and data sourcing on the Help Center.