EHR Supplier Base In EMEA Remains Highly Fragmented; Cerner Gains Ground

The EMEA market for electronic health record (EHR) IT is estimated to have been worth $3.7B in 2018 (both acute and ambulatory applications) according to Signify Research’s 2019 global EMR market report. However, only one vendor, Cerner, is estimated to have had a double-digit revenue share in 2018. In terms of suppliers the EMEA market is highly fragmented with a mixture of local and international vendors addressing individual countries with few vendors having a truly region-wide footprint.

The table below shows estimated revenue shares in 2018 for the acute & health system EHR market in EMEA (excluding revenues for ambulatory only solutions), alongside the countries/sub-regions where each vendor had a significant share of its EMEA business.

Acute/Network EHR Estimate Revenue Share – EMEA – 2018
2018 Rank Company 2018 Revenue Share Key Countries/Sub-Regions
1 Cerner 16% DACH, UK/Eire, Middle East
2 Agfa Health 8% DACH, France
3 Asseco 5% Eastern Europe
4 CompuGroup Medical 5% DACH, Nordics, Eastern Europe
5 InterSystems 4% UK/Eire, Middle East, Spain/Portugal
6 Chipsoft 4% Benelux
7 DXC Technology 3% Benelux, UK/Eire, Spain/Portugal
8 Tieto 3% Nordics
9 Dedalus 3% Italy, France, Spain/Portugal
10 Nexus 3% DACH, Benelux
11 Engineering Ingegneria 3% Italy
12 Systematic 2% Nordics
13 Epic 2% Benelux, Nordics, UK/Eire, Middle East
14 Telekom Health 2% DACH
15 Maincare Solutions 2% France
Others 39%
Source: Signify Research                                 Note: Does not include ambulatory only revenue/vendors

Excel version of table here

Examining several major countries/sub-regions:

Outlook for International EHR Market Competitive Environment

As the US market for core-EHR solutions starts to saturate, vendors are increasingly looking to geographic expansion to maintain their historic growth rates. This will lead to increased levels of competition across EMEA. Some vendors will succeed; however, expanding into new international markets is a strategy that has many pitfalls and vendors need to understand the nuances of local markets in terms of product requirements, government initiatives and local vendors’ strengths if they are to succeed.

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