PACS and Integrated PACS Market Assessment in Brazil, Forecast to 2021

SaaS Models, Integrated Analytics Tools on the Rise, Further Advancing Market Maturity

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Brazil currently spends over $80 million on PACS and integrated PACS systems, considering only the software involved. The overall penetration is increasing, although adoption varies significantly among geographical regions and by the size of institutions. While large-size hospitals and diagnostic centers are almost fully penetrated and are almost entirely in a replacement-only stage, ready for their second or even third-generation PACS solution, a good number of medium- and small-size healthcare institutions are still first-time purchasers.

Between May and August 2017, Frost & Sullivan conducted primary research with 24 healthcare institutions, including hospitals and diagnostic centers, from different segments and sizes, spread in the various parts of Brazil. In-depth discussions were also conducted with all relevant PACS vendors in the Brazilian market, from multinational companies and established local players to new entrants.

Our research found that only a little more than 15% of all PACS contracts across the country are already on a SaaS pay-per-use model. Although the market is mature enough to understand the benefits of this new model, legacy systems, cost of cloud storage, and concerns over data security are still issues that were highlighted by end-users interviewed for this study. However, the flexibility that this model provides, especially in terms of maintenance, dedicated local IT staff, and upfront investment needed will turn it into the new paradigm model in the medical image and information management systems industry. As a result, vendors will have to adjust their offer and delivery models, regardless of their niche focus.

Brazil has been traditionally the biggest and most important market in Latin America (LATAM), setting the trends for the whole region. Leading market participants include Carestream, AGFA, GE, Phillips, and local companies such as Pixeon and MV.

Our primary survey results indicate that the future market growth will still come from investments in new systems in the next five years, especially by medium- and small-size segments. This growth will be fueled by new business models offered notably by new local entrants that enable institutions under these segments to see value in the systems offered and the faster ROI.

The current government initiative to promote 100% informatization in public hospitals and other public outpatient facilities, combined with the recent telehealth policy, makes the low-penetrated public system a potential market to be targeted. However, as the trend of adopting software-as-a-service (SaaS) model based on service level agreements (SLA) is still nascent in the public sector, providers willing to sell for public institutions may still need to also provide the hardware, aside from the software and consulting services.

PACS is embedded in wider healthcare IT trends, such as patient engagement, multi-professional team collaboration. and cloud computing. In the future, growth opportunities in the imaging informatics space will have to consider these trends and how they affect the market dynamics and customers’ expectations: Enterprise PACS and VNA solutions will become the market standard, even for the small- and medium-size segments. Interoperability solutions to integrate different PACS and unified web-based PACS will progress from being a competitive advantage to a market standard. This is only a sample of insights that you can gain through our research.

Key Issues Addressed

  • What is the market opportunity for PACS in Brazil?
  • Which customers segments represent the biggest opportunities?
  • What are the requirements of the different customer segments?
  • What are the different vendors’ solutions and strategies currently in place to address different needs and what are the unmet needs?
  • What are the technology advancements that are driving growth, and will fuel market growth in the next five years?
  • What is the long-term outlook for the PACS market, as new technology paradigms challenge the traditional PACS model?

Table of Contents

1. Executive Summary
Key Findings
Scope and Definitions
Market Engineering Measurements
CEO’s Perspective
Executive Summary—3 Big Predictions
2. Market Overview
Market Overview—Background
Market Overview—Definitions
Costumer Segmentation
Market Outlook—PACS Trends in the Future
Growth Opportunities for PACS in Brazil
3. Drivers and Restraints—Total PACS Market
Market Drivers
Market Restraints
4. Forecasts and Trends—Total PACS Market
Forecast Assumptions
Market Engineering Measurements
Revenue Forecast
Percent Revenue Forecast by Type of Contract
Percent Revenue Forecast by Sector
Percent Revenue Forecast by Solution Component
Pricing Analysis
PESTLE Analysis
5. Demand Analysis—Total PACS Market
ion Analysis
6. Competitive Environment
Market Share
Competitive Environment
Companies to Watch
RIS/PACS and Integrated RIS/PACS Vendor Landscape
Select Competitors
Strategic Imperatives for Success and Growth
7. The Last Word
The Last Word— 3 Big Predictions
Legal Disclaimer
8. Appendix
Market Engineering Methodology
Learn More—Next Steps
List of Exhibits


List of Figures & Charts

1. Total PACS Market: Costumer Segmentation, Brazil, 2016
2. Total PACS Market: Market Outlook, Brazil, 2016 and 2026
3. Total PACS Market: Growth Opportunities, Brazil, 2016
4. Total PACS Market: Key Market Drivers, Brazil, 2017–2021
5. Total PACS Market: Key Market Restraints, Brazil, 2017–2021
6. Total PACS Market: Market Engineering Measurements, Brazil, 2016
7. Total PACS Market: Pricing Analysis, Brazil, 2016
8. Total PACS Market: Company Market Share Analysis of Top 5 Participants, Brazil, 2016
9. Total PACS Market: Competitive Structure, Brazil, 2016
10. Total PACS Market: Vendor Landscape, Brazil, 2017
11. Total PACS Market: Vendors Landscape, Brazil, 2016

1. Total PACS Market: Market Engineering Measurements, Brazil, 2016
2. Total PACS Market: Revenue Forecast , Brazil, 2016–2021
3. Total PACS Market: Percent Revenue Forecast by Type of Contract, Brazil, 2016–2021
4. Total PACS Market: Percent Revenue Forecast by Sector, Brazil, 2016–2021
5. Total PACS Market: Percent Revenue Forecast by Solution Component, Brazil, 2016–2021
6. Total PACS Market: PESTLE Analysis, Brazil, 2016
7. Total PACS Market: Penetration Analysis, Brazil, 2016
8. Total PACS Market: Percent Revenue Breakdown, Brazil, 2016




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