What's Driving the In Vitro Diagnostics Industry?--The Road to 2020 and Beyond: Alternative Scenarios of the Future IVD Market--Business-as-Usual, Economic Austerity, Technological Breakthroughs 2015-2020

What's Driving the In Vitro Diagnostics Industry?--The Road to 2020 and Beyond: Alternative Scenarios of the Future IVD Market--Business-as-Usual, Economic Austerity, Technological Breakthroughs 2015-2020

Table of Contents

Scenario I: Business-As-Usual
Scenario II: Economic Austerity
Scenario III: Technological Breakthroughs

I. Introduction

II. Executive Summary
A. Business-As-Usual Scenario
B. Economic Austerity Scenario
C.Technological Breakthroughs Scenario

III. Conclusions And Recommendations

IV.The Scenarios
A. Business-As-Usual Scenario
1. Business Environment
a. Health Care Expenditures
b. Cost-Consciousness
c. Reimbursement
d. Industry Consolidation
e. Managed Care
* PPOs
* HMOs
f. Hospitals
g. Admissions
h. Length of Stay
i. Industry Diversification
j. Physician Demographics
k. Aging Population
* Chronic Illnesses
* Disease Incidence
* Susceptibility to Iatrogenesis
* Multiple Illness Cases
l. Laboratory Regulations
m. The FDA Reform
2. Outlook for the In Vitro Diagnostics Market
a. Government Regulations
b. Centralized Testing
* Hospitals
* Commercial Laboratories
* Blood Banks
* Public Health Laboratories
c. Decentralized Testing
* Personal Testing
* Physician Offices/Group Practices
* Ancillary Hospital Locations
- ERs
- ORs
- ICUs/CCUs
* Cancer Clinics
* Ambulatory Care Centers
* Surgery Centers
* Nursing Homes
* Birth Centers
3. Strategic Implications
a. Testing Patterns
* Test Utilization
* Pre-Admission Testing
* Inpatient Testing
* Outpatient Testing
4. Market Segments
a. Chemistry and Immunoassay
* Introduction
* Future Situation
b. Microbiology and Serology
* Introduction
* Future Situation
c. Hematology and Flow Cytometry
* Introduction
* Future Situation
d. Histology and Cytology
* Introduction
* Future Situation
e. Coagulation
* Introduction
* Future Situation
f. Urinalysis
* Introduction
* Future Situation
g. Blood Banking
* Introduction
* Future Situation
5.Technologies
a. Genomics
* Introduction
* Future Situation
b. Proteomics
* Introduction
* Future Situation
c. DNA Probes
* Introduction
* Future Situation
d. Biochips/Microarrays
* Introduction
* Future Situation
e. Monoclonal Antibodies
* Introduction
* Future Situation
f. Solid Phase Chemistry
* Introduction
* Future Situation
g. Biosensors
* Introduction
* Future Situation
h. Automation and Robotics
* Introduction
* Future Situation
i. Computer-Aided Diagnosis
* Introduction
* Future Situation
6.The New Marketplace
a. Purchasing Influences
b. Marketing Strategies
c. Joint Ventures, Mergers and Licensing
d. Import-Export
e. Potential Market Entrants
f. Who May Not Survive?
B. Economic Austerity Scenario
1. Business Environment
a. Socio-Political Climate
* Cost-Consciousness
* Government Actions
* Three-Tier System
* Health Rationing
* Voucher System
* Health IRA
b. Hospital Closures
c. Hospital Utilization
d. Hospital Reorganization
e. Physician Regulations
f. Wellness Programs
g. Corporate Responses
h. Academic Research
2. Outlook for the In Vitro Diagnostics Market
a. Test Utilization
* Ordering Practices
* Documentation
* Recertification
b.Technology Regulations
c. New Laboratory Ventures
d. Computers
e. Industrial Medicine
f. Insurance Companies
g. Test Volume and Market Size
3. Strategic Implications
a. Testing Patterns
* Pre-Admission Testing
* Inpatient Testing
* Outpatient Testing
b. Market Segments
* Chemistry and Immunoassay
* Microbiology and Serology
* Hematology and Flow Cytometry
* Histology and Cytology
* Coagulation
* Urinalysis
* Blood Banking
c.Technologies
* Genomics
* Proteomics
* DNA Probes
* Biochips/Microarrays
* Monoclonal Antibodies and Immunoassays
* Automation and Robotics
* Solid Phase Chemistry
* Biosensors
* Computer-Aided Diagnosis
d.The New Marketplace
* Purchasing Influences
* Marketing Strategies
* Joint Ventures, Mergers and Licensing
* Import-Export
* Potential Market Entrants
* Who May Not Survive?
C.Technological Breakthroughs Scenario
1. Business Environment
a. Political/Regulatory Climate
b. R & D Funding
c. Industry-Government Relationship
d. Industry-University Ventures
e.Technological Environment
f. Testing Decentralization
g. Health Care Expenditures
h. Physician Population
i. Hospital Indicators
2. Outlook for the In Vitro Diagnostics Market
a. Overview
b. Genomics
c. Proteomics
d. DNA and RNA Probes
e. Biochips/Microarrays
f. Monoclonal Antibodies
g. Immunoassays
h. Information Technology
i. Laboratory Automation and Robotics
j. Solid Phase Chemistry
k. Biosensors
l. Holography
m. Pharmaceuticals
3. Strategic Implications
a.Testing Patterns
* Pre-Admission Testing
* Inpatient Testing
* Outpatient Testing
* Test Volume and Market Size
b. Market Segments
* Chemistry and Immunoassay
* Microbiology and Serology
* Hematology and Flow Cytometry
* Histology and Cytology
* Coagulation
* Urinalysis
* Blood Banking
c.The New Marketplace
* Purchasing Influences
* Marketing Strategies
* Joint Ventures, Mergers and Licensing
* Import-Export
* Potential Market Entrants
* Who May Not Survive?

V. Appendices: Methodology
A.The Delphi
B. Cross-Impact Analysis
C. Substitution Modeling

List of Tables

Executive Summary Table I: Business-As-Usual Scenario, Growth Areas in Clinical Laboratory Testing
Executive Summary Table II: Economic Austerity Scenario, Growth Areas in Clinical Laboratory Testing
Executive Summary Table III: Technological Breakthroughs Scenario, Growth Areas in Clinical Laboratory Testing
Executive Summary Table IV: Market Size by Location
Executive Summary Table V: Market Size by Laboratory Discipline
Table-1: Business-As-Usual Scenario, Health Care Costs by Expenditure Type
Table-2: Business-As-Usual Scenario, HMO and PPO Enrollment
Table-3: Business-As-Usual Scenario, Selected Hospital Statistics
Table-4: Business-As-Usual Scenario,Total Population and Physician Demographics
Table-5: Business-As-Usual Scenario,Test Volume by Location
Table-6: Business-As-Usual Scenario,Test Distribution by Location
Table-7: Business-As-Usual Scenario, Market Size by Location
Table-8: Business-As-Usual Scenario,Typical Pre-Admission Tests
Table-9: Business-As-Usual Scenario,Test Volume by Laboratory Discipline
Table-10: Business-As-Usual Scenario, Market Size By Laboratory Discipline
Table-11: Economic Austerity Scenario, Selected Hospital Statistics
Table-12: Economic Austerity Scenario, HMO and PPO Enrollment
Table-13: Economic Austerity Scenario,Total Population and Physician Demographics
Table-14: Economic Austerity Scenario, Major Categories of Overutilized Tests
Table-15: Economic Austerity Scenario, Test Volume by Location
Table-16: Economic Austerity Scenario,Test Distribution by Location
Table-17: Economic Austerity Scenario, Market Size by Location
Table-18: Economic Austerity Scenario,Timing Requirements for Selected Laboratory Tests
Table-19: Economic Austerity Scenario,Test Volume by Laboratory Discipline
Table-20: Economic Austerity Scenario, Market Size by Laboratory Discipline
Table-21: Technological Breakthroughs Scenario, HMO and PPO Enrollment
Table-22: Technological Breakthroughs Scenario,Total Population and Physician Demographics
Table-23: Technological Breakthroughs Scenario, Selected Hospital Statistics
Table-24: Technological Breakthroughs Scenario, Test Volume by Location
Table-25: Technological Breakthroughs Scenario, Test Distribution by Location
Table-26: Technological Breakthroughs Scenario, Market Size by Location
Table-27: Technological Breakthroughs Scenario, Test Volume by Laboratory Discipline
Table-28: Technological Breakthroughs Scenario, Market Size by Laboratory Discipline

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