More than 180 healthcare organisations outside the US made EHR buying decisions in 2018, having an impact on almost 380 hospitals, according to a new report by KLAS on the global (non-U.S.) market share.

The analysis indicates that large public tenders covered only 5% of contracts signed, but impacted more than 25% of these hospitals, although “no runaway leader” was identified in terms of new deals.

Here are some of the key findings from the KLAS report.

A snapshot of the market in Asia 

In Asia, most EHR contracts signed with companies tracked by KLAS have been in the private sector in the past few years, and in countries such as China, India, Malaysia and Thailand. In China and India, regional solutions are said to be more common than those of multiregional suppliers.

Since KLAS started carrying out EHR market share research in Asia in 2012, South Korea-based ezCaretech and InterSystems have reportedly been the two vendors selected most often in the region.

InterSystems, which reportedly has a “significant presence” in China, strengthened its footprint in the country last year with a new private hospital deal. Another Chinese private hospital group decided to expand TrakCare to two additional facilities.

In Singapore, two of the three healthcare clusters in the country chose Epic "over" Allscripts, which will be rolled out in acute and ambulatory care settings.

Developments in Europe

Meanwhile, organisations in Europe tend to look to local or regional solutions, according to KLAS, with France and Italy leaning towards Dedalus’ DxCare, and DACH countries towards Agfa Healthcare (which got six contracts covering ten hospitals in Germany last year), Meierhofer or localised solutions from Cerner.

In France, four regional groups (groupements hospitaliers de territoires) covering 17 hospitals chose Dedalus, along with three other organisations.

Dedalus is also the most prevalent vendor in Italy, where researchers describe the market as “very fractured”, with each region having “its own regulations”, followed by InterSystems.

In Sweden, Cerner signed new contracts with two counties, Skåne and Västra Götaland, accounting for 30 hospitals, and two regions in Denmark chose local vendor Systematic in large open tenders.

Elsewhere in Europe, KLAS notes that Northern Ireland is looking at the potential for a country-wide EHR, as well as Ireland.

Latin America, Middle East and Africa

In Latin America, EHR decisions were made in Argentina, Ecuador, Mexico, Panama and Puerto Rico. Brazil, however, topped the list in terms of new deals in the region, where MV reportedly signed 50% more contracts than any other vendor in the country, continuing to strengthen its market share lead. 

In the Middle East, organisations prefer vendors with an international presence, according to KLAS, and four suppliers were chosen last year: Health Insights, InterSystems, ezCaretech, and Dedalus.

And while Cerner is the biggest vendor in the region by market share, Millennium was not selected in any of these new deals.

Cerner also has the largest presence in Africa, along with DXC Technology and MEDITECH, but the KLAS research indicates that no contracts were signed last year with vendors measured by the firm. 

Source: KLAS report.