Ambulance Services Market

Global Ambulance Services Market Forecast

• The approximately US$40.9 Bn market for ambulance services (2022) likely to reach US$76.2 Bn by 2030
• The ambulance services market size poised to witness a CAGR of 9.3% between 2023 and 2030

Quick Report Digest

1. The key trend anticipated to fuel the ambulance services market growth is a growing awareness about the importance of timely medical assistance, and emergency healthcare services are driving the demand for ambulance services.
2. Technological advancements in medical equipment and communication systems are enhancing the capabilities of ambulance services, providing significant growth opportunities.
3. The ageing population often requires specialised medical transport, creating a consistent demand for both emergency and non-emergency ambulance services.
4. In 2022, ground ambulances dominate the market due to their extensive use in various emergency and non-emergency medical situations. Their accessibility in urban and rural areas contributes to their dominance.
5. Emergency medical transport services, essential for immediate medical attention, dominate the market due to the critical need for swift response during emergencies.
6. In 2022, public-private partnerships will dominate the market, leveraging both public resources and private sector efficiency to provide widespread ambulance services.
7. Asia Pacific dominates the market due to its large population, increasing healthcare investments, and a rising number of public-private partnerships. The region's growing economies contribute to the expansion of ambulance services, addressing the healthcare needs of diverse and densely populated communities.
8. North America is the fastest-growing region, primarily driven by advancements in medical technology, high healthcare spending, and a well-established healthcare infrastructure. Innovations in ambulance services, including telemedicine integration, contribute to the region's rapid growth.

A Look Back and a Look Forward – Comparative Analysis

The ambulance services market is experiencing robust growth due to increasing healthcare awareness, technological advancements, and the rising need for prompt medical assistance. With a growing ageing population and a focus on improving emergency response systems, the demand for ambulance services has surged globally. Ground ambulances, being the most accessible and widely used mode of transportation, dominate the market, ensuring swift medical aid during emergencies.

The market witnessed staggered growth during the historical period 2018 – 2022. There was a notable increase in the adoption of air ambulances, particularly in developed regions, due to their ability to provide rapid response in critical cases. Non-emergency medical transport also gained traction, driven by the ageing population's need for scheduled medical services. Public-private partnerships became more prevalent, optimising resources and expanding services. This period saw a steady rise in investments, technology integration, and service diversification, shaping the industry landscape.

The ambulance services market is poised for continuous expansion. The integration of advanced technologies, such as telemedicine and real-time patient monitoring, will enhance the quality of service. Non-emergency medical transport is anticipated to grow further, addressing the requirements of an ageing population needing routine medical care. Partnerships between public entities and private providers will continue to drive market growth, ensuring efficient use of resources. Additionally, the emergence of eco-friendly ambulance solutions and the incorporation of AI-driven diagnostics are expected trends, reflecting the market's commitment to sustainability and enhanced patient care.

Key Growth Determinants

• Growing Healthcare Awareness, and Improving Accessibility

The increasing awareness about the importance of prompt medical care and the rising demand for healthcare services are significant drivers propelling the ambulance services market. With a greater understanding of the critical role ambulances play in delivering immediate medical attention, both individuals and healthcare institutions are relying on these services more than ever before.

The emphasis on timely response to emergencies, accidents, and medical crises has led to a higher demand for efficient ambulance services. This demand is particularly notable in densely populated urban areas and regions with limited healthcare infrastructure, driving the growth of the ambulance services sector.

• Technological Advancements, and Growing Telemedicine Integration

Technological innovations have revolutionised the ambulance services market. Advanced medical equipment, real-time communication systems, and telemedicine integration have significantly enhanced the capabilities of ambulance services. Telemedicine allows paramedics and medical staff to consult with doctors remotely, enabling quicker and more accurate diagnoses, especially in critical situations.

Moreover, the use of GPS technology and smart ambulance systems improves response times and enables efficient route planning, ensuring that ambulances reach the patients swiftly. These technological advancements not only enhance patient care but also optimise operational efficiency, driving market growth.

• Increasing Geriatric Population, and Chronic Disease Prevalence

The global rise in the ageing population is a key driver for the ambulance services market. Elderly individuals often require medical attention for chronic diseases, emergencies, and routine healthcare needs. With the prevalence of chronic illnesses such as heart disease, diabetes, and respiratory disorders among the elderly, the demand for ambulance services for both emergency and non-emergency medical transport is on the rise. Additionally, the ageing population is more susceptible to accidents and injuries, further fuelling the need for ambulance services.

Major Growth Barriers

• Limited Infrastructure and Accessibility

The ambulance services market is the limited healthcare infrastructure in certain regions. Rural areas often lack well-developed road networks and medical facilities, making it challenging for ambulances to reach patients promptly. Limited accessibility due to geographical constraints can hinder the timely delivery of emergency medical services, impacting patient outcomes.

• Regulatory Challenges, and Compliance

Stringent regulatory requirements and compliance standards pose challenges for ambulance service providers. Meeting diverse regulations licensing requirements, and maintaining compliance with medical protocols can be complex and time-consuming. Adhering to various regional and national guidelines often necessitates significant investments in staff training, equipment upgrades, and administrative processes. Navigating these regulatory challenges can strain resources and pose barriers to market entry for new players, affecting the overall growth of the ambulance services sector.

Key Trends and Opportunities to Look at

1. Telemedicine, and Remote Patient Monitoring

The integration of telemedicine in ambulances is a growing trend, enabling real-time consultations with healthcare professionals. This trend is gaining traction globally, enhancing patient care and diagnosis during transit. Ambulance service providers are partnering with telemedicine platforms, ensuring immediate medical support, especially in rural areas.

2. Rising Demand for Specialised Ambulance Services Catering to Geriatric and Pediatric Patients

There is a rising trend in specialised ambulance services tailored for the elderly and pediatric patients. These ambulances are equipped with advanced life support systems suitable for various age groups. The trend is particularly popular in developed regions, ensuring specialised care during transit. Companies are investing in these services to address the unique healthcare needs of these demographics.

3. Growing Emphasis on Sustainable Practices

Environmental consciousness is driving the adoption of eco-friendly ambulances. These ambulances use sustainable materials, energy-efficient systems, and low-emission engines. This trend, prevalent in environmentally conscious regions, aligns with global sustainability goals. Ambulance service providers are investing in eco-friendly fleets, aligning their brands with environmental responsibility and attracting eco-conscious customers.

How Does the Regulatory Scenario Shape this Industry?

In the dynamic ambulance services market of the Asia Pacific, regulations significantly influence industry dynamics. Key regulatory entities include the Ministry of Health and relevant local health departments in various countries, enforcing guidelines to standardise ambulance services. For instance, in India, the Ministry of Road Transport and Highways issued the 'Guidelines for the Indian Ambulance Code' in 2021, setting standards for ambulances nationwide.

Additionally, region-specific changes, like the recent amendments in emergency medical response protocols in China, are reshaping the industry. These regulations not only ensure compliance but also foster innovation, encouraging the integration of advanced technologies and international best practices. As the market continues to evolve, these regulatory frameworks serve as guiding principles, shaping the landscape of ambulance services and ensuring high-quality, efficient, and standardised patient care across the Asia Pacific region.

These regulatory frameworks have also led to increased collaboration between the public and private sectors in the ambulance industry. By promoting partnerships and knowledge sharing, the amendments are facilitating the development of comprehensive emergency medical systems that can effectively respond to any crisis or disaster situation.

Fairfield’s Ranking Board

Top Segments

1. Ground Ambulance Category Holds a Massive 70% Share

Ground ambulance services stand as the cornerstone of the ambulance services market in 2022, commanding a substantial 70% market share globally. Their dominance is rooted in their accessibility, cost-effectiveness, and adaptability to various terrains and healthcare scenarios. Ground ambulances, equipped with essential medical facilities, ensure timely and efficient transportation of patients, making them the preferred choice for most medical emergencies.

Furthermore, the fastest-growing category is air ambulance services, experiencing an impressive annual growth rate of 12%. Air ambulances have emerged as the go-to solution for emergency medical evacuations, especially in remote or inaccessible areas. Their ability to cover vast distances swiftly, providing critical care during transit, has made them indispensable in emergency healthcare. With advancements in aviation and medical technology, the air ambulance segment continues to soar, meeting the escalating demand for rapid and specialised medical interventions, making it the fastest-growing category in the ambulance services market.

2. Emergency Medical Transport Remains the Mainstay of Global Market

In 2022, emergency medical transport services emerged as the backbone of the ambulance services market, representing a commanding 80% share. This category encompasses critical, time-sensitive interventions addressing urgent medical needs. Emergency services are the bedrock of healthcare infrastructure, ensuring swift responses during accidents, emergencies, and crises. Their indispensable role in saving lives and providing immediate medical care cements their dominance.

The non-emergency medical transport segment, constituting the remaining 20%, is the fastest-growing category. While traditionally considered secondary, this segment is experiencing an 8% annual growth rate. Non-emergency services play a pivotal role in transporting patients with chronic illnesses, the elderly, and individuals requiring specialised medical care without urgency. The steady growth in this sector mirrors the evolving healthcare landscape, emphasizing the need for comprehensive patient care beyond emergencies.

3. Public Private Partnerships to be the Constant Dominance Force

Public-private partnerships (PPPs) in the ambulance services market in 2022 have emerged as the dominant force, capturing a significant 45% share. This model combines the efficiency of private-sector innovation with the outreach of public-sector resources. PPPs ensure widespread coverage, efficient operations, and advanced medical technologies, making them the preferred choice for many regions.

Private ambulance services are experiencing remarkable growth, advancing at a rate of 10% annually, securing a 30% market share. The private sector's investment in cutting-edge medical technologies and specialised ambulance units has fuelled this rapid growth. Private services offer tailored, premium healthcare experiences, catering to a niche market that seeks swift responses, advanced medical facilities, and personalised care. The consistent advancements in private ambulance services, along with their focus on quality and efficiency, position them as the fastest-growing segment.

Regional Frontrunners

North America’s Dominance Prevails with Widespread Accessibility of Premium Ambulance Services

North America remains the largest revenue-contributing region in the global ambulance services market, accounting for approximately 40% of the total market share. The region's well-established healthcare infrastructure, particularly in the US, and Canada, ensures swift and efficient ambulance services, catering to both emergency and non-emergency medical transport needs. High prevalence of chronic diseases, and an ageing population in North America have led to an increased demand for medical transportation services.

With a rising number of elderly citizens requiring regular medical appointments, and specialised care, there is a growing need for non-emergency ambulance services, driving the market growth. Furthermore, the presence of advanced healthcare technologies, and a higher disposable income among the population enable individuals to access premium ambulance services, thereby boosting the overall market revenue.

Asia Pacific Becomes the Most Vital Hub for Providers

Asia Pacific is expected to witness significant growth in sales in the ambulance services market during the forecast period. Several factors contribute to this anticipated growth. The region's large population base, comprising countries like China, and India, creates a substantial demand for emergency medical services. Robust economic growth in countries like Japan, and South Korea has increased healthcare expenditure, allowing for the development and utilisation of advanced ambulance services.

Moreover, the increasing prevalence of chronic diseases and the ageing population in countries like Japan, and South Korea have led to a higher demand for non-emergency medical transport services, contributing to the overall market revenue. Combined, these factors make the Asia Pacific region a vital hub for the ambulance services market, with a significant market share and a robust growth trajectory. The Asia Pacific region is also witnessing a rise in government initiatives and investments to improve healthcare infrastructure, which further drives the growth of the ambulance services market.

Fairfield’s Competitive Landscape Analysis

In the competitive landscape, innovation will be the battleground. Companies investing in AI-driven dispatch systems, IoT-enabled medical devices, and specialised ambulances tailored for different medical conditions will gain a competitive edge. Moreover, customer experience will be paramount. Service providers focusing on empathy, timely response, and seamless coordination with healthcare facilities will foster customer loyalty.

Who are the Leaders in the Global Ambulance Services Space?

• SHM Shipcare
• Babcock Scandinavian AirAmbulance
• Aeromedevac
• Acadian Ambulance Service
• Harmonie Ambulance
• BVG India Limited
• Ziqitza Health Care
• America Ambulance Services
• Air Methods
• Falck Danmark
• MEDIVAC Aviation
• Envision Healthcare
• AirMed International
• Lifeguard Ambulance Service
• Paratech Ambulance Service

Significant Company Developments

New Product Launch

• April 2023: Falck Holding A/S partnered with a technology company to develop and implement innovative solutions in ambulance services, such as advanced telemedicine capabilities and real-time data monitoring.
• May 2023: A: Acadian Ambulance Service launched a new non-emergency medical transport service to cater to the growing demand for specialised transportation for patients who do not require emergency care.
• January 2022: BVG India has been focusing on expanding its geographical presence in the ambulance services market. They have been securing contracts with various state governments in India to provide ambulance services. For instance, BVG India recently acquired a contract to provide ambulance services in the state of Maharashtra.

Distribution Agreement

• June 2022: Dial4242 Ambulance service has joined with Care4Parents, an Indian portal for eldercare services. Users of Care4Parents will be able to quickly schedule an ambulance as part of this partnership. This is a round-the-clock service.
• May 2022: With multiple investors in Ziqitza Health Care Limited, the top private enterprise in India for emergency medical response and transportation (Life Support Ambulance Service), MUrgency Group has signed final share purchase agreements.

An Expert’s Eye

Demand and Future Growth

The future holds a promising trajectory driven by several key factors. The ageing global population, particularly in developed regions, will continue to spur demand for emergency and non-emergency medical transport. Moreover, the growing prevalence of chronic diseases necessitates more frequent medical visits, elevating the requirement for ambulance services. As technology integrates deeply into healthcare, we anticipate a surge in demand for specialised ambulances equipped with telemedicine facilities, enabling advanced medical care during transit.

Supply Side of the Market

According to our analysis, the advancements in ambulance technologies and medical equipment will redefine service standards. Ambulance fleets are expected to become more eco-friendly, integrating sustainable practices into their operations. Additionally, the integration of AI-driven predictive analytics will optimise routes and enhance response times.

However, the challenge lies in balancing these advancements with the practicalities of implementation, especially in regions with limited resources. Ensuring uniform quality across various service providers is imperative. Collaborations between private and public sectors might bridge gaps, ensuring standardised service quality across the industry.

Global Ambulance Services Market is Segmented as Below:

By Mode of Transportation:

• Air Ambulance
• Ground Ambulance
• Water Ambulance

 By Service Type:

• Emergency Medical Transport
• Non-emergency Medical Transport

 By Operating Type:

• Public Private Partnership
• Government
• Private
• Others

By Geographic Coverage:

• North America 
  • U.S.
  • Canada 
• Europe 
  • Germany
  • U.K.
  • France
  • Italy
  • Turkey
  • Russia
  • Rest of Europe 
• Asia Pacific 
  • China
  • Japan
  • South Korea
  • India
  • Southeast Asia
  • Rest of Asia Pacific 
• Latin America 
  • Brazil 
  • Mexico 
  • Argentina
  • Rest of Latin America 
• Middle East & Africa  
  • GCC 
  • South Africa
  • Egypt
  • Nigeria
  • Rest of the Middle East & Africa