Can smarter procurement drive innovation in smaller countries?

The purchase of health care is an essential step for public systems that look forward to obtaining new solutions – but it is often a long and complex process, especially when it comes to innovation purchases.
The purchase of innovation indicates the purchase of new or highly improved solutions that have not yet been available in the market or still requires development. It becomes particularly important when the current options are insufficient, when governments want to stimulate local innovation, or when you need solutions for context.
Pur purchases vary widely across countries, and are formed by local regulations, administrative structures and available budgets. For smaller countries such as AndOrra, Monnegro, Iceland, Malta and Estonia, these processes can be particularly difficult due to limited resources, smaller markets and less institutional capabilities and more.
What are the challenges of the size?
The smaller countries face a number of defects in negotiations with the great international creators and sellers:
Power of bargaining limited: The smaller size of the markets makes it difficult to achieve savings size or safe supplies, which often give large markets. This also means that the costs of each unit tend to be higher.
Limited budget: Smaller countries often operate with limited health care budgets, making it difficult to determine the priorities of innovation and digital health.
Lack of purchasing experts: Buying innovation, such as previously previous purchases (PCP) and general purchases of innovative solutions (PPI), require special knowledge or experts familiar with these special tools. This experience is not always present in the country or in the local language, where traditional purchase methods tend to be the standard.
Digital Health Experience itself: The purchase of innovative solutions often includes digital sanitary ware. Nick Goldmond, Professor of Health Care and Public Health at the Erasmus College for Health Policy and Administration at the University of Erasmus, notes in A. HIMSS television interview: “Digital health itself is very complex and adds the complexity to the purchase. It requires the ability and experience within the organizations.” He adds that “the implementation of these innovative solutions must be included in the progress of purchases. What makes implementation successful, from the perspective of technical management and change?”
The winning approach
In recent years, initiatives have been launched throughout Europe to simplify and expand access to innovation purchases, especially for countries that have lower resources or less experience. Examples include:
Common purchases with other countries: Small countries like Andorra join neighboring countries such as France and Spain when their needs are in line with the best savings and offers. Ideally, digital solutions should be combined in a uniform way to improve the ability to operate and jobs while strengthening the European market and economy.
Twinning programs: The twinning programs are pairing countries with experience in buying innovation with countries that have less or non -existent experience so that they can learn from each other and exchange experiences and lessons learned. The conjugation is designed to complete the necessary experience. Countries like Moldova and Georgia have benefited from these programs.
“In Europe, we have suitable networks to search for common needs partners such as traditional information technology networks or more specific networks that focus on a disease area such as the heart and blood vessels, diabetes, etc., and some specific programs that support the manufacture of matches and build federations,” says Goldimid
How does the European Union committee support fairness for innovation?
To enhance the progress in adopting innovation throughout Europe, the European Union Committee supports many projects. Innomath It combines major public and private organizations (hospitals, healthcare systems) and small and medium -sized institutions (SMES) to participate in creating innovative solutions through a new model to buy innovation. Experts will help them buy innovation to launch their purchases at the end of the pilot for 12 months.
Procure4Health It creates an open society to encourage the adoption of innovation purchases at the European Union level, based on knowledge sharing; Capacity building such as twins, networks and conciliation; Determine the common needs.
Incareheart It is a project for pre -commercial purchase for integrated integrated care and communication technology technology solutions aimed at promoting multidisciplinary health and patient care with chronic heart failure.
in HIMSS EUROPE 2025 in ParisCustom session entitled “Small countries problem ” On the path of politics and the practice of the dam on June 11, he will address more experience in participating in the curricula of purchases with representatives from Slovenia, Estonia, Iceland and Croatia. See the full program and join the conference 10-12 June 2025.