The Market Size of Hospital at Home in Spain and Europe
At Galeneo, we work with a clear conviction: healthcare can — and should — be delivered at home in many more cases than we currently imagine.
What was once considered an occasional alternative to hospital admission is becoming a new standard of care. Population aging, hospital pressure, and technological advancements are redefining where and how healthcare is delivered.
To understand the scale of this transformation, we have conducted an internal analysis of the hospital at home and home healthcare market, both in Spain and across Europe.
The results are unequivocal: we are facing one of the greatest opportunities for the evolution of the healthcare system in the coming decades.
How the Healthcare Market Is Measured
To size the market, we use three key concepts:
TAM (Total Addressable Market)
The total market value if 100% of eligible services were delivered under our model.
SAM (Serviceable Addressable Market)
The portion of the market that we can currently address operationally.
SOM (Serviceable Obtainable Market)
The share that can realistically be captured in the short and medium term.
Beyond financial terminology, these metrics allow us to understand not only how much market exists, but how much can actually be transformed today.
The Market in Spain: An Expanding Opportunity
The total home healthcare market in Spain reaches €11.208 billion in 2025.
It is distributed across three major areas:
- Complex Hospital at Home (Complex HaH): €5.238 billion
- On-demand home care: €2.179 billion
- Telemedicine: €3.257 billion
Spain represents approximately 7.1% of the European market, positioning itself as one of the countries with the greatest potential for development in this care model.
But what matters most is not just the current size, but its future evolution.
Complex Hospital at Home: The Main Growth Driver
Complex hospital at home is at the core of the market and represents the greatest long-term opportunity.
Our analysis is based on:
- 83 hospital DRGs analyzed
- 2.2 million annual admissions
- Average length of stay of 15 days
- Average hospital cost per day of €1,174
With this data, the projection is clear: within ten years, the potential market for complex hospitalization triples, and the obtainable market grows more than fourfold.
This growth is driven by structural factors:
- Population aging
- Chronic saturation of hospital beds
- Improvements in remote monitoring and clinical technology
- Increasing patient preference to recover at home
This is not a temporary trend, but a systemic transformation.
On-Demand Home Care: Immediate Traction
On-demand medical and nursing care at home represents a more mature segment with greater short-term accessibility. Unlike complex hospitalization, which requires a structural transformation of the care model, home visits are already part of the healthcare habits of many patients.
In Madrid alone, approximately 6.5 million medical consultations and more than 21 million nursing interventions take place each year. With average prices of €122 per medical consultation and €70 per nursing visit, this segment provides a solid market base for sustained growth.
Projections show steady but consistent growth. TAM increases from €2.318 billion in 2025 to €3.161 billion in 2035. SAM grows from €168 million to €229 million, while SOM evolves from €23.5 million to €32 million. Although the expansion rate is more moderate than in complex hospitalization, the conversion from total market to truly accessible market is more efficient in the short term.
Strategically, this creates a clear balance: on-demand home care drives immediate traction and operational consolidation, while complex hospitalization represents the lever for scale and long-term structural transformation.
Geography and Concentration of Opportunity
The accessible market in Spain is not evenly distributed. There are clear geographic concentrations that act as natural drivers of the model’s development. Madrid alone accounts for 13.5% of the national SAM, while Barcelona represents around 3.5%.
Beyond Spain, the opportunity becomes even greater. At a European level, the total addressable market reaches €157 billion. Germany leads with approximately 25% of the market, followed by the United Kingdom (18%), France (14%), Italy (9%), and Spain (7%).
This is a large but fragmented market, with structural differences between countries and healthcare systems. Precisely this fragmentation opens the door to technological and operational models capable of scaling efficiently and with standardization. The opportunity is therefore not only national: European expansion potential is one of the key strategic levers for the sector in the coming decade.
What These Figures Mean for the Future of Healthcare and Galeneo’s Role
Our analysis leads to several strategic conclusions:
- The total market will triple within ten years
- Complex hospitalization is the main growth driver
- On-demand care is the entry point and traction base
- Conversion from accessible market to real market is around 14% in both segments
We can conclude that the hospital is not disappearing. It is expanding — into the home.
At Galeneo, we are building a platform that connects technology, healthcare professionals, and patients to bring the hospital into the home in a safe, efficient, and human way.
The market exists. It is growing rapidly. And it is ready for deep transformation.
Our mission is to lead that transformation.
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