# Health e-procurement > Where hospitals, health ministries and medical purchasing agencies publish, on how many systems, and what the Portuguese and French registers measure about competition in CPV divisions 33 and 85. Source: https://trinta.ai/health-eprocurement · Format: Markdown mirror of that page · Language: en ## Where health buyers publish - 137 dedicated health sources in the TRINTA registry: hospital groups, health ministries and central medical purchasing agencies. - Present in 65 countries, publishing beside the national portal rather than only on it. ## What two registers measure Shown side by side and never averaged: the universes are different by construction. | CPV division | Portugal | France | | --- | --- | --- | | 33, medical equipment and pharmaceuticals | 5.6% single bid, mean 9.9, over 1,955 procedures | 19.6% single offer, median 5, over 2,359 marchés | | 85, health and social work services | 15.3% single bid, mean 6.9, over 163 procedures | 27.3% single offer, median 3, over 553 marchés | Portugal, January to July 2026: concursos públicos whose bidder list was reported, method at https://trinta.ai/barometro. France, January to July 2026: competed marchés that declared their offer count, method at https://trinta.ai/barometre. ## The largest Portuguese public buyers are hospitals 8 of the 10 largest public buyers by contracted value in janeiro a julho de 2026 are health entities. - Unidade Local de Saúde de Santa Maria, EPE: 482 M€ - Unidade Local de Saúde de Santo António, EPE: 380 M€ - Unidade Local de Saúde de Coimbra, EPE: 361 M€ - Unidade Local de Saúde de São José, EPE: 291 M€ - IPO Porto FG, EPE: 252 M€ ## Questions **What is health e-procurement?** Health e-procurement is the electronic purchasing of goods and services by hospitals, health ministries and medical purchasing agencies: the notice, the specification, the questions, the submission and usually the evaluation, all run through a platform rather than on paper. The word describes the mechanism and not the market, which is why the useful question is never whether a country has e-procurement but which systems its health buyers actually publish on. **Where do hospitals publish their tenders?** On the national procurement platform, and very often somewhere else as well. TRINTA's registry counts 137 dedicated health sources across 65 countries, hospital groups, health ministries and central medical purchasing agencies that publish on their own channels beside the national portal. Healthcare is the sector where this happens most, which is why a supplier watching only the national portal sees a real but partial share of what its buyers put out. **Is medical procurement competitive?** It depends on the country, and both figures are counted rather than estimated. In Portugal, CPV division 33, medical equipment and pharmaceuticals, is the busiest division in the whole register and one of the least concentrated: 5.6% of its 1,955 open procedures received a single bid, against a national average of 13.9%, with a mean of 9.9 bids. In France, the same division shows 19.6% single-offer over 2,359 competed marchés, with a median of 5. The two are not added together and not averaged: Portugal counts open procedures whose bidder list was reported, France counts competed marchés that declared their offer count, and the universes are different by construction. **Who are the biggest health buyers in Portugal?** Hospital groups, and they dominate the whole table rather than just the health part of it. 8 of the 10 largest Portuguese public buyers by contracted value in janeiro a julho de 2026 are health entities, led by Unidade Local de Saúde de Santa Maria, EPE at 482 M€. For a supplier this is the practical argument for watching hospital buyers by name and not only by sector: the money is concentrated in a small number of institutions that publish continuously. --- Full site index for agents: https://trinta.ai/llms.txt · Whole site in one document: https://trinta.ai/llms-full.txt