CRITICAL-Cycle
Appendix
Methode
PESTEL Analyse
Kulturelle strategische Vorausschau
Die PESTEL-Analyse ist ein strategisches Instrument zur Identifikation externer Einflussfaktoren in sechs Kategorien: politisch, ökonomisch, sozial, technologisch, ökologisch und rechtlich. Sie hilft Unternehmen, Trends, Risiken und Chancen zu erkennen, insbesondere im digitalen Gesundheitswesen in Deutschland, und unterstützt die strategische Planung und Entscheidungsfindung. Regelmäßige Analysen sind notwendig, um sich verändernde Marktbedingungen zu berücksichtigen.
Written by: Frank Stratmann
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Update from Jul 10, 2025
The PESTEL analysis is an effective strategic tool that provides your business with a structured perspective on the external environment. As an established tool in strategy development, it presents a precise framework for capturing all relevant external influencing factors. PESTEL represents six key factors that together convey a comprehensive picture of your business environment.
These factors establish an understandable framework through which you can identify current and future trends, potential risks, and promising opportunities in the market environment. The PESTEL analysis proves especially valuable in critical phases: when planning new projects or products, preparing for changes, or gaining a better understanding of changing market conditions.
We use the PESTEL analysis complementarily to describe scenarios as factually as possible.
The PESTEL analysis enables you to systematically identify, investigate, and evaluate external influencing factors on your business. These factors are divided into six defined categories: political frameworks, economic developments, social trends, technological innovations, ecological conditions, and legal regulations.
With a well-founded PESTEL analysis as a basis, you can continuously optimize your business strategy by recognizing key market conditions and specifically integrating them into your strategic decisions.
The analysis process follows a structured sequence: you identify the relevant factors, refine their description, conduct comprehensive research, analyze the results, and implement the gained insights for the strategic development of your business.
Regularly conducting the PESTEL analysis enables you to detect market changes early, develop appropriate response strategies, and thus ensure long-term business success.
An additional increase in the value of your analysis is achieved by combining PESTEL with the SWOT analysis. This offers you a comprehensive perspective on external factors and internal characteristics of your business, as well as their interactions.
Detailed Explanation of the Six Dimensions
We explain the six external factors with references to their significance for analyses in the healthcare sector.
Political (Political) The political dimension considers to what extent government policy, state institutions, and political stability influence the framework conditions of a sector. This includes legislative processes, health reforms, funding programs, or party political guidelines. In Germany, the coalition agreement, the Federal Ministry of Health, or the Federal Joint Committee (G-BA) significantly influence the digital development in healthcare.
Economic (Economic) The economic perspective analyzes economic factors that shape the performance and investment readiness in healthcare. This includes the overall economic situation, regional income distributions, financing models of statutory health insurance funds (GKV), or innovation support. Also, questions of the economic viability of digital solutions play a role, especially regarding cost-benefit ratios in economically weak regions.
Social (Social) The social component relates to demographic developments, societal values, educational standards, and the acceptance of technological solutions. It helps to understand which population groups particularly benefit from, or are excluded from, digital health offers. In Germany, there is an age-related usage gap in health apps, while younger people have a higher affinity for digital self-management. Cultural aspects such as trust in digital systems or data protection concerns also play a role here.
Technological (Technological) The technological analysis focuses on the status and dynamics of technical developments. Relevant aspects are infrastructure (e.g., broadband availability), interoperability of medical systems, standardization of digital interfaces, as well as access to innovations such as artificial intelligence (AI) or telemedicine. Technological progress acts as a driver but also as a challenge if technical standards are not adhered to or systems cannot communicate with each other.
Environmental (Environmental) The environmental dimension examines environmental aspects and sustainability. In healthcare, this includes, for example, ecological impacts through logistics (e.g., fewer trips through telemedicine), energy consumption of data centers, or disposal issues of digital devices. In Germany, this aspect is still rather marginally discussed, but offers growing potential for sustainable digitization.
Legal (Legal) The legal framework comprises legal provisions, norms, and regulatory requirements. For digital healthcare, the General Data Protection Regulation (GDPR), the Patient Data Protection Act (PDSG), and requirements for the approval of digital health applications (DiGA) are particularly central. These norms structure both the use and development of innovative solutions, but also set hurdles for market participation or the integration of new technologies into existing care structures.
Example: Application of the PESTEL Analysis to Evaluate Digital Health Care in Germany
We show here only a simple, almost intuitive result, appropriate for a PESTEL analysis. PESTEL analyses are extensive and costly. For a worthwhile investment, a thorough execution is essential. The initial phase forms the foundation for success:
Identify only the truly relevant influencing factors, without overlooking important aspects. Precise documentation ensures that all team members have a consistent information base and prevents findings from becoming untraceable later.
Focus on relevant factors while ensuring not to overlook any important influences.
Careful documentation ensures that all team members remain on the same page. Incomplete records can lead to findings becoming untraceable later.
PESTEL analyses are snapshots, and their relevance fades over time. Therefore, a first meaningful PESTEL analysis is always the starting point for an iteration as the macro environment is constantly changing. Regular analyses are necessary.
Results Using the Example of Digital Health Care
Political (Political): The Federal Ministry of Health promotes digitization in healthcare through initiatives like the »Digital Care Act« (DVG) or the electronic patient record (ePA). Challenges arise from federal structures and inconsistent implementations between states.
Economic (Economic): Funding for digital solutions (e.g., through GKV or innovation funds) is partly secured but often project-based. Economically weaker regions have limited access to digital care infrastructures.
Social (Social): Digital health competence is unevenly distributed – older people or those with lower educational backgrounds use services less frequently. There is increasing acceptance of digital doctor contacts and health apps.
Technological (Technological): The telematics infrastructure is evolving, but interoperability issues exist. Broadband expansion lags in rural areas, hindering digital care.
Environmental (Environmental): Digital solutions can reduce travel distances and paper consumption. Sustainability aspects, however, are rarely considered in IT infrastructure planning in healthcare.
Legal (Legal): The GDPR and national data protection regulations strongly influence the handling of health data. Approval requirements for digital health applications (DiGA) define regulatory demands but also promote market access.
Ergo
The PESTEL analysis provides orientation in complex decision-making situations and allows for a systematic evaluation of external influencing factors. Particularly in digital healthcare in Germany, it offers a useful framework for structurally considering possible obstacles, opportunities, and future developments.
CRITICAL-Cycle
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