Challenges
The globalization of healthcare infrastructure has created both opportunities and barriers for European mid-sized enterprises. While Germany’s engineering firms are renowned for their high-quality electrotechnical solutions, transferring this expertise into China’s hospital sector proved complex. The Chinese healthcare market is characterized by high regulatory demands, opaque procurement processes, and intense competition from domestic and multinational players.
For ESA Grimma, a German mid-sized specialist in hospital and infrastructure solutions, this meant that traditional export approaches were insufficient. Without clear visibility into how Chinese hospitals evaluate and select partners, or streamlined coordination between its German headquarters and China representatives, the company risked missing opportunities. Bridging these systemic gaps was essential to translate German engineering expertise into a sustainable and competitive presence in China’s healthcare market.
Approach
To support ESA Grimma’s internationalization and strengthen its entry into China’s hospital sector, SILREAL designed a comprehensive program that combined market strategy, stakeholder activation, and organizational transformation. By aligning ESA’s technical expertise with China’s healthcare procurement realities, the project delivered a structured go-to-market pathway supported by sustainable organizational improvements.
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Market Insights & Entry Strategy: Conducted an in-depth analysis of the Chinese hospital segment, assessing competitor activities, procurement frameworks, and demand trends. Identified ESA’s differentiation potential and defined a market-specific sales concept tailored to China’s regulatory and institutional environment.
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Stakeholder Engagement & Network Activation: Leveraged SILREAL’s China healthcare network to introduce ESA to high-value partners and hospital stakeholders. Facilitated direct engagement with potential sales partners and customers, enabling relationship-building that accelerated market entry.
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Organizational Development & Management Support: Optimized collaboration between ESA’s German headquarters and China representatives by streamlining communication processes and decision-making structures. Moderated strategic workshops and prepared decision-relevant management materials, ensuring leadership alignment and execution readiness.


Result
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China-Specific Go-to-Market Readiness: Established a tailored sales and market-entry strategy aligned with China’s hospital procurement dynamics, ensuring ESA Grimma’s solutions could be positioned competitively in the local healthcare ecosystem.
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Strategic Stakeholder Access: Activated high-value partner and customer contacts through SILREAL’s healthcare network, creating trusted entry points into the Chinese hospital market and accelerating initial relationship-building.
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Organizational Alignment & Decision Support: Improved communication and collaboration between ESA headquarters and China representatives. Delivered decision-ready management briefings and moderated leadership workshops to enable faster, more informed strategic choices.
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Template for International Expansion: Developed a scalable framework that ESA Grimma can replicate in other international markets, strengthening its long-term competitiveness and reducing barriers to future cross-border growth