Chief executive Frans van Houten said the figures reflected a "challenging start" to 2014 and warned of a tough year ahead.
Philips' share price dipped by almost 7.0 per cent on the Amsterdam stock exchange's AEX index in mid-afternoon trade.
The Amsterdam-based group said Q1 net profit plunged to 137 million euros (USD 190 million) because of a fall in underlying profit on a 12-month comparison.
The figure was however higher than the average forecast of analysts polled by Dow Jones Newswires who had expected a net profit of 114 million euros.
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Philips blamed the drop in healthcare -- which accounts for almost half its investments and is a fundamental pillar of its long-term strategy -- on lower demand in Russia and China, as well as a voluntary suspension of its production plant in Cleveland, Ohio.
Notably in Russia, orders have been hit since the start of the Ukranian crisis, Van Houten said in a conference call.
The group said other factors behind the weaker results were unexpectedly high restructuring costs and unfavourable exchange rates.
Philips, a world leader in the field of electrical appliances for the home, industry and local authorities, is in the process of refocusing much of its business on equipment for the medical sector where it has technological expertise and where margins are strong.
Founded in 1891, the company which employs 112,000 people worldwide.
Last year, Philips announced the sale of its lifestyle entertainment branch, which makes stereos and DVD players, after selling its troubled TV-making arm in 2012.