GLOBAL MARKETS FOR TELEMEDICINE TECHNOLOGIES
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1 GLOBAL MARKETS FOR TELEMEDICINE TECHNOLOGIES HLC014G September 2014 Andrew McWilliams Project Analyst ISBN: BCC Research 49 Walnut Park, Building 2 Wellesley, MA USA (toll-free within the USA), or (+1) information@bccresearch.com
2 TABLE OF CONTENTS CHAPTER 1 INTRODUCTION 2 STUDY GOALS AND OBJECTIVES 2 REASONS FOR THE STUDY 2 INTENDED AUDIENCE 3 SCOPE AND FORMAT 3 METHODOLOGY AND INFORMATION SOURCES 3 ANALYST'S CREDENTIALS 4 RELATED BCC RESEARCH REPORTS 4 BCC RESEARCH WEBSITE 4 DISCLAIMER 5 CHAPTER 2 SUMMARY 7 SUMMARY TABLE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC MARKET, THROUGH SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC SERVICE MARKET, CHAPTER 3 TELEMEDICINE OVERVIEW 10 STRUCTURE 10 FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 10 FACTORS INFLUENCING THE DEVELOPMENT OF THE TELEMEDICINE MARKET 11 FIGURE 2 FACTORS INFLUENCING THE TELEMEDICINE MARKET 11 MARKET DRIVERS 12 FIGURE 3 TELEMEDICINE: KEY TO E-HEALTHCARE, CHANGING HEALTHCARE PARADIGMS Increasing Chronic Diseases 13 Complexity of the Healthcare Network 13 Rising Cost of Home Care 13 Increasing Number of Aging Patients Requiring Daily Care 14 Higher Spending on IT 14 Moving from Treatment to Early Intervention 14 Shortages of Healthcare Personnel and Increasing Workloads 15 Need for Better Clinical Outcomes 15 Growing Investments in Telemedicine 15 Telemedicine Driven by the Rising e-healthcare Market 15 Increasing Focus of Companies on Telemedicine as a Key Market Differentiator Improved Technology Infrastructure Spurring Growth in Telemedicine 16 Entry of Tier I Players Expanding Market Scope 16 Centralized EHR and EMR Driving the Need for Telemedicine 16 Increasing Acceptance of Telemedicine by Patients 17 FIGURE 4 INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS 17 KEY CHALLENGES 17 FIGURE 5 CHALLENGES IN TELEMEDICINE: ECONOMICS VERSUS CLINICAL OUTCOME TECHNICAL
3 FINANCIAL 18 Reimbursement 18 Government Funding for Telemedicine Programs 21 Companies Afraid of Lower Returns from Telemedicine 21 OPERATIONAL AND SOCIAL ISSUES 22 Training and Accreditation 22 Availability of Telecommunications Bandwidth 22 Market Awareness 23 LEGAL AND REGULATORY ISSUES 24 Device Safety and Effectiveness 24 Privacy 24 Practitioner and Facility Licensure 25 Medical Liability and Malpractice Issues 27 STANDARDS 27 TELEMEDICINE: MOVING UP IN THE VALUE CHAIN 27 FIGURE 6 TELEMEDICINE: MOVING UP IN THE VALUE CHAIN 28 TELEMEDICINE MARKET STRUCTURE OVERVIEW 28 FIGURE 7 TELEMEDICINE MARKET STRUCTURE 28 GLOBAL TELEMEDICINE MARKET 29 Telehome vs. Telehospital/Clinic Segments 29 TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2019 ($ MILLIONS) Major Geographical Segments 30 TABLE 2 TELEMEDICINE MARKET BY REGION, THROUGH 30 Technologies and Services 30 TABLE 3 TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET, THROUGH FIGURE 8 TELEMEDICINE SERVICE MARKET 31 TELEMEDICINE APPLICATIONS 32 FIGURE 9 TELEMEDICINE APPLICATION MARKET 33 TELEMEDICINE STAKEHOLDERS 33 FIGURE 10 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE 34 MARKET DYNAMICS 35 FIGURE 11 CASH COWS IN TELEMEDICINE CHAPTER 4 TELEMEDICINE TECHNOLOGIES AND GLOBAL MARKETS 37 TELEMEDICINE TECHNOLOGIES 37 FIGURE 12 MAPPING THE TECHNOLOGY VALUE CHAIN OF TELEMEDICINE 37 INTEGRATED TELEMEDICINE: TOP OF THE VALUE CHAIN 38 FIGURE 13 INTEGRATED TELEMEDICINE MODEL 38 Complex Networks Demanding Standardization across Integrated Telemedicine Open-End Technology: The Key to Integrated Medicine 39 MOVING TOWARD MORE RELIABLE AND EFFECTIVE TELEMEDICINE TECHNOLOGIES Factors Affecting Reliability of Telemedicine 39 Clinician Experience in Telemedicine 39 Imaging
4 Dermatology Applications 40 Audio Signals 40 WIDER USE OF IP-BASED CONVERGED NETWORKS IN TELEMEDICINE 40 OPTING FOR WEB- AND WIRELESS-BASED DISTRIBUTION 40 USE OF BOTH MULTIPURPOSE AND THERAPY-BASED EQUIPMENT 41 LOWERING THE COST OF TELEMEDICINE 41 INCREASING SPEED AND RELIABILITY OF DATA TRANSFER 41 Reduced Bandwidth Requirement 41 INCREASED USE OF WIRELESS TECHNOLOGIES IN TELEMEDICINE 42 Mobile Phone-Based Technologies 42 Bluetooth 42 ZigBee 42 Pervasive Monitoring 43 LAUNCHING MORE USER-FRIENDLY TECHNOLOGY 43 USING MORE COMPUTER-BASED DIAGNOSIS 44 GLOBAL MARKETS 44 GLOBAL TELEMEDICINE TECHNOLOGY: HARDWARE, SOFTWARE AND TELECOM MARKET OVERVIEW TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2019 ($ MILLIONS) TABLE 5 GLOBAL TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET, THROUGH HARDWARE 45 TABLE 6 GLOBAL TELEHOME AND TELEHOSPITAL HARDWARE MARKET, THROUGH Home Care Hardware Market 46 Equipment Segments 46 FIGURE 14 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 46 Comparing Home Care Units 46 Telehospitals/Clinics Hardware Market 47 Equipment Segments 47 Videoconferencing Systems 47 Comparing Videoconferencing Units 47 Store-and-Forward Systems 48 SOFTWARE 48 Telemedicine Software Market Overview 48 TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND TELEHOSPITALS/CLINICS, THROUGH * Comparing Telemedicine Software Companies 49 TELECOM AND NETWORKING 49 Telecom and Networking Market Overview 49 TABLE 8 GLOBAL TELEMEDICINE TELECOM AND NETWORKING FOR TELEHOME AND TELEHOSPITALS/CLINICS, THROUGH * TELEMEDICINE PATENT ANALYSIS 50 GENERAL TRENDS 50 FIGURE 15 U.S. TELEMEDICINE PATENTS, * 50 TRENDS BY TECHNOLOGY 51 FIGURE 16 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, THROUGH JULY 2014 (%)
5 TELEMEDICINE SERVICES OVERVIEW 52 TELEHOME SERVICES 52 FIGURE 17 TELEHOME SERVICES: MOVING UP IN THE VALUE CHAIN 53 TELEHOSPITAL SERVICES 53 FIGURE 18 TELEHOSPITAL B2B AND B2C SERVICES 54 OPPORTUNITIES IN TELEMEDICINE SERVICES 54 Telemedicine Facility Management Services 54 Telemedicine Services Supporting e-health 54 Telemedicine Services Supporting Home Care 54 Interoperable Telemedicine Network Services 55 Telemedicine Virtual Network Providers Services 55 Mobile Emergency Services 55 Interface between Primary and Secondary Care 56 Primary Care Kiosk-Based Services Supporting Telemedicine 56 Telenursing Services 56 24/7 Telemedicine Call Center Services 57 Support for Outsourced Medical Services 57 Telemedicine Services for Disease Management 57 Telehealth Education 58 TELEMEDICINE SERVICE MARKET 58 TABLE 9 GLOBAL TELEMEDICINE SERVICE MARKET, THROUGH * 58 TELEHOSPITAL SERVICES 58 TABLE 10 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND REAL-TIME VIDEOCONFERENCING SERVICE MARKET, THROUGH TABLE 11 GLOBAL TELEHOSPITAL STORE-AND-FORWARD SERVICES FOR THE RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY MARKET, THROUGH TABLE 12 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING SERVICES FOR CARDIOLOGY, PSYCHIATRY, AND URBAN AND RURAL MARKETS, THROUGH 2019 ($ MILLIONS)* CHAPTER 5 TELEMEDICINE APPLICATIONS 62 FIGURE 19 TELEMEDICINE APPLICATIONS: MARKET SIZE VERSUS PENETRATION 62 TELEMEDICINE APPLICATIONS OVERVIEW 62 FIGURE 20 TELEMEDICINE APPLICATIONS OVERVIEW 62 TELEMEDICINE MARKET BY APPLICATION 63 TABLE 13 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, THROUGH FIGURE 21 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, 2013 AND TELEHOSPITALS/CLINICS VIDEOCONFERENCING TECHNOLOGY MARKET BY APPLICATION TABLE 14 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD MARKET BY APPLICATION, THROUGH TABLE 15 GLOBAL TELEHOSPITALS/CLINICS REAL-TIME VIDEOCONFERENCING MARKET BY APPLICATION, THROUGH TELECARDIOLOGY 65 TELECARDIOLOGY MARKET OVERVIEW
6 TABLE 16 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2019 ($ MILLIONS)* FIGURE 22 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2013 AND 2019 ($ MILLIONS) Telecardiology: Store-and-Forward Market Overview 67 TABLE 17 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY TECH AND SERVICE MARKET, THROUGH FIGURE 23 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, 2013 AND Telecardiology: Videoconferencing Market Overview 68 TABLE 18 GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH Market Drivers 69 Healthcare Services Using Telecardiology for Early Detection of Abnormalities Hospitals Outsourcing Cardiology Image Management to Specialists Cardiac Patients Experience Higher Comfort Levels with Telecardiology Larger Number of Cardiac Patients Monitored Remotely 69 Trends in Telecardiology 69 Telecardiology Usage for Pediatric Cardiology 69 Remote Monitoring and Post-Acute Care for Telecardiology 69 Supporting Image Handling in Telecardiology 70 Supporting ECG Transmission in Telecardiology 70 Increasing Use of Web-Based Interface for Telecardiology 70 Mobile Emergency Services Opting for Telecardiology 70 TELERADIOLOGY 71 TELERADIOLOGY MARKET OVERVIEW 71 TABLE 19 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH FIGURE 24 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, 2013 AND Recent Developments Hour Services by Teleradiology Companies 72 Development of Subspecialty Centers 72 Use of Filmless Imaging 73 Dartmouth Develops Low-Bandwidth Telesonography System 73 Cloud Storage of Radiographic Imagery 73 Computer Assisted Diagnosis 73 TELEPATHOLOGY 74 TELEPATHOLOGY MARKET OVERVIEW 74 TABLE 20 GLOBAL TELEHOSPITAL STORE-AND-FORWARD PATHOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH * FIGURE 25 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD PATHOLOGY TECHNOLOGY AND SERVICE MARKET, 2013 AND Recent Trends
7 Telepathology Helps Laboratories Increase Revenues by Leveraging Mutual Global Partnerships Hospitals Reducing Pathological Cost and Increasing Promptness by Using Hybrid Systems Ultrarapid Virtual Slide Processor and Dynamic Image Telepathology Improving Telepathology Effectiveness TELEPSYCHIATRY 76 TABLE 21 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, THROUGH FIGURE 26 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, 2013 AND DERMATOLOGY 77 DERMATOLOGY MARKET OVERVIEW 77 TABLE 22 GLOBAL TELEHOSPITALS/CLINICS DERMATOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH HOSPITALS: URBAN AND RURAL TELEHEALTH VIDEOCONFERENCING APPLICATIONS FIGURE 27 TELEHOSPITAL MARKET FOR URBAN AND RURAL VIDEOCONFERENCING, 2013 AND CHAPTER 6 ECONOMICS OF TELEMEDICINE 81 BUSINESS MODELS 81 FIGURE 28 OVERVIEW OF TELEMEDICINE REVENUE MODELS 81 FIGURE 29 BUSINESS MODELS OF TELEMEDICINE 81 RISK AND REWARD SHARING MODEL 82 JOINT OPERATING MODEL 82 FACILITATOR MODEL 83 INTEGRATOR MODEL 83 SUBSCRIPTION-BASED SERVICE PROVIDER MODEL 83 PAY AS YOU GO 83 SHARED MODEL 83 TELEMEDICINE CONTRIBUTION TO HEALTHCARE PROVIDERS FINANCIAL HEALTH TOP LINE 84 Added Specialist Billing 84 Added Remote Patients 84 Avoiding the Need for Transfer from Rural Hospitals 84 BOTTOM LINE 84 Fewer Nursing Visits 84 Call-Center-Related Savings 84 PATIENT SAVINGS FROM REMOTE MONITORING 85 LOWER REHOSPITALIZATION COSTS 85 TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 85 SAVINGS ON TRAVEL COSTS 85 TELEMEDICINE: A COMPELLING BUSINESS CASE 85 POTENTIAL GLOBAL HEALTHCARE SAVINGS FROM TELEMEDICINE 85 HOME CARE MARKET INCREASINGLY ADOPTING TELEMEDICINE 86 MANY TELECOM COMPANIES VIEWING TELEMEDICINE AS KEY MARKET DIFFERENTIATOR IN LONG RUN 83 86
8 E-HEALTH MARKET USING TELEMEDICINE AS ENABLING TECHNOLOGY 86 CHAPTER 7 STAKEHOLDERS: OPPORTUNITIES ANALYSIS 88 TIER I PLAYERS 88 TIER I PLAYERS CONSOLIDATING IN THE TELEMEDICINE MARKET TO WIN THE LION S SHARE OF THE FUTURE E-HEALTHCARE MARKET HEALTHCARE COMPANIES: HOSPITALS, INSURANCE COMPANIES, CLINICS, GPS AND DISEASE MANAGEMENT COMPANIES HOSPITALS WILL USE TELEMEDICINE AS A KEY DIFFERENTIATOR 88 RURAL HOSPITALS WILL NOT LOSE REVENUES 88 ANNUAL HEALTHCARE MANAGEMENT PROGRAMS FOR PATIENTS, NONPATIENTS AND FAMILIES ON MULTIPLE BUSINESS MODELS SPECIALISTS, GENERAL PRACTITIONERS AND HEALTHCARE COMPANIES FROM LOW-COST COUNTRIES WILL SEE A GREATER DEMAND FOR OUTSOURCED MEDICAL HEALTHCARE SERVICES CLINICS AND PRIMARY CARE CONSULTANTS WILL SEE A SIGNIFICANT BENEFIT FROM TELEMEDICINE TOWARD SECONDARY CARE CONSULTATION HEALTHCARE COMPANIES ARE VIEWING TELEMEDICINE AS A TOOL TO CUT HEALTHCARE COSTS PHYSICIANS GETTING READY FOR E-VISITS 90 DISEASE MANAGEMENT COMPANIES EXPANDING TELEMEDICINE NETWORK BEYOND U.S. TELECOM AND NETWORK PLAYERS 90 TELECOM AND NETWORKING COMPANIES ARE ACTIVELY PARTICIPATING IN THE DELIVERY OF GLOBAL TELEMEDICINE SERVICES TELECOM COMPANIES SUPPORTING IP-BASED HIGH-SPEED DATA TRANSFER NETWORKS TELECOM COMPANIES PARTNERING WITH DISEASE MANAGEMENT COMPANIES TELEMEDICINE HARDWARE SUPPLIERS 91 SALES OF MORE RELIABLE PORTABLE TELEMEDICINE EQUIPMENT CAPTURING MULTIPLE CLINICAL SIGNALS ARE EXPECTED TO GROW INTEGRATED TELEMEDICINE IS THE FUTURE OF THE TELEMEDICINE MARKET SUBSCRIPTION-BASED MODELS WILL LEAD OTHER TELEMEDICINE MODELS 91 WIRELESS WEARABLE DEVICES WILL FIND INCREASING APPLICATION IN TELEMEDICINE TELERADIOLOGY, TELECARDIOLOGY, TELEPATHOLOGY AND TELEPSYCHIATRY WILL BE THE TOP FOUR APPLICATIONS TELEMEDICINE SOFTWARE PROVIDERS 92 SOFTWARE COMPANIES SUPPORT INTEGRATED TELEMEDICINE WITH OPEN-END ARCHITECTURE TELEMEDICINE INTEGRATORS: TELEHOME AND TELEHOSPITAL 92 TELEMEDICINE INTEGRATORS TO TAP INTO FAMILIES READY TO SPEND FOR CONVENIENCE OF PRIMARY HEALTHCARE TELEMEDICINE PLANS FOR MULTIPLE DISTRIBUTION CHANNELS CHAPTER 8 CONSOLIDATION AND OWNERSHIP TRENDS 94 TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS,
9 CHAPTER 9 NORTH AMERICAN MARKETS 97 SUMMARY 97 TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH PRODUCT/SERVICE SEGMENTS 97 TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH TELEHOME PRODUCTS/SERVICES 98 TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE, THROUGH TELEHOSPITAL CLINIC PRODUCTS/SERVICES 99 TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF PRODUCT/SERVICE, THROUGH Store-and-Forward vs. Teleconferencing Applications 99 TABLE 29 NORTH AMERICAN TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, THROUGH * CHAPTER 10 EU MARKETS 102 SUMMARY 102 TABLE 30 EU TELEMEDICINE MARKET, THROUGH 102 MARKET SEGMENTS 102 TELEHOME VS. TELEHOSPITAL/CLINIC 102 FIGURE 30 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, (%) COUNTRY MARKETS 103 FIGURE 31 EU TELEMEDICINE MARKET BY COUNTRY, 2013 AND 2019 (%) 103 TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH CHAPTER 11 JAPANESE MARKET 107 SUMMARY 107 FIGURE 32 JAPAN TELEMEDICINE MARKET, MARKET SEGMENTS 107 TELEHOME VS. TELEHOSPITAL/CLINIC 107 TABLE 32 JAPAN TELEMEDICINE MARKET, THROUGH 108 FIGURE 33 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENTS, (%) 108 CHAPTER 12 OTHER REGIONAL MARKETS 110 SUMMARY 110 FIGURE 34 TELEMEDICINE MARKET IN OTHER COUNTRIES, MARKET SEGMENTS 110 TELEHOME VS. TELEHOSPITAL/CLINIC 110 TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2019 ($ MILLIONS) FIGURE 35 OTHER COUNTRIES TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, (%) COUNTRY MARKETS
10 TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY COUNTRY, THROUGH FIGURE 36 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES, 2013 AND 2019 (%) CHAPTER 13 CONCLUSIONS 115 CHANGING HEALTHCARE BUSINESS MODEL COMBINED WITH THE PROLIFERATION OF WIRELESS COMMUNICATIONS FAVORS DEVELOPMENT OF TELEMEDICINE TELEMEDICINE IS A KEY DECIDING FACTOR IN INCREASING COMPANIES SHARE OF THE E-HEALTHCARE MARKET TELEMEDICINE IS GAINING ACCEPTANCE 115 TELEMEDICINE WILL ONLY REALIZE ITS FULL MARKET POTENTIAL AFTER ITS FULL INTEGRATION WITH THE HEALTHCARE SYSTEM DESPITE NO CLEAR POLICY ON REIMBURSEMENTS, HEALTHCARE PLAYERS ARE ACTIVELY PURSUING TELEMEDICINE RELIABILITY IS THE KEY BUYING CRITERIA FOR TELEMEDICINE TECHNOLOGY 116 TELEMEDICINE OFFERS A POTENTIAL ONE-STOP SOLUTION FOR TELEHOME AND TELEHOSPITAL TELEMEDICINE IS CREATING OPPORTUNITIES FOR ALL STAKEHOLDERS CHAPTER 14 APPENDIX A: COMPANY PROFILES 118 TELEMEDICINE HARDWARE SUPPLIERS 118 AEROTEL MEDICAL SYSTEMS LTD. 118 CARDIOCOM 118 HEALTH FRONTIER INC. 118 INTERNATIONAL BUSINESS MACHINES CORP. 119 INTOUCH TECHNOLOGIES 119 MEDICAL INTERNATIONAL RESEARCH 120 MEDTRONIC INC. 120 OBS MEDICAL 121 ROCHE DIAGNOSTICS 121 SCOTTCARE CORP. 122 SIEMENS HEALTHCARE 122 TELEMEDICINE SOFTWARE PROVIDERS 122 3M HEALTH INFORMATION SYSTEMS 122 AGFA HEALTHCARE NV 123 ALLSCRIPTS HEALTHCARE SOLUTIONS INC. 123 MEDIC4ALL 123 NUMERA 124 VAMSTEC 124 VIDEOCONFERENCING COMPANIES 124 DOCTORS TELEHEALTH NETWORK 124 LIFESIZE COMMUNICATIONS 125 POLYCOM 125 SONY CORP. OF AMERICA 125 TELECOM PLAYERS 126 ALCATEL-LUCENT 126 AT&T 126
11 CISCO 127 VERIZON COMMUNICATIONS INC. 127 TELEMEDICINE INTEGRATORS 127 AMD TELEMEDICINE INC. 127 AMERICAN TELECARE INC. 128 CARETRENDS 128 CYBERNET MEDICAL CORP. 128 HONEYWELL HOMMED 129 LIFEWATCH AG 129 ROBERT BOSCH HEALTHCARE 130 SHL TELEMEDICINE LTD. 130 VITEL INC. 131 VITERION TELEHEALTHCARE 131 ZYDACRON 131 HOSPITALS 132 APOLLO HOSPITALS 132 JOHNS HOPKINS MEDICINE 132 MASSACHUSETTS GENERAL HOSPITAL 133 KANSAS UNIVERSITY CENTER FOR TELEMEDICINE AND TELEHEALTH 133 UNIVERSITY OF KENTUCKY CHANDLER HOSPITAL 133 UNIVERSITY OF PITTSBURGH MEDICAL CENTER 134 CHAPTER 15 APPENDIX B: TELEMEDICINE PROGRAMS 136 TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS 136 CHAPTER 16 APPENDIX C: ACRONYMS 151 ACRONYMS 151
12 LIST OF TABLES TABLE HEADING SUMMARY TABLE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC MARKET, THROUGH TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2019 ($ MILLIONS) TABLE 2 TELEMEDICINE MARKET BY REGION, THROUGH 30 TABLE 3 TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET, THROUGH TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2019 ($ MILLIONS) TABLE 5 GLOBAL TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET, THROUGH TABLE 6 GLOBAL TELEHOME AND TELEHOSPITAL HARDWARE MARKET, THROUGH TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND TELEHOSPITALS/CLINICS, THROUGH * TABLE 8 GLOBAL TELEMEDICINE TELECOM AND NETWORKING FOR TELEHOME AND TELEHOSPITALS/CLINICS, THROUGH * TABLE 9 GLOBAL TELEMEDICINE SERVICE MARKET, THROUGH * 58 TABLE 10 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND REAL-TIME VIDEOCONFERENCING SERVICE MARKET, THROUGH TABLE 11 GLOBAL TELEHOSPITAL STORE-AND-FORWARD SERVICES FOR THE RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY MARKET, THROUGH TABLE 12 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING SERVICES FOR CARDIOLOGY, PSYCHIATRY, AND URBAN AND RURAL MARKETS, THROUGH 2019 ($ MILLIONS)* TABLE 13 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, THROUGH TABLE 14 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD MARKET BY APPLICATION, THROUGH TABLE 15 GLOBAL TELEHOSPITALS/CLINICS REAL-TIME VIDEOCONFERENCING MARKET BY APPLICATION, THROUGH TABLE 16 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2019 ($ MILLIONS)* TABLE 17 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY TECH AND SERVICE MARKET, THROUGH TABLE 18 GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH TABLE 19 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH TABLE 20 GLOBAL TELEHOSPITAL STORE-AND-FORWARD PATHOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH * TABLE 21 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, THROUGH TABLE 22 GLOBAL TELEHOSPITALS/CLINICS DERMATOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 85 TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS, TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
13 TABLE HEADING TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE, THROUGH TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF PRODUCT/SERVICE, THROUGH TABLE 29 NORTH AMERICAN TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, THROUGH * TABLE 30 EU TELEMEDICINE MARKET, THROUGH 102 TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH 2019 ($ MILLIONS) TABLE 32 JAPAN TELEMEDICINE MARKET, THROUGH 108 TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2019 ($ MILLIONS) TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY COUNTRY, THROUGH TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS
14 LIST OF FIGURES FIGURE TITLE SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC SERVICE MARKET, FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 10 FIGURE 2 FACTORS INFLUENCING THE TELEMEDICINE MARKET 11 FIGURE 3 TELEMEDICINE: KEY TO E-HEALTHCARE, CHANGING HEALTHCARE PARADIGMS FIGURE 4 INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS 17 FIGURE 5 CHALLENGES IN TELEMEDICINE: ECONOMICS VERSUS CLINICAL OUTCOME 17 FIGURE 6 TELEMEDICINE: MOVING UP IN THE VALUE CHAIN 28 FIGURE 7 TELEMEDICINE MARKET STRUCTURE 28 FIGURE 8 TELEMEDICINE SERVICE MARKET 31 FIGURE 9 TELEMEDICINE APPLICATION MARKET 33 FIGURE 10 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE 34 FIGURE 11 CASH COWS IN TELEMEDICINE 35 FIGURE 12 MAPPING THE TECHNOLOGY VALUE CHAIN OF TELEMEDICINE 37 FIGURE 13 INTEGRATED TELEMEDICINE MODEL 38 FIGURE 14 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 46 FIGURE 15 U.S. TELEMEDICINE PATENTS, * 50 FIGURE 16 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, THROUGH JULY 2014 (%) FIGURE 17 TELEHOME SERVICES: MOVING UP IN THE VALUE CHAIN 53 FIGURE 18 TELEHOSPITAL B2B AND B2C SERVICES 54 FIGURE 19 TELEMEDICINE APPLICATIONS: MARKET SIZE VERSUS PENETRATION 62 FIGURE 20 TELEMEDICINE APPLICATIONS OVERVIEW 62 FIGURE 21 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, 2013 AND FIGURE 22 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2013 AND 2019 ($ MILLIONS) FIGURE 23 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, 2013 AND FIGURE 24 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, 2013 AND FIGURE 25 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD PATHOLOGY TECHNOLOGY AND SERVICE MARKET, 2013 AND FIGURE 26 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, 2013 AND FIGURE 27 TELEHOSPITAL MARKET FOR URBAN AND RURAL VIDEOCONFERENCING, 2013 AND FIGURE 28 OVERVIEW OF TELEMEDICINE REVENUE MODELS 81 FIGURE 29 BUSINESS MODELS OF TELEMEDICINE 81 FIGURE 30 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, (%) FIGURE 31 EU TELEMEDICINE MARKET BY COUNTRY, 2013 AND 2019 (%) 103 FIGURE 32 JAPAN TELEMEDICINE MARKET, FIGURE 33 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENTS, (%) 108 FIGURE 34 TELEMEDICINE MARKET IN OTHER COUNTRIES, FIGURE 35 OTHER COUNTRIES TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, (%)
15 FIGURE TITLE FIGURE 36 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES, 2013 AND 2019 (%) 113
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