m-health definition J son & Partners [registered trade mark]. 1

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1 J son & Partners Consulting company presents the main results of the research: m-health market in Russia and worldwide: main tendencies and forecasts. Main goal is to analyze m-health market and to define the main development tendencies in Russia and worldwide. m-health definition m-health definition usually includes services, initiatives, programs and other activities in the medical and health sphere, that had been realized with the use of mobile devices (telephones, smartphones, Tablet PCs) and different wireless technologies. Generally m-health is the use of mobile technologies for medical services and information in health care. m-health is a part of more widely known e-health definition. m-health projects help to solve different tasks such as increasing access to health care and health-related information; increase the possibility for diagnostics, monitoring and timely tracking of diseases; provide useful information about public health system; expanding access to medical education and professional trainings for medical staff. One of the current trends in global health is the providing of services in the health care sphere via mobile phones and smarphones. In m-health terms implemented different services with various complex technologies: Projects using bulk SMS aiming to inform (the initiators can be government, public organizations, pharmaceutical companies, etc.) Mobile TeleMedicine; Apps that can be downloaded from the internet apps shops and are being used for different purposes (fitness, informational, etc.) Complex apps/platforms for mobile phones, with the integrated opportunities/ or special devices for metering key life indicators sugar level, pressure etc. 1

2 Mobile Health is effectively used in the treatment and prevention of communicable and non-communicable diseases, care of the elderly population, informing pregnant women in order to prevent child and maternal mortality. The fastest growing segment of the m-health market is a mobile application for smartphones. Four main categories of mobile applications can be emphasized: general health and fitness (fitness, nutrition, etc.), medical information (manuals, information, diagnosis and education), remote consultation and monitoring, health management (electronic records of patients, logical and billing support). m-health market in the world m-health market is establishing. It consists of several segments, such as mobile medical applications or compatible mobile medical equipment, services, etc. The largest part of m-health project in the world - 46% - implemented in the field of health, in second place - the sphere of prevention of diseases (27% of the projects). It should be noted that one project can be implemented in several categories. Fig.. 1. Implemented projects in m-health sphere by categories, 2013 Source: GSMA, mhealth Tracker Projects purposes and the primary tasks vary from country to country: in developed countries, services, and services are aimed primarily at improving the quality of life, the level of medical services; in developing countries - to address urgent health issues such as the fight against AIDS, access to health services. United States is the most developed market by number of m-health projects projects, equivalent to 18% of the total. The UK implemented the largest number of projects among the countries of Western Europe. The second highest number of m-health projects in Western Europe is Spain - 11 projects; in third is Sweden - 8 projects. Most of the projects launched by the m-health in Europe devoted to the monitoring of patients with chronic diseases and elderly people living alone. Among other developed countries with a relatively high number of m-health projects can be identified Canada, South Korea and Australia. The table presents data for 15 countries. 2

3 Table 1. Top 15 countries by number of m-health projects, 2013 Range Country Number of projects Share 1 USA % 2 South Africa 63 7% 3 India 48 5% 4 Uganda 48 5% 5 Kenya 44 5% 6 UK 35 4% 7 Tanzania 26 3% 8 Bangladesh 20 2% 9 Mexico 19 2% 10 Ghana 18 2% 11 Nigeria 16 2% 12 China 15 2% 13 Malawi 15 2% 14 Philippines 14 1% 15 Canada 13 1% Source: GSMA, mhealth Tracker The key areas of m-health apps in developing countries are: education and awareness, remote data collection about diseases and patients, remote monitoring, communication, and training of medical workers, tracking disease outbreaks and epidemics, support diagnosis and treatment. Additionally, the most urgent problem to be solved in developing countries is: maternal and child health and infectious diseases. South Africa is the second largest in the world by number of projects. India, along with Uganda is in third place. m-health market in Russia In Russia, a state program of development and modernization of health care had been accepted. Special attention is paid to the informatization of the industry. Plan of Health informatization is synchronized with the overall program of health care until Under this program the following services are planning and implementing: An electronic entry to the doctor via universal recording system on the public services portal An electronic medical records An electronic prescription Register of high-tech medical care in an electronic form An electronic medical library TeleMedical consultaions, systems of videoconferencing Distance monitoring and screening of patients with chronic diseases Service: patient s personal account According to J son & Partners Consulting around 16 projects and services of m-health are presented in Russia. For users of mobile phones and smartphones available both free and paid apps in app stores. In all operators of Big 3 started to provide services and/or conclude the partnerships agreements in m-health sphere. 3

4 In Russia among the main barriers for m-health market development emphasize: low level of informatization of the Russian medical institutions, poor command of the IT culture among nurses, conservatism of physicians and patients. Nevertheless, according to the market participants forecasts, the m-health market will rapidly expand; doctors, patients (especially in large cities) will go for providing and receiving medical services via mobile technologies. Market barriers and drivers The most significant driver of m-health market is a fast growing penetration of smartphones, the demand for m-health by patients/users, the implementation of patient-oriented models in the field of medical services, technological innovation and easy access to mobile solutions. The increase in the target groups, reducing costs of m-health solutions, increasing number of companies partnerships, new innovative market players, and costs reduction are among the important factors. Consumer non-readiness is a constraint factor for m-health market development. Patients and physicians are unaware of the existence of m-health solutions or cannot find them. On the other hand, cost is the most important barrier for m-health and often patients are not willing to pay for high-tech solutions. Information security is also a barrier, as it includes a wide range of questions on data privacy protection and data security. As a result, the target audience of m-health (the elderly population, people with chronic diseases) has a low penetration rate of smartphones, which is an additional constraint to the development of m-health market. The m-health market is relatively new and some problems need to be solved: development of a system of interaction between participants, the choice of the most successful business models, building partnerships, developing universal regulations and standards. Trends and forecasts of m-health market development According to Research2Guidance, almost 500 mln of 1.4 bln. Smartphone users in 2015 will be using m- Health apps. Smartphone aps will become a killer application for many m-health solutions. The price reduction will only encourage this process. Average price for apps in Android Market dropped from 7,74 USD in 2010 to 4,31 USD in 2012, Blackberry from 22,12 to 16,23 USD, Windows from 4,99 to 2,99. Furthermore, with the market development, distribution of m-health solutions channels will change 4

5 Fig.. 2. The main distribution channels of m-health solutions, 2010 vs 2015, % respondents Source: Research2Guidance «Global mhealth Developer Survey» 5

6 The full results of the research are included in the report «m-health market in Russia and worldwide: main tendencies and forecasts (121 pages) Content Introduction Resume 1. Definition of m-health 1.1. Definition and role of m-health Definition, direction and technology of - Health Tasks to solve and advantages of m-health 1.2. Prerequisites for m-health development Government Initiatives Availability of the mobile technologies Smartphone market development Other aspects 1.3. Ecosystem m-health and key market players roles Mobile operators Healthcare Providers Equipment vendors Content/apps providers 1.4. m-health services categories 1.5. Mobile applications for m-health: main categories and usage 2. m-health market in the world 2.1. The volume of the m-health market in the world 2.2. M-Health in the developed countries USA The countries of Western Europe Other countries 2.3. The use of m-health in developing regions India and Bangladesh African countries Asian region 3. Market barriers and drivers 4. Trends and prospects of m-health market development 5. m-health market in Russia 5.1. Market development in Russia The level of development of mobile technologies in Russia Legislative initiatives in m-health Indicators of m-health development 5.2. m-health projects in Russia 5.3. Trends and prospects of Russian market development Summary and Conclusions 6

7 List of Figures Fig. 1. Structure of classification of m-health services Fig. 2. The penetration of mobile contracts in the world, per 100 residents, Fig. 3. Penetration of active mobile broadband contracts in the world, per 100 residents, Fig. 4. The volume of the mobile phone market in the world, bln. of phones, Fig. 5. Structure of the global mobile phone market in physical terms, by device type, Fig. 6. Stracture of supplies of smart phones by country, in real terms, 2013 Fig. 7. The volume of the tablet PC market in the world, mln.pcs Fig. 8. The death rate from infectious and non-infectious diseases in some countries Fig. 9. Top 6 types of organizations by number of m-health projects Fig. 10. Implemented projects in the m-health sphere by category, 2013 Fig. 11. M-Health market forecast, , bln.usd Fig. 12. M-health market structure by categories, 2017, share Fig. 13. M-health market structure by types of market participants, 2017, share Fig. 14. M-health market structure by countries, 2017, share Fig. 15. The best distribution channels for m-health solutions in 2010 vs 2015,% of respondents Fig. 16. The penetration of mobile contracts in Russia, 100 residents, Fig. 17. The volume of the smartphone market in Russia, mln pcs, Fig. 18. The volume of the tablet PC market in Russia, mln pcs, Fig. 19. The structure of the tablet PC market in Russia in physical terms by OS, List of tables Table 1. Advantages of m-health for different social groups Table 2. Top 15 countries by number of m-health projects, 2013 Table 3. Examples of projects in m-health sphere Table 4. Solution for a patient: directions, technologies and main characteristics of m-health Table 5. Health system strengthening : directions, technologies and main characteristics of m-health Table 6. The complexity of the health care system in the developed and developing countries Table 6. Indicators of the health system in different countries Table 7. The main causes of death in countries with different income, mln Table 8. The potential effect of the use of m-health in Health Care Table 9. Advantages of m-health for different social groups Table 10. The number of mobile phone contracts in the world, , mln. Table 11. Top 10 mobile markets by number of mobile contracts, bln, Table 12. The number of active mobile broadband contracts, , mln. Table 13. The penetration of mobile broadband services in some countries, mln, Table 14. The structure of the smartphone market in physical terms by the type of operating system in the world, Table 15. Examples of m-health projects implemented by the mobile network operators Table 16. Examples of m-health projects implemented by the mobile network operators Table 17. Key market players of m-health ecosystem Table 18. Categories of m-health Table 19. Types and the popularity of mobile applications Table categories of m-health apps Table 21. Some estimates of m-health market capacity in the world, bln.usd Table 22. Top 15 countries by number of m-health projects, 2013 Table 23. Some estimates of m-health market capacity in the USA, bln.usd Table 24. Top 10 countries in West Europe by number of m-health projects, 2013 Table 25. Top 11 African countries by number of m-health projects, 2013 Table 26. Top 7 Asian countries by number of m-health projects, 2013 Table 27. The main drivers of m-health market Table 28. m-health market barriers Table 29. Top 10 countries by revenue from m-health, 2017, bln. USD Table 30. The stages of m-health apps market development Table 31. The number of mobile phone contracts in Russia, , mln. Table 32. Key indicators of development of mobile network in Russia, in 2012, mln Table 33. Smartphone market structure in physical terms by operational system in Russia,

8 List of companies mentioned in the Report AdWatch Alive Technologies Apple Astmapolis AT&T Biotronik British Telecom, China Mobile Cisco France Telecom. FT/DT General Elelectric Healthcare GlaxoSmithKline Google Hewlett-Packard Homemonitor Ideal Life My Hospital 24/7 O2 Pfizer Sanofi Diabtes Telenor TeliaSonera Terremark T-Mobile Verizon Wireless Verizon Vodafone Welldoc Армада ASUSU Gradient Vimpelcom Glavstandart Clinic Themba Lethu of Helen Joseph hospital Megafon MTS RPE «Test» Post Modern Technology The newsletter was prepared by the J'son & Partners Consulting Company. We exert every effort to provide actual and forecasting data representing the situation in full and available at the time of the publication of the material. J'son & Partners Consulting reserves the right of revising the data after publication of some new official information by individual players. CONTACT FOR MORE INFORMATION: Pavel Ermolich Commercial Director 8