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eRx (Electronic Prescribing/e-Prescribing) Market By Hardware, Software, Services, End-users (Medical Group Practice & Hospitals), Products (Integrated & Standalone Systems) & Deployment (Licensed, Web-hosted & Cloud) – Global Forecasts to 2017

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eRx (Electronic Prescribing/e-Prescribing) Market By Hardware, Software, Services, End-users (Medical Group Practice & Hospitals), Products (Integrated & Standalone Systems) & Deployment (Licensed, Web-hosted & Cloud) – Global Forecasts to 2017

Publication date: January 2013
Report size: 219 pages

Keywords : hospital

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Electronic prescribing can be considered as one important aspect of a larger technological transformation in the healthcare industry. Electronic prescribing is rapidly becoming a standard of practice in the developed countries of the world and a significant rise is seen in the adoption rate among hospitals and office-based prescribers. eRx empowers more informed decision making by making patient formulary, eligibility and medication history information available at the point that prescribing decisions are made. This report analyzes the global market for e-Prescribing systems by product (stand-alone and integrated), deployment modes, usage modes, components, end-users, and geography.

The healthcare industry is witnessing an increased adoption of eRx systems due to the pressing need to curtail healthcare costs, while maintaining the quality of care provided to patients and reduce medication errors and adverse drug events (ADEs). This is expected to drive the market at a CAGR of 26% from 2012 to 2017. The global e-prescription market was pegged at $170 million in 2011 and North America is expected to be the leading region to drive the growth of the market due to increased adoption of eRx systems in this region, particularly in the U.S.

High cost of the e-Prescribing systems and resistance to adoption of technology, by the physician fraternity, restrain the growth of this market. The market is also witnessing a growing demand for integrated e-prescription systems, facilitating the healthcare community to shift towards the implementation of a complete electronic health record system.

The healthcare industry is plagued by the issue of privacy and maintaining security of patient data. This has been a roadblock for the entry of any new technological solution in the healthcare industry which involves patient data or patient medical records. Moreover, the limited access for experts opinion and technically trained IT professionals is expected to negatively impact the market because there is lack of awareness among end users mainly prescribers, pharmacist and associated staff regarding the working and function of applications, best vendors available in the market, cost of software and long term service provision.

Key players in the market are Cerner Corporation (U.S.), Allscripts (U.S.), Quality Systems, Inc. (U.S.), Emdeon (U.S.), and Athenahealth (U.S.).

Scope of the Report

The scope of the report spans the electronic prescribing systems market which comprises:

Global e-Prescribing Systems Market
By Type
Stand-alone systems
Integrated systems
By Component
Hardware
Software
Services
By Delivery Mode
Licensed (on-premise)
Web-hosted
Cloud hosted
By Usage Mode
PC-based
Hand-held
By End-user
Hospitals
Office-based physicians
By Geography
North America
Europe
Asia-Pacific
Rest of the World (RoW)

Each section of the report offers market data for the various market segments and geographies. It also provides market trends with respect to drivers, restraints, and opportunities.

Global Medical Facility Industry

TABLE OF CONTENTS

1 INTRODUCTION 18

1.1 KEY TAKE-AWAYS 18
1.2 REPORT DESCRIPTION 18
1.3 MARKETS COVERED 19
1.4 STAKEHOLDERS 20
1.5 RESEARCH METHODOLOGY 20
1.5.1 MARKET SIZE 20
1.5.2 KEY DATA POINTS FROM SECONDARY SOURCES 21
1.5.3 KEY DATA POINTS FROM PRIMARY SOURCES 21
1.5.4 ASSUMPTIONS 21

2 EXECUTIVE SUMMARY 22

3 MARKET OVERVIEW 24

3.1 E-PRESCRIBING SYSTEM 25
3.1.1 E-PRESCRIBING PROCESS 26
3.1.2 PRESCRIBER 27
3.1.3 TRANSACTION HUB 28
3.1.4 PHARMACY 28
3.1.5 PHARMACY BENEFIT MANAGER 28
3.2 MARKET SEGMENTATION 29
3.3 MARKET DYNAMICS 30
3.3.1 DRIVERS 30
3.3.1.1 Government initiatives & incentive programs contribute to the growth of e-Prescribing systems across the globe 30
3.3.1.2 The MIPPA e-Prescribing incentive programme launched by Medicare spur the adoption of e-Prescribing systems 30
3.3.1.3 e-Prescribing leads to significant savings for the healthcare industry 31
3.3.1.4 Better quality of healthcare and minimization of errors 32
3.3.2 RESTRAINTS 32
3.3.2.1 Physician’s reluctance to adoption of technology 32
3.3.2.2 Poor infrastructure intensifies complications 32
3.3.2.3 Financial constraints due to added costs as compared to traditional prescription systems 33
3.3.3 OPPORTUNITY 33
3.3.3.1 Increased collaboration between software vendors and network providers to offer cost efficient products in the market 33
3.3.4 MARKET SHARE ANALYSIS, BY KEY PLAYERS 34

4 BENEFITS & CHALLENGES OF E-PRESCRIBING SYSTEMS 36

4.1 BENEFITS OF E-PRESCRIBING 37
4.1.1 IMPROVED PATIENT SAFETY & QUALITY OF CARE 37
4.1.2 REDUCES THE TIME REQUIRED TO COMMUNICATE WITH PHARMACIES 37
4.1.3 AUTOMATED RENEWAL REQUEST & AUTHORIZATION PROCESS 37
4.1.4 CONNECTS WITH THE ENTIRE HEALTHCARE DELIVERY PROCESS 38
4.2 CHALLENGES FOR E-PRESCRIBING 38
4.2.1 COSTS OF IMPLEMENTATION & RETURNS 38
4.2.2 RESISTANCE TO CHANGE 38
4.2.3 HARDWARE & SOFTWARE SELECTION 39
4.2.4 SECURITY & PRIVACY 39
4.2.5 SYSTEM DOWNTIME 39

5 GLOBAL E-PRESCRIPTION MARKET, BY PRODUCT TYPE 41

5.1 INTRODUCTION 42
5.1.1 STAND-ALONE SYSTEMS 43
5.1.2 INTEGRATED SYSTEMS 48
5.1.3 COST COMPONENTS OF AN E-PRESCRIBING SYSTEM 52

6 GLOBAL E-PRESCRIBING MARKET, BY COMPONENT 54

6.1 INTRODUCTION 55
6.2 SOFTWARE 56
6.3 HARDWARE 58
6.3.1 ACCESS DEVICES 60
6.3.2 PERIPHERALS 60
6.3.3 SERVERS 60
6.3.4 STORAGE DEVICES 60
6.3.5 NETWORKING DEVICES 61
6.4 SERVICES 61
6.4.1 CONSULTING 61
6.4.2 IMPLEMENTATION SERVICES 62
6.4.3 POST-SALE & MAINTENANCE 62
6.4.4 TRAINING SERVICES 62

7 GLOBAL E-PRESCRIBING MARKET, BY DELIVERY MODE 65

7.1 INTRODUCTION 66
7.2 ON-PREMISE 68
7.3 WEB-BASED 71
7.3.1 BENEFIT OF WEB-BASED DELIVERY MODEL 73
7.3.1.1 Anytime, anywhere access at reduced cost 73
7.4 CLOUD 73
7.4.1 CLOUD SET TO GROW AS THE MOST PREFERRED DELIVERY MODEL 74

8 GLOBAL E-PRESCRIBING MARKET, BY USAGE MODE 77

8.1 INTRODUCTION 78
8.2 PC-BASED 79
8.3 HAND-HELD 81

9 GLOBAL E-PRESCRIBING MARKET, BY END-USER 84

9.1 INTRODUCTION 85
9.2 HOSPITALS 86
9.3 OFFICE-BASED PHYSICIANS 87

10 E-PRESCRIPTION MARKET, BY GEOGRAPHY 90

10.1 INTRODUCTION 91
10.2 NORTH AMERICA 92
10.2.1 U.S. 94
10.2.2 CANADA 94
10.2.2.1 Privacy considerations affect growth of eRx market in Canada 95
10.3 EUROPE 101
10.3.1 EUROPEAN EMR ADOPTION MODEL 102
10.3.1.1 U.K. 103
10.3.1.2 Denmark 103
10.3.1.3 Sweden 103
10.3.1.4 The Netherlands 104
10.3.1.5 France 104
10.3.1.6 RoE 104
10.4 ASIA-PACIFIC 117
10.5 ROW 130

11 COMPETITIVE LANDSCAPE 132

11.1 INTRODUCTION 132
11.2 MERGERS & ACQUISITIONS 133
11.3 COLLABORATIONS/PARTNERSHIPS/AGREEMENTS/JOINT VENTURES 139
11.4 NEW PRODUCT DEVELOPMENTS/PRODUCT MODIFICATION 146
11.5 OTHERS 153

12 COMPANY PROFILES 154

12.1 ABEL MEDICAL SOFTWARE, INC. 154
12.2 ALLSCRIPTS HEALTHCARE SOLUTIONS, INC. 157
12.3 ATHENAHEALTH, INC. 164
12.4 BIZMATICS, INC. 169
12.5 CERNER CORPORATION 172
12.6 DRFIRST, INC. 178
12.7 ECLINICALWORKS, LLC 182
12.8 EMDEON, INC. 185
12.9 E-MDS, INC. 189
12.10 IMEDX, INC. 192
12.11 INSTANTDX, LLC (A SUBSIDIARY OF IMMUNOMATRIX, INC.). 196
12.12 HENRY SCHEIN MEDICAL SYSTEM, INC. (A SUBSIDIARY OF HENRY SCHEIN, INC.) 198
12.13 NEWCROPRX, LLC 202
12.14 PRACTICE FUSION, INC. 205
12.15 QUALITY SYSTEM, INC. 208
12.16 SURESCRIPTS-RXHUB, LLC 215

LIST OF TABLES

TABLE 1 GLOBAL E-PRESCRIBING MARKET, BY PRODUCT TYPE, 2010 – 2017 ($MILLION) 22
TABLE 2 CMS ELECTRONIC PRESCRIBING INCENTIVE PROGRAM 31
TABLE 3 GLOBAL STAND-ALONE E-PRESCRIBING MARKET, BY COMPONENT, 2010 – 2017 ($MILLION) 44
TABLE 4 GLOBAL STAND-ALONE E-PRESCRIBING MARKET, BY DELIVERY MODE, 2010 – 2017 ($MILLION) 45
TABLE 5 GLOBAL STAND-ALONE E-PRESCRIBING MARKET, BY USAGE MODE, 2010 – 2017 ($MILLION) 46
TABLE 6 GLOBAL STAND-ALONE E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 47
TABLE 7 STAND-ALONE SYSTEMS E-PRESCRIBING MARKET, BY GEOGRAPHY, 2010 – 2017 ($MILLION) 48
TABLE 8 GLOBAL INTEGRATED E-PRESCRIBING MARKET, BY COMPONENT,
2010 – 2017 ($MILLION) 49
TABLE 9 GLOBAL INTEGRATED E-PRESCRIBING MARKET, BY DELIVERY MODE, 2010 – 2017 ($MILLION) 50
TABLE 10 GLOBAL INTEGRATED E-PRESCRIBING MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 50
TABLE 11 GLOBAL INTEGRATED E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 51
TABLE 12 INTEGRATED SYSTEMS E-PRESCRIBING MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 52
TABLE 13 GLOBAL E-PRESCRIBING MARKET, BY COMPONENTS,
2010 – 2017 ($MILLION) 56
TABLE 14 GLOBAL E-PRESCRIBING SOFTWARE MARKET, BY DELIVERY MODE, 2010 – 2017 ($MILLION) 57
TABLE 15 E-PRESCRIBING SOFTWARE MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 58
TABLE 16 GLOBAL E-PRESCRIBING HARDWARE MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 59
TABLE 17 E-PRESCRIBING HARDWARE MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 59
TABLE 18 GLOBAL E-PRESCRIBING SERVICES MARKET, BY END-USER,
2010 – 2017 ($MILLION) 63
TABLE 19 E-PRESCRIBING SERVICES MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 64
TABLE 20 GLOBAL E-PRESCRIBING MARKET, BY DELIVERY MODE,
2010 – 2017 ($MILLION) 68
TABLE 21 ON-PREMISE E-PRESCRIBING MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 69
TABLE 22 GLOBAL ON-PREMISE E-PRESCRIBING MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 70
TABLE 23 GLOBAL ON-PREMISE E-PRESCRIBING MARKET, BY END-USERS,
2010 – 2017 ($MILLION) 70
TABLE 24 WEB-BASED E-PRESCRIBING MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 71
TABLE 25 GLOBAL WEB-BASED E-PRESCRIBING MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 72
TABLE 26 GLOBAL WEB-BASED E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 72
TABLE 27 CLOUD E-PRESCRIBING MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 74
TABLE 28 GLOBAL CLOUD E-PRESCRIBING MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 75
TABLE 29 GLOBAL CLOUD E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 75
TABLE 30 GLOBAL E-PRESCRIBING MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 79
TABLE 31 PC-BASED E-PRESCRIBING MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 80
TABLE 32 GLOBAL PC-BASED E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 81
TABLE 33 HAND-HELD E-PRESCRIBING MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 82
TABLE 34 GLOBAL HAND-HELD E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 83
TABLE 35 GLOBAL E-PRESCRIBING MARKET, BY END-USER,
2010 – 2017 ($MILLION) 85
TABLE 36 E-PRESCRIBING HOSPITALS MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 86
TABLE 37 E-PRESCRIBING OFFICE BASED PHYSICIANS MARKET, BY GROUP SIZE, 2010 – 2017 ($MILLION) 88
TABLE 38 E-PRESCRIBING PGP MARKET, BY GEOGRAPHY,
2010 – 2017 ($MILLION) 89
TABLE 39 E-PRESCRIBING MARKET BY GEOGRAPHY, 2010 – 2017 ($MILLION) 92
TABLE 40 NORTH AMERICA: E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 93
TABLE 41 NORTH AMERICA: STAND-ALONE E-PRESCRIBING MARKET,
BY COUNTRY, 2010 – 2017 ($MILLION) 95
TABLE 42 NORTH AMERICA: INTEGRATED E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 96
TABLE 43 NORTH AMERICA: HARDWARE E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 96
TABLE 44 NORTH AMERICA: SOFTWARE E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 97
TABLE 45 NORTH AMERICA: SERVICES E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 97
TABLE 46 NORTH AMERICA: ON-PREMISE E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 98
TABLE 47 NORTH AMERICA: WEB-BASED E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 98
TABLE 48 NORTH AMERICA: CLOUD E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 99
TABLE 49 NORTH AMERICA: PC-BASED E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 99
TABLE 50 NORTH AMERICA: HANDHELD E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 100
TABLE 51 NORTH AMERICA: HOSPITAL E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 100
TABLE 52 NORTH AMERICA: OFFICE-BASED PHYSICIANS E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 101
TABLE 53 EUROPE: E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 105
TABLE 54 EUROPE: STAND-ALONE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 106
TABLE 55 EUROPE: INTEGRATED E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 107
TABLE 56 EUROPE: HARDWARE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 108
TABLE 57 EUROPE: SOFTWARE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 109
TABLE 58 EUROPE: SERVICES E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 110
TABLE 59 EUROPE: ON–PREMISE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 111
TABLE 60 EUROPE: WEB-HOSTED E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 112
TABLE 61 EUROPE: CLOUD E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 113
TABLE 62 EUROPE: PC-BASED E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 114
TABLE 63 EUROPE: HANDHELD E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 115
TABLE 64 EUROPE: HOSPITAL E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 116
TABLE 65 EUROPE: OFFICE-BASED PHYSICIAN E-PRESCRIBING MARKET,
BY COUNTRY, 2010 – 2017 ($MILLION) 117
TABLE 66 APAC: E-PRESCRIBING MARKET, BY COUNTRY, 2010 – 2017 ($MILLION) 118
TABLE 67 APAC: STAND-ALONE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 119
TABLE 68 APAC: INTEGRATED E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 120
TABLE 69 APAC: HARDWARE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 121
TABLE 70 APAC: SOFTWARE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 122
TABLE 71 APAC: SERVICES E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 123
TABLE 72 APAC: ON–PREMISE E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 124
TABLE 73 APAC: WEB-HOSTED E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 125
TABLE 74 APAC: CLOUD E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 126
TABLE 75 APAC: PC-BASED E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 127
TABLE 76 APAC: HANDHELD E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 128
TABLE 77 APAC: HOSPITAL E-PRESCRIBING MARKET, BY COUNTRY,
2010 – 2017 ($MILLION) 129
TABLE 78 APAC: OFFICE-BASED PHYSICIAN E-PRESCRIBING MARKET,
BY COUNTRY, 2010 – 2017 ($MILLION) 130
TABLE 79 MERGERS & ACQUISITIONS, 2010 – 2012 134
TABLE 80 COLLABORATIONS/PARTNERSHIPS/AGREEMENTS/ JOINT VENTURES, 2010 – 2012 139
TABLE 81 NEW PRODUCT DEVELOPMENTS/PRODUCT MODIFICATION,
2010 – 2012 146
TABLE 82 OTHER STRATEGIES, 2010 – 2012 153
TABLE 83 ALLSCRIPTS: TOTAL REVENUE AND R&D EXPENDITURE,
2009 – 2011 ($MILLION) 158
TABLE 84 ALLSCRIPTS: TOTAL REVENUE, BY SEGMENT, 2009 – 2011 ($MILLION) 159
TABLE 85 ALLSCRIPTS: TOTAL REVENUE, BY GEOGRAPHY,
2009 – 2011 ($MILLION) 160
TABLE 86 ATHENAHEALTH: TOTAL REVENUE AND R&D EXPENDITURE,
2009 – 2011 ($MILLION) 165
TABLE 87 CERNER CORPORATION: TOTAL REVENUE AND R&D EXPENDITURE, 2009 – 2011 ($MILLION) 173
TABLE 88 CERNER CORPORATION: TOTAL REVENUE, BY SEGMENT,
2009 – 2011 ($MILLION) 174
TABLE 89 CERNER CORPORATION: TOTAL REVENUE, BY GEOGRAPHY,
2009 – 2011 ($MILLION) 175
TABLE 90 EMDEON: TOTAL REVENUE, BY SEGMENT, 2008 – 2010 ($MILLION) 186
TABLE 91 HENRY SCHEIN: TOTAL REVENUE, BY SEGMENT,
2009 – 2011 ($MILLION) 199
TABLE 92 HENRY SCHEIN : TOTAL REVENUE, BY GEOGRAPHY,
2009 – 2011 ($MILLION) 199
TABLE 93 QUALITY SYSTEMS : TOTAL REVENUE AND R&D EXPENDITURE,
2010 – 2012 ($MILLION) 209
TABLE 94 QUALITY SYSTEMS: TOTAL REVENUE, BY SEGMENT,
2010 – 2012 ($MILLION) 210

LIST OF FIGURES

FIGURE 1 E-PRESCRIBING SYSTEM 25
FIGURE 2 E-PRESCRIBING PROCESS 27
FIGURE 3 E-PRESCRIBING SYSTEMS MARKET SEGMENTATION 29
FIGURE 4 ELECTRONIC-PRESCRIBING MARKET SHARE ANALYSIS, 2011 34
FIGURE 5 GLOBAL E-PRESCRIBING MARKET SHARE, BY PRODUCT TYPE,
2011 & 2017 42
FIGURE 6 GLOBAL E-PRESCRIBING SYSTEMS MARKET, BY COMPONENTS,
2010 – 2017 (%) 55
FIGURE 7 GLOBAL E-PRESCRIBING MARKET, BY DELIVERY MODE, 2011 & 2017 67
FIGURE 8 GLOBAL E-PRESCRIBING MARKET, BY USAGE MODE,
2010 – 2017 ($MILLION) 78
FIGURE 9 E-PRESCRIBING MEDICAL GROUP PRACTICE MARKET, BY GROUP SIZE, 2011 VS 2017 (%) 87
FIGURE 10 E-PRESCRIBING MARKET, BY GEOGRAPHY, 2010 – 2017 (%) 91
FIGURE 11 KEY GROWTH STRATEGIES, 2010 – 2012 133

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