Global Markets for Telemedicine Technologies

  • September 2014
  • -
  • BCC Research
  • -
  • 137 pages

This BCC Research report assesses the impact of recent technical, economic, legal/regulatory, business and other developments on the global market for telemedicine technologies and services. It provides an in-depth understanding of the economics of telemedicine in terms of business models, cost-benefit analysis and information for investment business cases. Market forecasts are presented for the period 2014 to 2019.

Use this report to:
- Receive information about new avenues in the telemedicine market, mainly in terms of cutting-edge technology development, value-added services and newer applications.
- Understand the economics of telemedicine in terms of business models, a cost-benefit analysis and information for an investment business case.
- Identify the key success factors in the telemedicine market and gauge the ways in which this market can significantly affect larger markets such as healthcare and health
insurance.
- Identify opportunities for all the stakeholders in telemedicine.

Highlights
- The global telehospital/clinic and telehome market reached $16.3 billion in 2013 and $19.2 billion in 2014, and should reach about $43.4 billion in 2019 with a five year compound annual growth (CAGR) of 17.7% through 2019.
- The telehospital/clinic market segment totaled nearly $11.1 billion in 2014 and should total about $19.5 billion in 2019 demonstrating a CAGR of 12.0%.
- The telehome market segment totaled nearly $8.2 billion in 2014 and should total $23.9 billion in 2019, demonstrating a CAGR of 24.0%.

Table Of Contents

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 2019 ($ MILLIONS) 7
SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC SERVICE
MARKET, 2013-2019 ($ MILLIONS) 7
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 13
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 16
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 17
TECHNICAL 18
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) 30
Major Geographical Segments 30
TABLE 2 TELEMEDICINE MARKET BY REGION, THROUGH 2019 ($ MILLIONS) 30
Technologies and Services 30
TABLE 3 TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET, THROUGH
2019 ($ MILLIONS) 31
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 35
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 39
Open-End Technology: The Key to Integrated Medicine 39
MOVING TOWARD MORE RELIABLE AND EFFECTIVE TELEMEDICINE
TECHNOLOGIES 39
Factors Affecting Reliability of Telemedicine 39
Clinician Experience in Telemedicine 39
Imaging 39
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 44
TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2019 ($
MILLIONS) 45
TABLE 5 GLOBAL TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET,
THROUGH 2019 ($ MILLIONS) 45
HARDWARE 45
TABLE 6 GLOBAL TELEHOME AND TELEHOSPITAL HARDWARE MARKET, THROUGH
2019 ($ MILLIONS) 45
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 2019 ($ MILLIONS)* 49
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 2019 ($ MILLIONS)* 50
TELEMEDICINE PATENT ANALYSIS 50
GENERAL TRENDS 50
FIGURE 15 U.S. TELEMEDICINE PATENTS, 2003-2014* 50
TRENDS BY TECHNOLOGY 51
FIGURE 16 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, THROUGH JULY
2014 (%) 51
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 2019 ($ MILLIONS)* 58
TELEHOSPITAL SERVICES 58
TABLE 10 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND REAL-TIME
VIDEOCONFERENCING SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 59
TABLE 11 GLOBAL TELEHOSPITAL STORE-AND-FORWARD SERVICES FOR THE
RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY MARKET, THROUGH
2019 ($ MILLIONS)
59
TABLE 12 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING SERVICES FOR
CARDIOLOGY, PSYCHIATRY, AND URBAN AND RURAL MARKETS, THROUGH 2019 ($
MILLIONS)*
60
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 2019 ($ MILLIONS) 63
FIGURE 21 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, 2013 AND 2019 ($ MILLIONS) 64
TELEHOSPITALS/CLINICS VIDEOCONFERENCING TECHNOLOGY MARKET BY
APPLICATION 64
TABLE 14 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD MARKET BY
APPLICATION, THROUGH 2019 ($ MILLIONS) 64
TABLE 15 GLOBAL TELEHOSPITALS/CLINICS REAL-TIME VIDEOCONFERENCING
MARKET BY APPLICATION, THROUGH 2019 ($ MILLIONS) 65
TELECARDIOLOGY 65
TELECARDIOLOGY MARKET OVERVIEW 66
TABLE 16 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2019
($ MILLIONS)*
66
FIGURE 22 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2013 AND 2019
($ MILLIONS)
66
Telecardiology: Store-and-Forward Market Overview 67
TABLE 17 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY
TECH AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 67
FIGURE 23 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 68
Telecardiology: Videoconferencing Market Overview 68
TABLE 18 GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 68
Market Drivers 69
Healthcare Services Using Telecardiology for Early Detection of
Abnormalities 69
Hospitals Outsourcing Cardiology Image Management to
Specialists 69
Cardiac Patients Experience Higher Comfort Levels with
Telecardiology 69
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 2019 ($ MILLIONS) 71
FIGURE 24 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 71
Recent Developments 72
24-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 2019 ($ MILLIONS)* 74
FIGURE 25 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 74
Recent Trends 75
Telepathology Helps Laboratories Increase Revenues by
Leveraging Mutual Global Partnerships 75
Hospitals Reducing Pathological Cost and Increasing Promptness
by Using Hybrid Systems 75
Ultrarapid Virtual Slide Processor and Dynamic Image
Telepathology Improving Telepathology Effectiveness 75
TELEPSYCHIATRY 76
TABLE 21 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 76
FIGURE 26 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 76
DERMATOLOGY 77
DERMATOLOGY MARKET OVERVIEW 77
TABLE 22 GLOBAL TELEHOSPITALS/CLINICS DERMATOLOGY TECHNOLOGY AND
SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 78
HOSPITALS: URBAN AND RURAL TELEHEALTH VIDEOCONFERENCING
APPLICATIONS 78
FIGURE 27 TELEHOSPITAL MARKET FOR URBAN AND RURAL VIDEOCONFERENCING,
2013 AND 2019 ($ MILLIONS) 78
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 83
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 86
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 88
HEALTHCARE COMPANIES: HOSPITALS, INSURANCE COMPANIES, CLINICS, GPS
AND DISEASE MANAGEMENT COMPANIES 88
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 89
SPECIALISTS, GENERAL PRACTITIONERS AND HEALTHCARE COMPANIES
FROM LOW-COST COUNTRIES WILL SEE A GREATER DEMAND FOR
OUTSOURCED MEDICAL HEALTHCARE SERVICES
89
CLINICS AND PRIMARY CARE CONSULTANTS WILL SEE A SIGNIFICANT
BENEFIT FROM TELEMEDICINE TOWARD SECONDARY CARE
CONSULTATION
89
HEALTHCARE COMPANIES ARE VIEWING TELEMEDICINE AS A TOOL TO CUT
HEALTHCARE COSTS 89
PHYSICIANS GETTING READY FOR E-VISITS 90
DISEASE MANAGEMENT COMPANIES EXPANDING TELEMEDICINE NETWORK
BEYOND U.S. 90
TELECOM AND NETWORK PLAYERS 90
TELECOM AND NETWORKING COMPANIES ARE ACTIVELY PARTICIPATING IN
THE DELIVERY OF GLOBAL TELEMEDICINE SERVICES 90
TELECOM COMPANIES SUPPORTING IP-BASED HIGH-SPEED DATA
TRANSFER NETWORKS 90
TELECOM COMPANIES PARTNERING WITH DISEASE MANAGEMENT
COMPANIES 91
TELEMEDICINE HARDWARE SUPPLIERS 91
SALES OF MORE RELIABLE PORTABLE TELEMEDICINE EQUIPMENT
CAPTURING MULTIPLE CLINICAL SIGNALS ARE EXPECTED TO GROW 91
INTEGRATED TELEMEDICINE IS THE FUTURE OF THE TELEMEDICINE
MARKET 91
SUBSCRIPTION-BASED MODELS WILL LEAD OTHER TELEMEDICINE MODELS 91
WIRELESS WEARABLE DEVICES WILL FIND INCREASING APPLICATION IN
TELEMEDICINE 91
TELERADIOLOGY, TELECARDIOLOGY, TELEPATHOLOGY AND
TELEPSYCHIATRY WILL BE THE TOP FOUR APPLICATIONS 92
TELEMEDICINE SOFTWARE PROVIDERS 92
SOFTWARE COMPANIES SUPPORT INTEGRATED TELEMEDICINE WITH
OPEN-END ARCHITECTURE 92
TELEMEDICINE INTEGRATORS: TELEHOME AND TELEHOSPITAL 92
TELEMEDICINE INTEGRATORS TO TAP INTO FAMILIES READY TO SPEND
FOR CONVENIENCE OF PRIMARY HEALTHCARE 92
TELEMEDICINE PLANS FOR MULTIPLE DISTRIBUTION CHANNELS 92
CHAPTER 8 CONSOLIDATION AND OWNERSHIP TRENDS 94
TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS,
2006-2014 94
CHAPTER 9 NORTH AMERICAN MARKETS 97
SUMMARY 97
TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
2019 ($ MILLIONS) 97
PRODUCT/SERVICE SEGMENTS 97
TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY,
THROUGH 2019 ($ MILLIONS) 97
TELEHOME PRODUCTS/SERVICES 98
TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE,
THROUGH 2019 ($ MILLIONS) 98
TELEHOSPITAL CLINIC PRODUCTS/SERVICES 99
TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF
PRODUCT/SERVICE, THROUGH 2019 ($ MILLIONS) 99
Store-and-Forward vs. Teleconferencing Applications 99
TABLE 29 NORTH AMERICAN TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2019 ($ MILLIONS)* 99
CHAPTER 10 EU MARKETS 102
SUMMARY 102
TABLE 30 EU TELEMEDICINE MARKET, THROUGH 2019 ($ MILLIONS) 102
MARKET SEGMENTS 102
TELEHOME VS. TELEHOSPITAL/CLINIC 102
FIGURE 30 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, 2013-2019
(%) 102
COUNTRY MARKETS 103
FIGURE 31 EU TELEMEDICINE MARKET BY COUNTRY, 2013 AND 2019 (%) 103
TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH
2019 ($ MILLIONS) 105
CHAPTER 11 JAPANESE MARKET 107
SUMMARY 107
FIGURE 32 JAPAN TELEMEDICINE MARKET, 2013-2019 ($ MILLIONS) 107
MARKET SEGMENTS 107
TELEHOME VS. TELEHOSPITAL/CLINIC 107
TABLE 32 JAPAN TELEMEDICINE MARKET, THROUGH 2019 ($ MILLIONS) 108
FIGURE 33 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENTS, 2013-2019 (%) 108
CHAPTER 12 OTHER REGIONAL MARKETS 110
SUMMARY 110
FIGURE 34 TELEMEDICINE MARKET IN OTHER COUNTRIES, 2013-2019 ($ MILLIONS) 110
MARKET SEGMENTS 110
TELEHOME VS. TELEHOSPITAL/CLINIC 110
TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2019 ($
MILLIONS) 111
FIGURE 35 OTHER COUNTRIES TELEHOME VS. TELEHOSPITAL/CLINIC MARKET
SHARES, 2013-2019 (%) 111
COUNTRY MARKETS 112
TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY
COUNTRY, THROUGH 2019 ($ MILLIONS) 112
FIGURE 36 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES,
2013 AND 2019 (%) 113
CHAPTER 13 CONCLUSIONS 115
CHANGING HEALTHCARE BUSINESS MODEL COMBINED WITH THE
PROLIFERATION OF WIRELESS COMMUNICATIONS FAVORS DEVELOPMENT OF
TELEMEDICINE
115
TELEMEDICINE IS A KEY DECIDING FACTOR IN INCREASING COMPANIES’ SHARE
OF THE E-HEALTHCARE MARKET 115
TELEMEDICINE IS GAINING ACCEPTANCE 115
TELEMEDICINE WILL ONLY REALIZE ITS FULL MARKET POTENTIAL AFTER ITS
FULL INTEGRATION WITH THE HEALTHCARE SYSTEM 115
DESPITE NO CLEAR POLICY ON REIMBURSEMENTS, HEALTHCARE PLAYERS ARE
ACTIVELY PURSUING TELEMEDICINE 116
RELIABILITY IS THE KEY BUYING CRITERIA FOR TELEMEDICINE TECHNOLOGY 116
TELEMEDICINE OFFERS A POTENTIAL ONE-STOP SOLUTION FOR TELEHOME AND
TELEHOSPITAL 116
TELEMEDICINE IS CREATING OPPORTUNITIES FOR ALL STAKEHOLDERS 116
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
ATandT 126
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

LIST OF TABLES

SUMMARY TABLE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC MARKET,
THROUGH 2019 ($ MILLIONS) 7
TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2019 ($
MILLIONS) 30
TABLE 2 TELEMEDICINE MARKET BY REGION, THROUGH 2019 ($ MILLIONS) 30
TABLE 3 TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET, THROUGH
2019 ($ MILLIONS) 31
TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2019 ($
MILLIONS) 45
TABLE 5 GLOBAL TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET, THROUGH
2019 ($ MILLIONS) 45
TABLE 6 GLOBAL TELEHOME AND TELEHOSPITAL HARDWARE MARKET, THROUGH
2019 ($ MILLIONS) 45
TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2019 ($ MILLIONS)* 49
TABLE 8 GLOBAL TELEMEDICINE TELECOM AND NETWORKING FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2019 ($ MILLIONS)* 50
TABLE 9 GLOBAL TELEMEDICINE SERVICE MARKET, THROUGH 2019 ($ MILLIONS)* 58
TABLE 10 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND REAL-TIME
VIDEOCONFERENCING SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 59
TABLE 11 GLOBAL TELEHOSPITAL STORE-AND-FORWARD SERVICES FOR THE
RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY MARKET, THROUGH
2019 ($ MILLIONS)
59
TABLE 12 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING SERVICES FOR
CARDIOLOGY, PSYCHIATRY, AND URBAN AND RURAL MARKETS, THROUGH 2019 ($
MILLIONS)*
60
TABLE 13 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2019 ($ MILLIONS) 63
TABLE 14 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD MARKET BY
APPLICATION, THROUGH 2019 ($ MILLIONS) 64
TABLE 15 GLOBAL TELEHOSPITALS/CLINICS REAL-TIME VIDEOCONFERENCING
MARKET BY APPLICATION, THROUGH 2019 ($ MILLIONS) 65
TABLE 16 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2019
($ MILLIONS)*
66
TABLE 17 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY
TECH AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 67
TABLE 18 GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 68
TABLE 19 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 71
TABLE 20 GLOBAL TELEHOSPITAL STORE-AND-FORWARD PATHOLOGY TECHNOLOGY
AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS)* 74
TABLE 21 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 76
TABLE 22 GLOBAL TELEHOSPITALS/CLINICS DERMATOLOGY TECHNOLOGY AND
SERVICE MARKET, THROUGH 2019 ($ MILLIONS) 78
TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 85
TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS, 2006-2014 94
TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
2019 ($ MILLIONS) 97
TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY,
THROUGH 2019 ($ MILLIONS) 97
TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE,
THROUGH 2019 ($ MILLIONS) 98
TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF
PRODUCT/SERVICE, THROUGH 2019 ($ MILLIONS) 99
TABLE 29 NORTH AMERICAN TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2019 ($ MILLIONS)* 99
TABLE 30 EU TELEMEDICINE MARKET, THROUGH 2019 ($ MILLIONS) 102
TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH 2019
($ MILLIONS) 105
TABLE 32 JAPAN TELEMEDICINE MARKET, THROUGH 2019 ($ MILLIONS) 108
TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2019 ($
MILLIONS) 111
TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY
COUNTRY, THROUGH 2019 ($ MILLIONS) 112
TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS 136

LIST OF FIGURES

SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC SERVICE MARKET,
2013-2019 ($ MILLIONS) 7
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 13
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, 2003-2014* 50
FIGURE 16 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, THROUGH JULY 2014
(%) 51
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 2019 ($ MILLIONS) 64
FIGURE 22 GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2013 AND 2019
($ MILLIONS)
66
FIGURE 23 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 68
FIGURE 24 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 71
FIGURE 25 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 74
FIGURE 26 GLOBAL TELEHOSPITALS/CLINICS VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, 2013 AND 2019 ($ MILLIONS) 76
FIGURE 27 TELEHOSPITAL MARKET FOR URBAN AND RURAL VIDEOCONFERENCING,
2013 AND 2019 ($ MILLIONS) 78
FIGURE 28 OVERVIEW OF TELEMEDICINE REVENUE MODELS 81
FIGURE 29 BUSINESS MODELS OF TELEMEDICINE 81
FIGURE 30 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, 2013-2019
(%) 102
FIGURE 31 EU TELEMEDICINE MARKET BY COUNTRY, 2013 AND 2019 (%) 103
FIGURE 32 JAPAN TELEMEDICINE MARKET, 2013-2019 ($ MILLIONS) 107
FIGURE 33 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENTS, 2013-2019 (%) 108
FIGURE 34 TELEMEDICINE MARKET IN OTHER COUNTRIES, 2013-2019 ($ MILLIONS) 110
FIGURE 35 OTHER COUNTRIES TELEHOME VS. TELEHOSPITAL/CLINIC MARKET
SHARES, 2013-2019 (%) 111
FIGURE 36 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES,
2013 AND 2019 (%) 113

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