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Global Markets for Telemedicine Technologies

  • May 2016
  • -
  • BCC Research
  • -
  • 133 pages

This BCC Research report assesses the impact of technical, economic, legal/regulatory, business and other developments on the global market for telemedicine technologies and services. Market forecasts are presented for the period 2016 to 2021.

Use this report to:

Define new avenues in the telemedicine market, mainly in terms of cutting-edge technology development, value-added services and newer applications.
Provide an in-depth understanding of the economics of telemedicine in terms of business models, a cost-benefit analysis and information for an investment business case.
Identify opportunities for stakeholders in telemedicine.
Make comprehensive market forecasts for the period of 2016 to 2021 concerning telemedicine and all its key subsegments.

Highlights

The global telehome and telehospital/clinic market is expected to grow from nearly $23.8 illion in 2016 to roughly $55.1 billion by 2021, with a compound annual growth rate (CAGR) of 18.3% for the period of 2016-2021.
The telehospitals/clinics market will grow from nearly $12.5 billion in 2016 to $22.0 billion by 2021 with a CAGR of 12.0% for the period of 2016-2021.
The telehome market will grow from roughly $11.3 billion in 2016 to $33.1 billion by 2021 with a CAGR of 24.0% for the period of 2016-2021.

STUDY GOALS AND OBJECTIVES

This is an update of an earlier BCC Research report, published in September 2014. BCC Research’s goal in updating the report is to assess the impact of recent technical, economic, legal/regulatory, business and other developments on the global market for telemedicine technologies and services. Objectives of both the original and the updated studies include:

Defining new avenues in the telemedicine market, mainly in terms of cutting-edge technology development, value-added services and newer applications.
Providing an in-depth understanding of the economics of telemedicine in terms of business models, a cost-benefit analysis and information for an investment business case.
Identifying opportunities for all the stakeholders in telemedicine.
Making a comprehensive market forecast (2016 to 2021) of telemedicine and all its key subsegments.
BCC Research’s key objective is to present a comprehensive analysis of the current telemedicine market and its future direction.

REASONS FOR THE STUDY

Companies require clarity regarding the main markets for telemedicine technologies and services. BCC Research is interested in providing a comprehensive market forecast for multiple market segments (e.g., technologies, services, applications, geographical).

There has been a global focus on the use of telemedicine as a tool to cut down healthcare costs and bring about mammoth savings. Implementation of the new U.S. healthcare law will, if anything, intensify this focus by increasing the number of people with health insurance and seeking medical services. In the near to midterm,
telemedicine technologies offer one of the few ways of enabling healthcare personnel to meet the increased demand without unacceptable delays or other forms of de facto rationing.

BCC Research is interested in studying the ways in which collaborative healthcare can be better and more economically implemented through telemedicine. Recently announced best practices to cut down global healthcare costs, including outsourced medical services, home-based treatment, intervention as opposed to post-treatment, integrated information technology (IT) environments, increased efficiency of healthcare resources and reducing billing gaps, all point toward the increasing use of telemedicine.

BCC Research aims to identify the key success factors in the telemedicine market and to gauge the ways in which this market can significantly affect larger markets such as healthcare, health insurance, home care, telecommunications (telecom), networking, disease management, e-health and healthcare IT. The report is well timed, as major Tier I stakeholders are entering the telemedicine market.


Table Of Contents

Global Markets for Telemedicine Technologies
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 2021 ($ MILLIONS) 7
SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC SERVICE
MARKET, 2015-2021 ($ MILLIONS) 7
CHAPTER 3 TELEMEDICINE OVERVIEW 10
STRUCTURE 10
FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 10
FACTORS DRIVING THE DEVELOPMENT OF THE TELEMEDICINE MARKET 12
NEED FOR BETTER CLINICAL OUTCOMES, LOWER COSTS 12
SHORTAGES OF HEALTHCARE PERSONNEL AND INCREASING WORKLOADS 12
INCREASING CHRONIC DISEASES 13
HIGHER EXPENDITURE 13
MOVING FROM TREATMENT TO EARLY INTERVENTION 13
GROWING INVESTMENTS IN TELEMEDICINE 14
TELEMEDICINE DRIVEN BY THE RISING E-HEALTHCARE MARKET 14
INCREASING FOCUS OF COMPANIES ON TELEMEDICINE AS A KEY MARKET
DIFFERENTIATOR 14
IMPROVED TECHNOLOGY INFRASTRUCTURE SPURRING GROWTH IN
TELEMEDICINE 14
ENTRY OF TIER I PLAYERS EXPANDING MARKET SCOPE 15
CENTRALIZED EHR AND EMR DRIVING THE NEED FOR TELEMEDICINE 15
INCREASING ACCEPTANCE OF TELEMEDICINE BY PATIENTS 15
KEY CHALLENGES 16
TECHNICAL 16
FINANCIAL 16
Reimbursement 16
Fee-for-Service 17
Other Telemedicine Payment Models 20
Government Funding for Telemedicine Programs 20
Impact of Telemedicine on Providers' Business Models 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 25
Practitioner and Facility Licensure 26
Medical Liability and Malpractice Issues 27
STANDARDS 28
TELEMEDICINE MARKET OVERVIEW 28
GLOBAL TELEMEDICINE MARKET 28
Telehome vs. Telehospital/Clinic Segments 29
TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2021 ($
MILLIONS) 29
Major Geographical Segments 29
TABLE 2 GLOBAL TELEMEDICINE MARKET BY REGION, THROUGH 2021 ($ MILLIONS) 29
Technologies and Services 30
TABLE 3 GLOBAL TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET,
THROUGH 2021 ($ MILLIONS) 30
TELEMEDICINE APPLICATIONS 31
FIGURE 2 TELEMEDICINE APPLICATION MARKET 32
CHAPTER 4 TELEMEDICINE TECHNOLOGIES AND GLOBAL MARKETS 34
TELEMEDICINE TECHNOLOGIES 34
INTEGRATED TELEMEDICINE: TOP OF THE VALUE CHAIN 34
FIGURE 3 INTEGRATED TELEMEDICINE MODEL 34
Complex Networks Demanding Standardization across Integrated
Telemedicine 35
Open-End Technology: The Key to Integrated Medicine 36
MOVING TOWARD MORE RELIABLE AND EFFECTIVE TELEMEDICINE
TECHNOLOGIES 36
Factors Affecting Reliability of Telemedicine 36
Clinician Experience in Telemedicine 36
Imaging 36
Dermatology Applications 36
Audio Signals 36
WIDER USE OF IP-BASED CONVERGED NETWORKS IN TELEMEDICINE 37
OPTING FOR WEB- AND WIRELESS-BASED DISTRIBUTION 37
USE OF BOTH MULTIPURPOSE AND THERAPY-BASED EQUIPMENT 37
LOWERING THE COST OF TELEMEDICINE 38
INCREASING SPEED AND RELIABILITY OF DATA TRANSFER 38
Reduced Bandwidth Requirement 38
INCREASED USE OF WIRELESS TECHNOLOGIES IN TELEMEDICINE 38
Mobile Phone-Based Technologies 38
Bluetooth 39
ZigBee 39
Pervasive Monitoring 40
LAUNCHING MORE USER-FRIENDLY TECHNOLOGY 40
USING MORE COMPUTER-BASED DIAGNOSIS 41
GLOBAL MARKETS 41
GLOBAL TELEMEDICINE TECHNOLOGY: HARDWARE, SOFTWARE AND
TELECOM MARKET OVERVIEW 41
TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2021 ($
MILLIONS) 41
TABLE 5 GLOBAL TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET,
THROUGH 2021 ($ MILLIONS) 42
HARDWARE 42
TABLE 6 GLOBAL TELEHOME AND TELEHOSPITAL HARDWARE MARKET, THROUGH
2021 ($ MILLIONS) 42
Home Care Hardware Market 42
Equipment Segments 43
FIGURE 4 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 43
Comparing Home Care Units 43
Telehospital/Clinic Hardware Market 43
Equipment Segments 43
Videoconferencing Systems 44
Comparing Videoconferencing Units 44
Store-and-Forward Systems 44
SOFTWARE 45
Telemedicine Software Market Overview 45
TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2021 ($ MILLIONS) 46
Comparing Telemedicine Software Companies 46
TELECOM AND NETWORKING 46
Telecom and Networking Market Overview 46
TABLE 8 GLOBAL TELEMEDICINE TELECOM AND NETWORKING FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2021 ($ MILLIONS) 47
TELEMEDICINE PATENT ANALYSIS 47
GENERAL TRENDS 47
FIGURE 5 U.S. TELEMEDICINE PATENTS, 2003-2015 47
TRENDS BY TECHNOLOGY 48
FIGURE 6 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, 2003-MARCH 2016
(%) 48
TELEMEDICINE SERVICES OVERVIEW 49
TELEHOME SERVICES 49
FIGURE 7 TELEHOME SERVICES: MOVING UP IN THE VALUE CHAIN 50
TELEHOSPITAL SERVICES 50
FIGURE 8 TELEHOSPITAL B2B AND B2C SERVICES 50
OPPORTUNITIES IN TELEMEDICINE SERVICES 51
Telemedicine Facility Management Services 51
Telemedicine Services Supporting e-Health 51
Telemedicine Services Supporting Home Care 51
Interoperable Telemedicine Network Services 52
Telemedicine Virtual Network Providers Services 52
Mobile Emergency Services 52
Interface between Primary and Secondary Care 53
Primary Care Kiosk-Based Services Supporting Telemedicine 53
Telenursing Services 53
24/7 Telemedicine Call Center Services 54
Support for Outsourced Medical Services 54
Telemedicine Services for Disease Management 54
Telehealth Education 55
TELEMEDICINE SERVICE MARKET 55
TABLE 9 GLOBAL TELEMEDICINE SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 55
TELEHOSPITAL SERVICES 55
TABLE 10 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND REAL-TIME
VIDEOCONFERENCING SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 56
TABLE 11 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD SERVICES FOR
THE RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY MARKET,
THROUGH 2021 ($ MILLIONS)
56
TABLE 12 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING SERVICES FOR
CARDIOLOGY, PSYCHIATRY, AND URBAN AND RURAL MARKETS, THROUGH 2021 ($
MILLIONS)
57
CHAPTER 5 TELEMEDICINE APPLICATIONS 59
TELEMEDICINE MARKET BY APPLICATION 59
TABLE 13 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2021 ($ MILLIONS) 59
FIGURE 9 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, 2015 AND 2021 ($ MILLIONS) 59
TELEHOSPITAL/CLINIC VIDEOCONFERENCING TECHNOLOGY MARKET BY
APPLICATION 60
TABLE 14 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD MARKET BY
APPLICATION, THROUGH 2021 ($ MILLIONS) 61
TABLE 15 GLOBAL TELEHOSPITAL/CLINIC REAL-TIME VIDEOCONFERENCING
MARKET BY APPLICATION, THROUGH 2021 ($ MILLIONS) 61
TELECARDIOLOGY 62
Telecardiology Market Overview 62
TABLE 16 GLOBAL TELEHOSPITAL/CLINIC TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2021
($ MILLIONS)
63
FIGURE 10 GLOBAL TELEHOSPITAL/CLINIC TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2015 AND 2021
($ MILLIONS)
63
Telecardiology: Store-and-Forward Market Overview 63
TABLE 17 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD CARDIOLOGY
TECH AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 64
FIGURE 11 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 64
Telecardiology: Videoconferencing Market Overview 64
TABLE 18 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING FOR CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 65
Market Drivers 65
Healthcare Services Using Telecardiology for Early
Detection of Abnormalities 65
Hospitals Outsourcing Cardiology Image Management to
Specialists 65
Cardiac Patients Experience Higher Comfort Levels with
Telecardiology 65
Larger Number of Cardiac Patients Monitored Remotely 66
Trends in Telecardiology 66
Telecardiology Usage for Pediatric Cardiology 66
Remote Monitoring and Post-Acute Care for Telecardiology 66
Supporting Image Handling in Telecardiology 66
Supporting ECG Transmission in Telecardiology 66
Increasing Use of Web-Based Interface for Telecardiology 66
Mobile Emergency Services Opting for Telecardiology 67
TELERADIOLOGY 67
Teleradiology Market Overview 67
TABLE 19 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 68
FIGURE 12 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 68
Recent Developments 69
24-Hour Services by Teleradiology Companies 69
Development of Subspecialty Centers 69
Use of Filmless Imaging 69
Dartmouth Develops Low-Bandwidth Telesonography System 69
Cloud Storage of Radiographic Imagery 70
Computer Assisted Diagnosis 70
TELEPATHOLOGY 70
Telepathology Market Overview 70
TABLE 20 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 71
FIGURE 13 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 71
Recent Trends 72
Telepathology Helps Laboratories Increase Revenues by
Leveraging Mutual Global Partnerships 72
Hospitals Reducing Pathological Cost and Increasing Promptness
by Using Hybrid Systems 72
Ultrarapid Virtual Slide Processor and Dynamic Image
Telepathology Improving Telepathology Effectiveness 72
TELEPSYCHIATRY 72
TABLE 21 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 73
FIGURE 14 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 73
DERMATOLOGY 74
Dermatology Market Overview 74
TABLE 22 GLOBAL TELEHOSPITAL/CLINIC DERMATOLOGY TECHNOLOGY AND
SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 74
HOSPITALS: URBAN AND RURAL TELEHEALTH VIDEOCONFERENCING
APPLICATIONS 74
FIGURE 15 GLOBAL TELEHOSPITAL MARKET FOR URBAN AND RURAL
VIDEOCONFERENCING, 2015 AND 2021 ($ MILLIONS) 74
CHAPTER 6 ECONOMICS OF TELEMEDICINE 77
BUSINESS MODELS 77
FIGURE 16 OVERVIEW OF TELEMEDICINE REVENUE MODELS 77
FIGURE 17 BUSINESS MODELS OF TELEMEDICINE 77
RISK AND REWARD SHARING MODEL 78
JOINT OPERATING MODEL 78
FACILITATOR MODEL 79
INTEGRATOR MODEL 79
SUBSCRIPTION-BASED SERVICE PROVIDER MODEL 79
PAY AS YOU GO 79
SHARED MODEL 79
TELEMEDICINE CONTRIBUTION TO HEALTHCARE PROVIDERS' FINANCIAL
HEALTH 80
TOP LINE 80
Added Specialist Billing 80
Added Remote Patients 80
Avoiding the Need for Transfer from Rural Hospitals 80
BOTTOM LINE 80
Fewer Nursing Visits 80
Call-Center-Related Savings 81
PATIENT SAVINGS FROM REMOTE MONITORING 81
LOWER REHOSPITALIZATION COSTS 81
TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 81
SAVINGS ON TRAVEL COSTS 81
TELEMEDICINE: A COMPELLING BUSINESS CASE 81
POTENTIAL GLOBAL HEALTHCARE SAVINGS FROM TELEMEDICINE 82
HOME CARE MARKET INCREASINGLY ADOPTING TELEMEDICINE 82
MANY TELECOM COMPANIES VIEWING TELEMEDICINE AS KEY MARKET
DIFFERENTIATOR IN LONG RUN 82
E-HEALTH MARKET USING TELEMEDICINE AS ENABLING TECHNOLOGY 82
CHAPTER 7 STAKEHOLDERS: OPPORTUNITIES ANALYSIS 84
TIER I PLAYERS 84
TIER I PLAYERS CONSOLIDATING IN THE TELEMEDICINE MARKET TO WIN
THE LION'S SHARE OF THE FUTURE E-HEALTHCARE MARKET 84
HEALTHCARE AND HEALTH INFORMATION PROVIDERS 84
HOSPITALS WILL USE TELEMEDICINE AS A KEY DIFFERENTIATOR 84
RURAL HOSPITALS WILL NOT LOSE REVENUES 84
ANNUAL HEALTHCARE MANAGEMENT PROGRAMS FOR PATIENTS,
NONPATIENTS AND FAMILIES ON MULTIPLE BUSINESS MODELS 85
SPECIALISTS, GENERAL PRACTITIONERS AND HEALTHCARE COMPANIES
FROM LOW-COST COUNTRIES WILL SEE A GREATER DEMAND FOR
OUTSOURCED MEDICAL HEALTHCARE SERVICES
85
TELEMEDICINE WILL BE A KEY INTERFACE BETWEEN PRIMARY AND
SECONDARY CARE 85
HEALTHCARE COMPANIES VIEW TELEMEDICINE AS A TOOL TO CUT
HEALTHCARE COSTS 85
MORE PHYSICIANS ACCEPTING E-VISITS 86
DISEASE MANAGEMENT COMPANIES EXPANDING TELEMEDICINE NETWORK
BEYOND U.S. 86
PHARMACY CHAINS EXPANDING TELEHEALTH OFFERINGS 86
HEALTH INFORMATION PROVIDERS EYEING TELEHEALTH SPACE 86
TELECOM AND NETWORK PLAYERS 86
TELECOM AND NETWORKING COMPANIES ARE ACTIVELY PARTICIPATING IN
THE DELIVERY OF GLOBAL TELEMEDICINE SERVICES 86
TELECOM COMPANIES SUPPORTING IP-BASED HIGH-SPEED DATA
TRANSFER NETWORKS 87
TELECOM COMPANIES PARTNERING WITH DISEASE MANAGEMENT
COMPANIES 87
TELEMEDICINE HARDWARE SUPPLIERS 87
SALES OF MORE RELIABLE PORTABLE TELEMEDICINE EQUIPMENT
CAPTURING MULTIPLE CLINICAL SIGNALS ARE EXPECTED TO GROW 87
INTEGRATED TELEMEDICINE IS THE FUTURE OF THE TELEMEDICINE
MARKET 87
SUBSCRIPTION-BASED MODELS WILL LEAD OTHER TELEMEDICINE MODELS 88
WIRELESS WEARABLE DEVICES WILL FIND INCREASING APPLICATION IN
TELEMEDICINE 88
TELERADIOLOGY, TELECARDIOLOGY, TELEPATHOLOGY AND
TELEPSYCHIATRY WILL BE THE TOP FOUR APPLICATIONS 88
TELEMEDICINE SOFTWARE PROVIDERS 88
SOFTWARE COMPANIES SUPPORT INTEGRATED TELEMEDICINE WITH
OPEN-END ARCHITECTURE 88
TELEMEDICINE INTEGRATORS: TELEHOME AND TELEHOSPITAL 88
TELEMEDICINE INTEGRATORS TO TAP INTO FAMILIES READY TO SPEND
FOR CONVENIENCE OF PRIMARY HEALTHCARE 88
TELEMEDICINE PLANS FOR MULTIPLE DISTRIBUTION CHANNELS 89
CHAPTER 8 CONSOLIDATION AND OWNERSHIP TRENDS 91
TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS,
2006-2015 91
CHAPTER 9 NORTH AMERICAN MARKETS 94
SUMMARY 94
TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
2021 ($ MILLIONS) 94
PRODUCT/SERVICE SEGMENTS 94
TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY,
THROUGH 2021 ($ MILLIONS) 95
TELEHOME PRODUCTS/SERVICES 95
TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE,
THROUGH 2021 ($ MILLIONS) 95
TELEHOSPITAL/CLINIC PRODUCTS/SERVICES 96
TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF
PRODUCT/SERVICE, THROUGH 2021 ($ MILLIONS) 96
Store-and-Forward vs. Teleconferencing Applications 97
TABLE 29 NORTH AMERICAN TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2021 ($ MILLIONS) 97
CHAPTER 10 EU MARKETS 99
SUMMARY 99
TABLE 30 EU TELEMEDICINE MARKET, THROUGH 2021 ($ MILLIONS) 99
MARKET SEGMENTS 99
TELEHOME VS. TELEHOSPITAL/CLINIC 99
FIGURE 18 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, 2015-2021
(%) 99
COUNTRY MARKETS 100
FIGURE 19 EU TELEMEDICINE MARKET SHARES BY COUNTRY, 2015 AND 2021 (%) 100
TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH
2021 ($ MILLIONS) 102
CHAPTER 11 JAPANESE MARKET 104
SUMMARY 104
FIGURE 20 JAPAN TELEMEDICINE MARKET BY SEGMENT, 2015-2021 ($ MILLIONS) 104
MARKET SEGMENTS 105
TELEHOME VS. TELEHOSPITAL/CLINIC 105
TABLE 32 JAPAN TELEMEDICINE MARKET BY SEGMENT, THROUGH 2021 ($
MILLIONS) 105
FIGURE 21 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENT MARKET SHARES,
2015-2021 (%) 105
CHAPTER 12 OTHER REGIONAL MARKETS 108
SUMMARY 108
FIGURE 22 TELEMEDICINE MARKET IN OTHER COUNTRIES BY SEGMENT, 2015-2021
($ MILLIONS) 108
MARKET SEGMENTS 108
TELEHOME VS. TELEHOSPITAL/CLINIC 108
TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES BY SEGMENT, THROUGH
2021 ($ MILLIONS) 109
FIGURE 23 TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES IN OTHER
COUNTRIES, 2015-2021 (%) 109
COUNTRY MARKETS 110
TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY
COUNTRY, THROUGH 2021 ($ MILLIONS) 110
FIGURE 24 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES,
2015 AND 2021 (%) 111
CHAPTER 13 CONCLUSIONS 113
CHANGING HEALTHCARE BUSINESS MODEL COMBINED WITH THE
PROLIFERATION OF WIRELESS COMMUNICATIONS FAVORS DEVELOPMENT OF
TELEMEDICINE
113
TELEMEDICINE IS A KEY DECIDING FACTOR IN INCREASING COMPANIES' SHARE
OF THE E-HEALTHCARE MARKET 113
TELEMEDICINE IS GAINING ACCEPTANCE 113
TELEMEDICINE WILL ONLY REALIZE ITS FULL MARKET POTENTIAL AFTER ITS
FULL INTEGRATION WITH THE HEALTHCARE SYSTEM 113
DESPITE EVOLVING POLICY ON REIMBURSEMENTS, HEALTHCARE PLAYERS ARE
ACTIVELY PURSUING TELEMEDICINE 114
RELIABILITY IS THE KEY BUYING CRITERIA FOR TELEMEDICINE TECHNOLOGY 114
TELEMEDICINE OFFERS A POTENTIAL ONE-STOP SOLUTION FOR TELEHOME AND
TELEHOSPITAL 114
TELEMEDICINE IS CREATING OPPORTUNITIES FOR ALL STAKEHOLDERS 114
CHAPTER 14 COMPANY PROFILES 116
TELEMEDICINE HARDWARE SUPPLIERS 116
AEROTEL MEDICAL SYSTEMS LTD. 116
INTERNATIONAL BUSINESS MACHINES CORP. 116
INTOUCH TECHNOLOGIES 117
MEDICAL INTERNATIONAL RESEARCH 117
MEDTRONIC INC. 117
OBS MEDICAL 118
ROCHE DIAGNOSTICS INTERNATIONAL AG 118
SCOTTCARE CORP. 119
SIEMENS HEALTHCARE 119
TELEMEDICINE SOFTWARE PROVIDERS 120
3M HEALTH INFORMATION SYSTEMS 120
AGFA HEALTHCARE NV 120
ALLSCRIPTS HEALTHCARE SOLUTIONS INC. 120
MEDIC4ALL 121
NUMERA 121
VAMSTEC 122
VIDEOCONFERENCING COMPANIES 122
DOCTORS TELEHEALTH NETWORK 122
LIFESIZE COMMUNICATIONS 122
POLYCOM 123
SONY CORP. OF AMERICA 123
TELECOM PLAYERS 123
ALCATEL-LUCENT 123
ATandT 124
CISCO 124
VERIZON COMMUNICATIONS INC. 124
TELEMEDICINE INTEGRATORS 125
AMD TELEMEDICINE INC. 125
AMERICAN TELECARE INC. 125
CARETRENDS 125
CYBERNET SYSTEMS CORP. 126
HONEYWELL LIFE CARE SOLUTIONS 126
LIFEWATCH AG 127
SHL TELEMEDICINE LTD. 127
VITEL INC. 127
VITERION TELEHEALTHCARE 128
ZYDACRON TELECARE GMBH 128
HOSPITALS 128
APOLLO HOSPITALS 128
JOHNS HOPKINS MEDICINE 129
MASSACHUSETTS GENERAL HOSPITAL 129
KANSAS UNIVERSITY CENTER FOR TELEMEDICINE AND TELEHEALTH 130
UNIVERSITY OF KENTUCKY CHANDLER HOSPITAL 130
UNIVERSITY OF PITTSBURGH MEDICAL CENTER 130
CHAPTER 15 TELEMEDICINE PROGRAMS 132
TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS 132
CHAPTER 16 ACRONYMS 148
ACRONYMS 148

LIST OF TABLES

SUMMARY TABLE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC MARKET,
THROUGH 2021 ($ MILLIONS) 7
TABLE 1 GLOBAL TELEHOME AND TELEHOSPITAL MARKET, THROUGH 2021 ($
MILLIONS) 29
TABLE 2 GLOBAL TELEMEDICINE MARKET BY REGION, THROUGH 2021 ($ MILLIONS) 29
TABLE 3 GLOBAL TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE MARKET,
THROUGH 2021 ($ MILLIONS) 30
TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2021 ($
MILLIONS) 41
TABLE 5 GLOBAL TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET, THROUGH
2021 ($ MILLIONS) 42
TABLE 6 GLOBAL TELEHOME AND TELEHOSPITAL HARDWARE MARKET, THROUGH
2021 ($ MILLIONS) 42
TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2021 ($ MILLIONS) 46
TABLE 8 GLOBAL TELEMEDICINE TELECOM AND NETWORKING FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2021 ($ MILLIONS) 47
TABLE 9 GLOBAL TELEMEDICINE SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 55
TABLE 10 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND REAL-TIME
VIDEOCONFERENCING SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 56
TABLE 11 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD SERVICES FOR THE
RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY MARKET, THROUGH
2021 ($ MILLIONS)
56
TABLE 12 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING SERVICES FOR
CARDIOLOGY, PSYCHIATRY, AND URBAN AND RURAL MARKETS, THROUGH 2021 ($
MILLIONS)
57
TABLE 13 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2021 ($ MILLIONS) 59
TABLE 14 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD MARKET BY
APPLICATION, THROUGH 2021 ($ MILLIONS) 61
TABLE 15 GLOBAL TELEHOSPITAL/CLINIC REAL-TIME VIDEOCONFERENCING MARKET
BY APPLICATION, THROUGH 2021 ($ MILLIONS) 61
TABLE 16 GLOBAL TELEHOSPITAL/CLINIC TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, THROUGH 2021
($ MILLIONS)
63
TABLE 17 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD CARDIOLOGY TECH
AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 64
TABLE 18 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING FOR CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 65
TABLE 19 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 68
TABLE 20 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 71
TABLE 21 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 73
TABLE 22 GLOBAL TELEHOSPITAL/CLINIC DERMATOLOGY TECHNOLOGY AND
SERVICE MARKET, THROUGH 2021 ($ MILLIONS) 74
TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 81
TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS, 2006-2015 91
TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
2021 ($ MILLIONS) 94
TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY,
THROUGH 2021 ($ MILLIONS) 95
TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE,
THROUGH 2021 ($ MILLIONS) 95
TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF
PRODUCT/SERVICE, THROUGH 2021 ($ MILLIONS) 96
TABLE 29 NORTH AMERICAN TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2021 ($ MILLIONS) 97
TABLE 30 EU TELEMEDICINE MARKET, THROUGH 2021 ($ MILLIONS) 99
TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH 2021
($ MILLIONS) 102
TABLE 32 JAPAN TELEMEDICINE MARKET BY SEGMENT, THROUGH 2021 ($ MILLIONS) 105
TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES BY SEGMENT, THROUGH
2021 ($ MILLIONS) 109
TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY
COUNTRY, THROUGH 2021 ($ MILLIONS) 110
TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS 132

LIST OF FIGURES

SUMMARY FIGURE GLOBAL TELEHOME AND TELEHOSPITAL/CLINIC SERVICE MARKET,
2015-2021 ($ MILLIONS) 7
FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 10
FIGURE 2 TELEMEDICINE APPLICATION MARKET 32
FIGURE 3 INTEGRATED TELEMEDICINE MODEL 34
FIGURE 4 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 43
FIGURE 5 U.S. TELEMEDICINE PATENTS, 2003-2015 47
FIGURE 6 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, 2003-MARCH 2016 (%) 48
FIGURE 7 TELEHOME SERVICES: MOVING UP IN THE VALUE CHAIN 50
FIGURE 8 TELEHOSPITAL B2B AND B2C SERVICES 50
FIGURE 9 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, 2015 AND 2021 ($ MILLIONS) 59
FIGURE 10 GLOBAL TELEHOSPITAL/CLINIC TELECARDIOLOGY MARKET FOR
STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY, 2015 AND 2021
($ MILLIONS)
63
FIGURE 11 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD CARDIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 64
FIGURE 12 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD RADIOLOGY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 68
FIGURE 13 GLOBAL TELEHOSPITAL/CLINIC STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 71
FIGURE 14 GLOBAL TELEHOSPITAL/CLINIC VIDEOCONFERENCING PSYCHIATRY
TECHNOLOGY AND SERVICE MARKET, 2015 AND 2021 ($ MILLIONS) 73
FIGURE 15 GLOBAL TELEHOSPITAL MARKET FOR URBAN AND RURAL
VIDEOCONFERENCING, 2015 AND 2021 ($ MILLIONS) 74
FIGURE 16 OVERVIEW OF TELEMEDICINE REVENUE MODELS 77
FIGURE 17 BUSINESS MODELS OF TELEMEDICINE 77
FIGURE 18 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, 2015-2021
(%) 99
FIGURE 19 EU TELEMEDICINE MARKET SHARES BY COUNTRY, 2015 AND 2021 (%) 100
FIGURE 20 JAPAN TELEMEDICINE MARKET BY SEGMENT, 2015-2021 ($ MILLIONS) 104
FIGURE 21 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENT MARKET SHARES,
2015-2021 (%) 105
FIGURE 22 TELEMEDICINE MARKET IN OTHER COUNTRIES BY SEGMENT, 2015-2021
($ MILLIONS) 108
FIGURE 23 TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES IN OTHER
COUNTRIES, 2015-2021 (%) 109
FIGURE 24 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES,
2015 AND 2021 (%)

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