Global Markets for Telemedicine Technologies

  • October 2013
  • -
  • BCC Research
  • -
  • 134 pages

STUDY GOALS AND OBJECTIVES

This is an update of an earlier BCC report, published in March 2012. BCC’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 (2013 to 2018) of telemedicine and all its key subsegments.
• BCC’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 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 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 posttreatment, integrated information technology (IT) environments, increased efficiency of healthcare resources and reducing billing gaps, all point toward the increasing use of telemedicine.

BCC 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.

INTENDED AUDIENCE

This report is intended for telemedicine hardware manufacturers, software providers, telecom and networking companies, the healthcare industry, and healthcare insurance companies. Key takeaways include the identification and quantification of markets for technology and services in the telemedicine market. Opportunities are defined in terms of market forecasts, avenues, trends, market drivers and competitive gaps.

SCOPE AND FORMAT

This report focuses on global markets for telemedicine technologies and services. The discussion is organized into 13 chapters and three appendices, as shown below:
• Introduction.
• Summary.
• Telemedicine Overview.
• Telemedicine Technologies and Global Markets (including analysis of key patents).
• Telemedicine Applications.
• Economics of Telemedicine.
• Stakeholders: Opportunities Analysis.
• Consolidation and Ownership Trends.
• North American Markets.
• EU Markets.
• Japanese Market.
• Other Geographical Markets.
• Conclusions.
• Appendices.
o Appendix A: Company Profiles.
o Appendix B: List of Telemedicine Programs Studied.
o Appendix C: Acronyms.

METHODOLOGY AND INFORMATION SOURCES

BCC Research obtained the information on which this report is based from interviews with manufacturers and users of telemedicine technologies and services, as well as from reviews of secondary sources such as company literature, conference proceedings and related government data.
BCC Research based its market projections on various factors such as technology developments and industry issues, among other conditions. All market projections are expressed in 2012 constant dollars.

ANALYST CREDENTIALS

The author of the original report on which this update is based is Sandeep Sugla. Sandeep holds a bachelor’s degree in electronics engineering and has six years of research experience in pharmaceuticals, healthcare, medical equipment and biotechnology.

The analyst responsible for updating the report is Andrew McWilliams, a partner at 43rd Parallel LLC, a Boston-based international technology and marketing consulting firm. Mr. McWilliams is the author of numerous BCC Research studies, including many related to telemedicine, such as HLC054C Global Markets and Technologies for Home Medical Equipment; HLC082A Emerging Markets for Advanced Medical Technologies; HLC066B Medical Automation Technologies, Products, and Markets; HLC048D Healthcare Information Technology; HLC038C Patient Monitoring; HLC036E Medical Robotics and Computer-Assisted Surgery: The Global Market; HLC047D Disabled and Elderly Assistive Technologies; and HLC124A Emerging Diagnostic Technologies in the Changing U.S. Market

REPORT HIGHLIGHTS

This report provides:
• An in-depth analysis of the global telemedicine market.
• Analyses of global market trends, with data from 2012, estimates for 2013, and projections of compounds annual growth rates (CAGRs) through 2018.
• Coverage of telemedicine hardware providers, software providers, telecom and networking companies, healthcare companies, health insurance providers, and many more.
• Explorations into the ways in which collaborative healthcare can be better and more economically implemented through telemedicine.
• Examination of the new technological developments as well as the latest business trends developing in the telemedicine market.
• Comprehensive company profiles of key players in the market.

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 CREDENTIALS 4
RELATED BCC PUBLICATIONS 4
BCC ON-LINE SERVICES 4
DISCLAIMER 4

CHAPTER 2 SUMMARY 7

SUMMARY TABLE FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL
MARKET, THROUGH 2018 ($ MILLIONS) 7
SUMMARY FIGURE FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL
SERVICE MARKET, 2012 AND 2018 ($ 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 DEVELOPMENT OF THE TELEMEDICINE MARKET 11
MARKET DRIVERS 12
FIGURE 3 TELEMEDICINE: KEY TO E-HEALTHCARE 13
Increasing Chronic Diseases 13
Complexity of the Healthcare Network 13
Rising Cost of Home Care 14
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 15
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 16
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 23
Device Safety and Effectiveness 23
Privacy 24
Practitioner and Facility Licensure 25
Medical Liability and Malpractice Issues 26
STANDARDS 26
TELEMEDICINE: MOVING UP IN THE VALUE CHAIN 27
FIGURE 6 TELEMEDICINE: MOVING UP IN THE VALUE CHAIN 27
TELEMEDICINE MARKET STRUCTURE OVERVIEW 27
FIGURE 7 TELEMEDICINE MARKET STRUCTURE 28
GLOBAL TELEMEDICINE MARKET 28
Telehome vs. Telehospital/Clinic Segments 28
TABLE 1 FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL MARKET,
THROUGH 2018 ($ MILLIONS) 29
Major Geographical Segments 29
TABLE 2 FORECAST FOR TELEMEDICINE MARKET BY REGION, THROUGH 2018 ($
MILLIONS) 29
Technologies and Services 29
TABLE 3 FORECAST FOR THE TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE
MARKET, THROUGH 2018 ($ MILLIONS) 30
TELEMEDICINE APPLICATIONS 30
FIGURE 9 TELEMEDICINE APPLICATION MARKET 31
TELEMEDICINE STAKEHOLDERS 31
FIGURE 10 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE 32
MARKET DYNAMICS 33
FIGURE 11 33

CHAPTER 4 TELEMEDICINE TECHNOLOGIES AND GLOBAL MARKETS 35

TELEMEDICINE TECHNOLOGIES 35
FIGURE 12 MAPPING THE TECHNOLOGY VALUE CHAIN OF TELEMEDICINE 35
INTEGRATED TELEMEDICINE: TOP OF THE VALUE CHAIN 36
FIGURE 13 INTEGRATED TELEMEDICINE MODEL 36
Complex Networks Demanding Standardization across Integrated
Telemedicine 37
Open-End Technology: The Key to Integrated Medicine 37
MOVING TOWARD MORE RELIABLE AND EFFECTIVE TELEMEDICINE
TECHNOLOGIES 37
Factors Affecting Reliability of Telemedicine 37
Clinician Experience in Telemedicine 37
Imaging 37
Dermatology Applications 38
Audio Signals 38
WIDER USE OF IP-BASED CONVERGED NETWORKS IN TELEMEDICINE 38
OPTING FOR WEB- AND WIRELESS-BASED DISTRIBUTION 38
USE OF BOTH MULTIPURPOSE AND THERAPY-BASED EQUIPMENT 38
LOWERING THE COST OF TELEMEDICINE 39
INCREASING SPEED AND RELIABILITY OF DATA TRANSFER 39
Reduced Bandwidth Requirement 39
INCREASED USE OF WIRELESS TECHNOLOGIES IN TELEMEDICINE 39
Mobile Phone-Based Technologies 40
Bluetooth 40
ZigBee 40
Pervasive Monitoring 41
LAUNCHING MORE USER-FRIENDLY TECHNOLOGY 41
USING MORE COMPUTER-BASED DIAGNOSIS 42
GLOBAL MARKETS 42
GLOBAL TELEMEDICINE TECHNOLOGY: HARDWARE, SOFTWARE AND
TELECOM MARKET OVERVIEW 42
TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2018 ($
MILLIONS) 42
TABLE 5 FORECAST FOR THE TELEHOME AND TELEHOSPITAL TECHNOLOGY
MARKET, THROUGH 2018 ($ MILLIONS) 43
HARDWARE 43
TABLE 6 FORECAST FOR THE TELEHOME AND TELEHOSPITAL HARDWARE MARKET,
THROUGH 2018 ($ MILLIONS) 43
Home Care Hardware Market 43
Equipment Segments 44
FIGURE 14 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 44
Comparing Home Care Units 44
Telehospitals/Clinics Hardware Market 44
Equipment Segments 44
Videoconferencing Systems 45
Comparing Videoconferencing Units 45
Store-and-Forward Systems 45
SOFTWARE 46
Telemedicine Software Market Overview 46
TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2018 ($ MILLIONS) 46
Comparing Telemedicine Software Companies 47
TELECOM AND NETWORKING 47
Telecom and Networking Market Overview 47
TABLE 8 FORECAST FOR THE TELEMEDICINE TELECOM AND NETWORKING FOR
TELEHOME AND TELEHOSPITALS/CLINICS, THROUGH 2018 ($ MILLIONS) 48
TELEMEDICINE PATENT ANALYSIS 48
GENERAL TRENDS 48
FIGURE 15 U.S. TELEMEDICINE PATENTS, 2002-2013* 48
TRENDS BY TECHNOLOGY 49
FIGURE 16 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, THROUGH AUGUST
2013 (%) 49
TELEMEDICINE SERVICES OVERVIEW 50
TELEHOME SERVICES 50
FIGURE 17 TELEHOME SERVICES: MOVING UP IN THE VALUE CHAIN 51
TELEHOSPITAL SERVICES 51
FIGURE 18 TELEHOSPITAL B2B AND B2C SERVICES 52
OPPORTUNITIES IN TELEMEDICINE SERVICES 52
Telemedicine Facility Management Services 52
Telemedicine Services Supporting e-Health 52
Telemedicine Services Supporting Home Care 53
Interoperable Telemedicine Network Services 53
Telemedicine Virtual Network Providers Services 53
Mobile Emergency Services 53
Interface between Primary and Secondary Care 54
Primary Care Kiosk-Based Services Supporting Telemedicine 54
Telenursing Services 54
24/7 Telemedicine Call Center Services 55
Support for Outsourced Medical Services 55
Telemedicine Services for Disease Management 55
Telehealth Education 56
TELEMEDICINE SERVICE MARKET 56
TABLE 9 FORECAST FOR THE TELEMEDICINE SERVICE MARKET, THROUGH 2018 ($
MILLIONS) 56
TELEHOSPITAL SERVICES 56
TABLE 10 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD AND REAL-TIME VIDEOCONFERENCING SERVICE MARKET,
THROUGH 2018 ($ MILLIONS)
57
TABLE 11 FORECAST FOR THE GLOBAL TELEHOSPITAL STORE-AND-FORWARD
SERVICES FOR THE RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY
MARKET, THROUGH 2018 ($ MILLIONS)
57
TABLE 12 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
VIDEOCONFERENCING SERVICES FOR CARDIOLOGY, PSYCHIATRY, AND URBAN
AND RURAL MARKETS, THROUGH 2018 ($ MILLIONS)
58

CHAPTER 5 TELEMEDICINE APPLICATIONS 60

FIGURE 19 TELEMEDICINE APPLICATIONS: MARKET SIZE VERSUS PENETRATION 60
TELEMEDICINE APPLICATIONS OVERVIEW 60
FIGURE 20 TELEMEDICINE APPLICATIONS OVERVIEW 61
TELEMEDICINE MARKET BY APPLICATION 61
TABLE 13 FORECAST FOR GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD
AND VIDEOCONFERENCING MARKET, THROUGH 2018 ($ MILLIONS) 61
FIGURE 21 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, 2012 AND 2018 ($
MILLIONS)
62
TELEHOSPITALS/CLINICS VIDEOCONFERENCING TECHNOLOGY MARKET BY
APPLICATION 62
FIGURE 14 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 62
FIGURE 15 U.S. TELEMEDICINE PATENTS, 2002-2013* 63
TELECARDIOLOGY 63
TELECARDIOLOGY MARKET OVERVIEW 64
TABLE 16 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY
MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY,
THROUGH 2018 ($ MILLIONS)
64
FIGURE 22 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
TELECARDIOLOGY MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING
TECHNOLOGY, 2012 AND 2018 ($ MILLIONS)
65
Telecardiology: Store-and-Forward Market Overview 65
TABLE 17 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD CARDIOLOGY TECH AND SERVICE MARKET, THROUGH 2018
($ MILLIONS)
65
FIGURE 23 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, 2012
AND 2018 ($ MILLIONS)
66
Telecardiology: Videoconferencing Market Overview 66
TABLE 18 FORECAST FOR THE GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR
CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH 2018 ($ MILLIONS) 66
Market Drivers 67
Healthcare Services Using Telecardiology for Early Detection of
Abnormalities 67
Hospitals Outsourcing Cardiology Image Management to
Specialists 67
Cardiac Patients Experience Higher Comfort Levels with
Telecardiology 67
Larger Number of Cardiac Patients Monitored Remotely 67
Trends in Telecardiology 67
Telecardiology Usage for Pediatric Cardiology 67
Remote Monitoring and Post-Acute Care for Telecardiology 67
Supporting Image Handling in Telecardiology 68
Supporting ECG Transmission in Telecardiology 68
Increasing Use of Web-Based Interface for Telecardiology 68
Mobile Emergency Services Opting for Telecardiology 68
TELERADIOLOGY 69
TELERADIOLOGY MARKET OVERVIEW 69
TABLE 19 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS
STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET,
THROUGH 2018 ($ MILLIONS)
69
FIGURE 24 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, 2012
AND 2018 ($ MILLIONS)
69
Recent Developments 70
24-Hour Services by Teleradiology Companies 70
Development of Subspecialty Centers 70
Use of Filmless Imaging 71
Dartmouth Develops Low-Bandwidth Telesonography System 71
New Teleradiology Solution by Philips to Assist in Detection of
Lung Lesions 71
TELEPATHOLOGY 71
TELEPATHOLOGY MARKET OVERVIEW 71
TABLE 20 FORECAST FOR THE GLOBAL TELEHOSPITAL STORE-AND-FORWARD
PATHOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH 2018 ($ MILLIONS) 72
FIGURE 25 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, 2012 AND 2018 ($ MILLIONS) 72
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 73
Ultrarapid Virtual Slide Processor and Dynamic Image
Telepathology Improving Telepathology Effectiveness 73
TELEPSYCHIATRY 73
TABLE 21 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS
VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET,
THROUGH 2018 ($ MILLIONS)
74
FIGURE 26 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS
VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, 2012
AND 2018 ($ MILLIONS)
74
DERMATOLOGY 75
DERMATOLOGY MARKET OVERVIEW 75
TABLE 22 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS DERMATOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2018 ($ MILLIONS) 75
HOSPITALS: URBAN AND RURAL APPLICATIONS 75
FIGURE 27 TELEHOSPITAL VIDEOCONFERENCING URBAN AND RURAL MARKET,
2012 AND 2018 ($ MILLIONS) 75

CHAPTER 6 ECONOMICS OF TELEMEDICINE 78

BUSINESS MODELS 78
FIGURE 28 OVERVIEW OF TELEMEDICINE REVENUE MODELS 78
FIGURE 29 BUSINESS MODELS OF TELEMEDICINE (PERIPHERALS) 78
RISK AND REWARD SHARING MODEL 79
JOINT OPERATING MODEL 79
FACILITATOR MODEL 80
INTEGRATOR MODEL 80
SUBSCRIPTION-BASED SERVICE PROVIDER MODEL 80
PAY AS YOU GO 80
SHARED MODEL 80
TELEMEDICINE CONTRIBUTION TO HEALTHCARE PROVIDERS’ FINANCIAL
HEALTH 81
TOP LINE 81
Added Specialist Billing 81
Added Remote Patients 81
Avoiding the Need for Transfer from Rural Hospitals 81
BOTTOM LINE 81
Fewer Nursing Visits 81
Call-Center-Related Savings 81
PATIENT SAVINGS FROM REMOTE MONITORING 82
LOWER REHOSPITALIZATION COSTS 82
TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 82
SAVINGS ON TRAVEL COSTS 82
TELEMEDICINE: A COMPELLING BUSINESS CASE 82
POTENTIAL GLOBAL HEALTHCARE SAVINGS FROM TELEMEDICINE 82
HOME CARE MARKET INCREASINGLY ADOPTING TELEMEDICINE 83
MANY TELECOM COMPANIES VIEWING TELEMEDICINE AS KEY MARKET
DIFFERENTIATOR IN LONG RUN 83
E-HEALTH MARKET USING TELEMEDICINE AS ENABLING TECHNOLOGY 83

CHAPTER 7 STAKEHOLDERS: OPPORTUNITIES ANALYSIS 85

TIER I PLAYERS 85
TIER I PLAYERS CONSOLIDATING IN THE TELEMEDICINE MARKET TO WIN
THE LION’S SHARE OF THE FUTURE E-HEALTHCARE MARKET 85
HEALTHCARE COMPANIES: HOSPITALS, INSURANCE COMPANIES, CLINICS, GPS
AND DISEASE MANAGEMENT COMPANIES 85
HOSPITALS WILL USE TELEMEDICINE AS A KEY DIFFERENTIATOR 85
RURAL HOSPITALS WILL NOT LOSE REVENUES 85
ANNUAL HEALTHCARE MANAGEMENT PROGRAMS FOR PATIENTS,
NONPATIENTS AND FAMILIES ON MULTIPLE BUSINESS MODELS 86
SPECIALISTS, GENERAL PRACTITIONERS AND HEALTHCARE COMPANIES
FROM LOW-COST COUNTRIES WILL SEE A GREATER DEMAND FOR
OUTSOURCED MEDICAL HEALTHCARE SERVICES
86
CLINICS AND PRIMARY CARE CONSULTANTS WILL SEE A SIGNIFICANT
BENEFIT FROM TELEMEDICINE TOWARD SECONDARY CARE
CONSULTATION
86
HEALTHCARE COMPANIES ARE VIEWING TELEMEDICINE AS A TOOL TO CUT
HEALTHCARE COSTS 86
PHYSICIANS GETTING READY FOR E-VISITS 87
DISEASE MANAGEMENT COMPANIES EXPANDING TELEMEDICINE NETWORK
BEYOND U.S. 87
TELECOM AND NETWORK PLAYERS 87
TELECOM AND NETWORKING COMPANIES ARE ACTIVELY PARTICIPATING IN
THE DELIVERY OF GLOBAL TELEMEDICINE SERVICES 87
TELECOM COMPANIES SUPPORTING IP-BASED HIGH-SPEED DATA
TRANSFER NETWORKS 87
TELECOM COMPANIES PARTNERING WITH DISEASE MANAGEMENT
COMPANIES 87
TELEMEDICINE HARDWARE SUPPLIERS 88
SALES OF MORE RELIABLE PORTABLE TELEMEDICINE EQUIPMENT
CAPTURING MULTIPLE CLINICAL SIGNALS ARE EXPECTED TO GROW 88
INTEGRATED TELEMEDICINE IS THE FUTURE OF THE TELEMEDICINE
MARKET 88
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 89
SOFTWARE COMPANIES SUPPORT INTEGRATED TELEMEDICINE WITH
OPEN-END ARCHITECTURE 89
TELEMEDICINE INTEGRATORS: TELEHOME AND TELEHOSPITAL 89
TELEMEDICINE INTEGRATORS TO TAP INTO FAMILIES READY TO SPEND
FOR CONVENIENCE OF PRIMARY HEALTHCARE 89
TELEMEDICINE PLANS FOR MULTIPLE DISTRIBUTION CHANNELS 89

CHAPTER 8 CONSOLIDATION AND OWNERSHIP TRENDS 91

TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS,
2006-2013 91

CHAPTER 9 NORTH AMERICAN MARKETS 94

SUMMARY 94
TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
2018 ($ MILLIONS) 94
PRODUCT/SERVICE SEGMENTS 94
TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY,
THROUGH 2018 ($ MILLIONS) 94
TELEHOME PRODUCTS/SERVICES 95
TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE,
THROUGH 2018 ($ MILLIONS) 95
TELEHOSPITAL CLINIC PRODUCTS/SERVICES 96
TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF
PRODUCT/SERVICE, THROUGH 2018 ($ MILLIONS) 96
Store-and-Forward vs. Teleconferencing Applications 97
TABLE 29 NORTH AMERICAN TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2018 ($ MILLIONS) 97

CHAPTER 10 EU MARKETS 99

SUMMARY 99
TABLE 30 EU TELEMEDICINE MARKET, THROUGH 2018 ($ MILLIONS) 99
MARKET SEGMENTS 99
TELEHOME VS. TELEHOSPITAL/CLINIC 99
FIGURE 30 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, 2012-2018
(%) 99
COUNTRY MARKETS 100
FIGURE 31 EU TELEMEDICINE MARKET BY COUNTRY, 2012 AND 2018 (%) 100
TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH
2018 ($ MILLIONS) 102

CHAPTER 11 JAPANESE MARKET 104

SUMMARY 104
FIGURE 32 JAPAN TELEMEDICINE MARKET, 2012-2018 ($ MILLIONS) 104
MARKET SEGMENTS 104
TELEHOME VS. TELEHOSPITAL/CLINIC 104
TABLE 32 JAPAN TELEMEDICINE MARKET, THROUGH 2018 ($ MILLIONS) 105
FIGURE 33 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENTS, 2012-2018 (%) 105

CHAPTER 12 OTHER REGIONAL MARKETS 107

SUMMARY 107
FIGURE 34 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2018 ($
MILLIONS) 107
MARKET SEGMENTS 107
TELEHOME VS. TELEHOSPITAL/CLINIC 107
TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2018 ($
MILLIONS) 108
FIGURE 35 OTHER COUNTRIES TELEHOME VS. TELEHOSPITAL/CLINIC MARKET
SHARES, 2012-2018 (%) 108
COUNTRY MARKETS 108
TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY
COUNTRY, THROUGH 2018 ($ MILLIONS) 109
FIGURE 36 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES,
2012 AND 2018 (%) 109

CHAPTER 13 CONCLUSIONS 112

CHANGING HEALTHCARE BUSINESS MODEL COMBINED WITH THE
PROLIFERATION OF WIRELESS COMMUNICATIONS FAVORS DEVELOPMENT OF
TELEMEDICINE
112
TELEMEDICINE IS A KEY DECIDING FACTOR IN INCREASING COMPANIES’ SHARE
OF THE E-HEALTHCARE MARKET 112
TELEMEDICINE IS GAINING ACCEPTANCE 112
TELEMEDICINE WILL ONLY REALIZE ITS FULL MARKET POTENTIAL AFTER ITS
FULL INTEGRATION WITH THE HEALTHCARE SYSTEM 112
DESPITE NO CLEAR POLICY ON REIMBURSEMENTS, HEALTHCARE PLAYERS ARE
ACTIVELY PURSUING TELEMEDICINE 113
RELIABILITY IS THE KEY BUYING CRITERIA FOR TELEMEDICINE TECHNOLOGY 113
TELEMEDICINE OFFERS A POTENTIAL ONE-STOP SOLUTION FOR TELEHOME AND
TELEHOSPITAL 113
TELEMEDICINE IS CREATING OPPORTUNITIES FOR ALL STAKEHOLDERS 113

CHAPTER 14 APPENDIX A: COMPANY PROFILES 115

TELEMEDICINE HARDWARE SUPPLIERS 115
AEROTEL MEDICAL SYSTEMS LTD. 115
CARDIOCOM 115
HEALTH FRONTIER INC. 115
INTERNATIONAL BUSINESS MACHINES CORP. 116
INTOUCH TECHNOLOGIES 116
MEDICAL INTERNATIONAL RESEARCH 117
MEDTRONIC INC. 117
OBS MEDICAL 117
ROCHE DIAGNOSTICS 118
SCOTTCARE CORP. 118
SIEMENS HEALTHCARE 119
TELEMEDICINE SOFTWARE PROVIDERS 119
3M HEALTH INFORMATION SYSTEMS 119
AGFA HEALTHCARE NV 119
ALLSCRIPTS HEALTHCARE SOLUTIONS INC. 120
MEDIC4ALL 120
NUMERA 120
VAMSTEC 121
VIDEOCONFERENCING COMPANIES 121
DOCTORS TELEHEALTH NETWORK 121
LIFESIZE COMMUNICATIONS 122
POLYCOM 122
SONY CORP. OF AMERICA 122
TELECOM PLAYERS 123
ALCATEL-LUCENT 123
ATandT 123
CISCO 123
VERIZON COMMUNICATIONS INC. 124
TELEMEDICINE INTEGRATORS 124
AMD TELEMEDICINE INC. 124
AMERICAN TELECARE INC. 124
CARETRENDS 125
CYBERNET MEDICAL CORP. 125
HONEYWELL HOMMED 126
LIFEWATCH AG 126
ROBERT BOSCH HEALTHCARE 127
SHL TELEMEDICINE LTD. 127
VITEL INC. 128
VITERION TELEHEALTHCARE 128
ZYDACRON 128
HOSPITALS 129
APOLLO HOSPITALS 129
JOHNS HOPKINS MEDICINE 129
MASSACHUSETTS GENERAL HOSPITAL 130
KANSAS UNIVERSITY CENTER FOR TELEMEDICINE AND TELEHEALTH 130
UNIVERSITY OF KENTUCKY CHANDLER HOSPITAL 130
UNIVERSITY OF PITTSBURGH MEDICAL CENTER 131

CHAPTER 15 APPENDIX B: TELEMEDICINE PROGRAMS 133

TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS 133

CHAPTER 16 APPENDIX C: ACRONYMS 148

ACRONYMS 148



LIST OF TABLES

SUMMARY TABLE FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL
MARKET, THROUGH 2018 ($ MILLIONS) 7
TABLE 1 FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL MARKET,
THROUGH 2018 ($ MILLIONS) 29
TABLE 2 FORECAST FOR TELEMEDICINE MARKET BY REGION, THROUGH 2018 ($
MILLIONS) 29
TABLE 3 FORECAST FOR THE TELEMEDICINE HARDWARE, SOFTWARE AND SERVICE
MARKET, THROUGH 2018 ($ MILLIONS) 30
TABLE 4 GLOBAL TELEMEDICINE TECHNOLOGY MARKET, THROUGH 2018 ($
MILLIONS) 42
TABLE 5 FORECAST FOR THE TELEHOME AND TELEHOSPITAL TECHNOLOGY MARKET,
THROUGH 2018 ($ MILLIONS) 43
TABLE 6 FORECAST FOR THE TELEHOME AND TELEHOSPITAL HARDWARE MARKET,
THROUGH 2018 ($ MILLIONS) 43
TABLE 7 GLOBAL TELEMEDICINE SOFTWARE MARKET FOR TELEHOME AND
TELEHOSPITALS/CLINICS, THROUGH 2018 ($ MILLIONS) 46
TABLE 8 FORECAST FOR THE TELEMEDICINE TELECOM AND NETWORKING FOR
TELEHOME AND TELEHOSPITALS/CLINICS, THROUGH 2018 ($ MILLIONS) 48
TABLE 9 FORECAST FOR THE TELEMEDICINE SERVICE MARKET, THROUGH 2018 ($
MILLIONS) 56
TABLE 10 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD AND REAL-TIME VIDEOCONFERENCING SERVICE MARKET,
THROUGH 2018 ($ MILLIONS)
57
TABLE 11 FORECAST FOR THE GLOBAL TELEHOSPITAL STORE-AND-FORWARD
SERVICES FOR THE RADIOLOGY, CARDIOLOGY, DERMATOLOGY AND PATHOLOGY
MARKET, THROUGH 2018 ($ MILLIONS)
57
TABLE 12 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
VIDEOCONFERENCING SERVICES FOR CARDIOLOGY, PSYCHIATRY, AND URBAN AND
RURAL MARKETS, THROUGH 2018 ($ MILLIONS)
58
TABLE 13 FORECAST FOR GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD
AND VIDEOCONFERENCING MARKET, THROUGH 2018 ($ MILLIONS) 61
TABLE 16 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY
MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY,
THROUGH 2018 ($ MILLIONS)
64
TABLE 17 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD CARDIOLOGY TECH AND SERVICE MARKET, THROUGH 2018
($ MILLIONS)
65
TABLE 18 FORECAST FOR THE GLOBAL TELEHOSPITAL VIDEOCONFERENCING FOR
CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH 2018 ($ MILLIONS) 66
TABLE 19 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS
STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH
2018 ($ MILLIONS)
69
TABLE 20 FORECAST FOR THE GLOBAL TELEHOSPITAL STORE-AND-FORWARD
PATHOLOGY TECHNOLOGY AND SERVICE MARKET, THROUGH 2018 ($ MILLIONS) 72
TABLE 21 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS
VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, THROUGH
2018 ($ MILLIONS)
74
TABLE 22 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS DERMATOLOGY
TECHNOLOGY AND SERVICE MARKET, THROUGH 2018 ($ MILLIONS) 75
TABLE 23 AVERAGE HOSPITALIZATION AND TELEHOME CARE COST ($) 82
TABLE 24 MAJOR TELEMEDICINE-RELATED MERGERS AND ACQUISITIONS, 2006-2013 91
TABLE 25 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET, THROUGH
2018 ($ MILLIONS) 94
TABLE 26 NORTH AMERICAN TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY,
THROUGH 2018 ($ MILLIONS) 94
TABLE 27 NORTH AMERICAN TELEHOME MARKET BY TYPE OF PRODUCT/SERVICE,
THROUGH 2018 ($ MILLIONS) 95
TABLE 28 NORTH AMERICAN TELEHOSPITAL/CLINIC MARKET BY TYPE OF
PRODUCT/SERVICE, THROUGH 2018 ($ MILLIONS) 96
TABLE 29 NORTH AMERICAN TELEHOSPITALS/CLINICS STORE-AND-FORWARD AND
VIDEOCONFERENCING MARKET, THROUGH 2018 ($ MILLIONS) 97
TABLE 30 EU TELEMEDICINE MARKET, THROUGH 2018 ($ MILLIONS) 99
TABLE 31 EU TELEHOME AND TELEHOSPITAL MARKET BY COUNTRY, THROUGH 2018
($ MILLIONS) 102
TABLE 32 JAPAN TELEMEDICINE MARKET, THROUGH 2018 ($ MILLIONS) 105
TABLE 33 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2018 ($
MILLIONS) 108
TABLE 34 TELEHOME AND TELEHOSPITAL MARKET IN OTHER COUNTRIES BY
COUNTRY, THROUGH 2018 ($ MILLIONS) 109
TABLE 35 REPRESENTATIVE TELEMEDICINE PROGRAMS 133



LIST OF FIGURES

SUMMARY FIGURE FORECAST FOR THE GLOBAL TELEHOME AND TELEHOSPITAL
SERVICE MARKET, 2012 AND 2018 ($ MILLIONS) 7
FIGURE 1 STRUCTURE OF A TELEMEDICINE NETWORK 10
FIGURE 2 FACTORS INFLUENCING DEVELOPMENT OF THE TELEMEDICINE MARKET 11
FIGURE 3 TELEMEDICINE: KEY TO E-HEALTHCARE 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 27
FIGURE 7 TELEMEDICINE MARKET STRUCTURE 28
FIGURE 9 TELEMEDICINE APPLICATION MARKET 31
FIGURE 10 TELEMEDICINE STAKEHOLDERS MARKET STRUCTURE 32
FIGURE 11 33
FIGURE 12 MAPPING THE TECHNOLOGY VALUE CHAIN OF TELEMEDICINE 35
FIGURE 13 INTEGRATED TELEMEDICINE MODEL 36
FIGURE 14 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 44
FIGURE 15 U.S. TELEMEDICINE PATENTS, 2002-2013* 48
FIGURE 16 U.S. PATENTS ISSUED RELATING TO TELEMEDICINE, THROUGH AUGUST
2013 (%) 49
FIGURE 17 TELEHOME SERVICES: MOVING UP IN THE VALUE CHAIN 51
FIGURE 18 TELEHOSPITAL B2B AND B2C SERVICES 52
FIGURE 19 TELEMEDICINE APPLICATIONS: MARKET SIZE VERSUS PENETRATION 60
FIGURE 20 TELEMEDICINE APPLICATIONS OVERVIEW 61
FIGURE 21 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD AND VIDEOCONFERENCING MARKET, 2012 AND 2018 ($
MILLIONS)
62
FIGURE 14 TELEMEDICINE HOME CARE UNITS (PERIPHERALS) 62
FIGURE 15 U.S. TELEMEDICINE PATENTS, 2002-2013* 63
FIGURE 22 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS TELECARDIOLOGY
MARKET FOR STORE-AND-FORWARD AND VIDEOCONFERENCING TECHNOLOGY,
2012 AND 2018 ($ MILLIONS)
65
FIGURE 23 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD CARDIOLOGY TECHNOLOGY AND SERVICE MARKET, 2012
AND 2018 ($ MILLIONS)
66
FIGURE 24 FORECAST FOR THE GLOBAL TELEHOSPITALS/CLINICS
STORE-AND-FORWARD RADIOLOGY TECHNOLOGY AND SERVICE MARKET, 2012 AND
2018 ($ MILLIONS)
69
FIGURE 25 GLOBAL TELEHOSPITALS/CLINICS STORE-AND-FORWARD PATHOLOGY
TECHNOLOGY AND SERVICE MARKET, 2012 AND 2018 ($ MILLIONS) 72
FIGURE 26 GLOBAL FORECAST FOR THE TELEHOSPITALS/CLINICS
VIDEOCONFERENCING PSYCHIATRY TECHNOLOGY AND SERVICE MARKET, 2012 AND
2018 ($ MILLIONS)
74
FIGURE 27 TELEHOSPITAL VIDEOCONFERENCING URBAN AND RURAL MARKET, 2012
AND 2018 ($ MILLIONS) 75
FIGURE 28 OVERVIEW OF TELEMEDICINE REVENUE MODELS 78
FIGURE 29 BUSINESS MODELS OF TELEMEDICINE (PERIPHERALS) 78
FIGURE 30 EU TELEHOME VS. TELEHOSPITAL/CLINIC MARKET SHARES, 2012-2018
(%) 99
FIGURE 31 EU TELEMEDICINE MARKET BY COUNTRY, 2012 AND 2018 (%) 100
FIGURE 32 JAPAN TELEMEDICINE MARKET, 2012-2018 ($ MILLIONS) 104
FIGURE 33 JAPAN TELEHOME VS. TELEHOSPITAL/CLINIC SEGMENTS, 2012-2018 (%) 105
FIGURE 34 TELEMEDICINE MARKET IN OTHER COUNTRIES, THROUGH 2018 ($
MILLIONS) 107
FIGURE 35 OTHER COUNTRIES TELEHOME VS. TELEHOSPITAL/CLINIC MARKET
SHARES, 2012-2018 (%) 108
FIGURE 36 TELEMEDICINE IN OTHER COUNTRIES BY INDIVIDUAL COUNTRY SHARES,
2012 AND 2018 (%) 109

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