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Trends in mHealth and Telemedicine in our store
Published on February 2011

                                                                                                             Report Summary

Mobile health can help healthcare providers to improve the efficiency and cost effectiveness of the care they provide. Healthcare and
ICT companies can also benefit from the increased sales opportunities resulting from the crossover of technologies.


Worldwide societal, technological, and economic changes are affecting the way people live and look after their health. New, more
efficient and cost effective ways of delivering healthcare are needed. mHealth and telemedicine offer a solution to this problem. The
growth potential of the mHealth and telemedicine market is only now becoming apparent as more healthcare and ICT vendors take
part.


Scope of this research


' Identify current trends in healthcare, IT, and mobile technologies and adapt R&D and marketing efforts accordingly.
' Review the various initiatives that will impact private and public healthcare expenditure and affect ICT and healthcare companies'
sales.
' Assess the opportunities created by the integration of healthcare and mobile technologies to identify and exploit new growth
channels.
' Anticipate the threats posed by the shift in healthcare provision and devise suitable strategies to maintain sales and market shares.


Research and analysis highlights


Demographic changes such as population ageing, health conditions linked to increased sedentariness and harmful lifestyle choices
are key drivers of mobile health. Economic and financial pressures lead healthcare providers and governments to deliver more
cost-effective healthcare through mobile health and telemedicine.


The pervasiveness of mobile cellular technology and the technological advances in IT, mobile telephony, and user equipment are
creating the perfect environment for the remote provision of healthcare. The increased prevalence of chronic diseases is creating a
market for telemonitoring equipment and services.


Developing countries stand to benefit the most from mobile health and telemedicine due to the greater lack of fixed ICT infrastructures
and healthcare provision.


Key reasons to purchase this research


' What are the main drivers behind mobile health'
' How is mobile health affecting healthcare provision and health practices'
' Is mobile health the latest fad or is it a long-lasting trend'
' Is mobile health a global or localised phenomenon and how is it applied in various parts of the world'
' Who will benefit from the shift to mobile health and what are the best ways to exploit the new opportunities'




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                                                                                                Table of Content

TABLE OF CONTENTS


About the author 2
Disclaimer 2


Executive Summary 12
The changing face of healthcare provision and management 12
Technologies and business frameworks in telemedicine and mHealth 12
Benefits and challenges of telemedicine and mHealth 13
What prospects for telemedicine and mHealth' 13
Exploiting telemedicine and mHealth 14


Chapter 1 The changing face of healthcare provision and management
16
Summary 16
Introduction 16
Factors affecting healthcare 17
Societal factors 17
Population ageing poses new challenges to healthcare systems 17
Increased life expectancy compounds the effects of population ageing 22
Lifestyle choices create new burdens for healthcare systems 22
Economic factors 23
Growing cost of healthcare 23
Lasting impacts of the global financial crisis 26
Shortage of healthcare professionals 27
Shift in care settings 28
Technological advances that help shape mobile health 28
IT penetration 28
Ubiquitous mobile cellular telephony 31
The advent of 3G technology 33
The emerging face of telemedicine and mHealth 35
eHealth as a way to tackle funding and staff shortages 36
Public and private organizations show interest in eHealth 36


Chapter 2 Technologies and business frameworks in telemedicine and
mHealth 38
Summary 38
Introduction 38
Technological aspects 39
Connectivity and speed 39
The telemedicine and mHealth ecosystem 39
Electronic health records and patient medical records: the cornerstone of eHealth 40
The right user equipment for the right population 40
Cloud computing 43



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Applications of telemedicine and mHealth 44
Remote consultation and diagnostics 45
ePrescribing 45
Home-based care (homecare) 46
Wireless medical telemetry services (WMTS) and remote patient monitoring 46
Wireless medical telemetry services 46
Remote patient monitoring (telemonitoring) 47
Emergency services 47
Health education and disease prevention 47
Personalization of care and patient involvement 48
Improving communication 48
New business frameworks 48
New business strategies 48
Cross-sector partnerships 49
Partnership opportunities for content delivery 49


Chapter 3 Benefits and challenges of telemedicine and mHealth 50
Summary 50
Introduction 50
Benefits for patients and healthcare providers 51
Reduced costs and increased efficiency for healthcare facilities and professionals 51
Greater patient compliance and empowerment 51
Benefits for industry players 52
Chronic health conditions create sales opportunities for ICT and healthcare companies 52
Opportunities for ICT companies 52
Opportunities for healthcare companies 52
Opportunities for new entrants 53
Growing cell-phone use offers opportunities to network operators and content providers 53
Spending in the homecare segment drives telemedicine spending 54
The homecare market offers new product development opportunities 54
Smartphones contribute to the growth in the telemedicine and mHealth market 55
Ultraportable PCs 57
Challenges of telemedicine and mHealth 57
Cost issues 57
Costs of equipment and services 57
New telemedicine and mHealth charges 58
Organizational issues 58
Greater surveillance of healthcare providers' practices 58
Limitations of ePrescribing 58
Technological issues 59
Content challenges 59
Mobile infrastructure and network challenges 59
IT network management 60
Data storage and management 60
Connectivity challenges 60
Lack of interoperability 60
Limitations of cloud computing 61
Legal and practical issues 62



Trends in mHealth and Telemedicine in our store (From Slideshare)                                           Page 3/8
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ReportLinker                                                                       and Market Statistics
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Confidentiality, privacy, and security issues 62
Standards of practice 62


Chapter 4 What prospects for telemedicine and mHealth' 64
Summary 64
Introduction 64
Government regulatory support for eHealth 65
The European Union (EU) 65
The 2004 eHealth action plan 66
The seven-year Seventh Framework Programme for Research (FP7, 2007'13) 66
The joint project "eHealth-INTEROP" (mandate M/403) 67
The European Commission's "Competitiveness and Innovation Programme" 67
EU eHealth policies 67
eHealth investments 68
The US 68
The American Recovery and Reinvestment Act of 2009 (ARRA) 68
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) 68
Healthcare providers are strongly incentivized to adopt eHealth solutions 68
Cooperation between the EU and the US 69
Telemedicine initiatives worldwide 70
Initiatives in the EU and the rest of Europe 70
RENEWING HEALTH (REgioNs of Europe WorkINg toGether for HEALTH) 71
The Smart Open Services for European Patients (epSOS) 72
Initiatives in the US 72
The International Telecommunication Union (ITU) initiative 73
The eHealth Initiative (eHI) and the Foundation for eHealth Initiative 73
The Appalachian Regional Commission (ARC) and Healthy Appalachia 73
The Southwest Virginia Telemedicine Cancer Outreach Program (SWVA TCOP) 74
Initiatives in developing countries 74
Initiatives in Latin America 77
Initiatives in Africa 77
Initiatives in the Caribbean 78
Initiatives in Asia Pacific 78
International initiatives 79
The United Nations Foundation's mHealth Alliance 79
CommCare 79
Network operators' and equipment manufacturers' initiatives 80
AT&T 80
Vodafone 80
Orange 81
NTT DoCoMo 82
Healthcare manufacturers' and technology companies' initiatives 82
GE Healthcare 82
The Continua Health Alliance 83
Mobile real-time medical data collection with Minder by Cambridge Consultants 83
Qualcomm 84


Chapter 5 Exploiting telemedicine and mHealth 85



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Summary 85
Introduction 86
Addressing key issues first 86
Overcoming stakeholder resistance 86
Reimbursement and cost issues 86
Efficiency will penalize healthcare providers unless payment systems are reviewed 87
Patients and consumers must buy into telemedicine 87
Telemedicine must not threaten healthcare professionals 88
Innovation in the field requires industry collaboration 88
Solving technical issues and addressing technological requirements 88
Connectivity and infrastructure services 88
Faster mobile connections are required to speed up mHealth adoption 89
Data security must be guaranteed 89
Content must be tailored to mHealth specificities 89
Potential of the telemedicine and mHealth market 90
Future revenue sources 90
Shrinking healthcare resources benefit the homecare segment 90
Growing chronic disease prevalence will consolidate the potential of the homecare segment 91
Significant contribution of home health monitoring to the homecare segment 91
Polypathology creates new opportunities 91
Services and devices will generate the biggest revenue share 92
The mHealth apps segment will continue to grow 93
Growth markets and challenges 93
Barriers still exist in the EU 93
Developing countries can benefit the most from telemedicine 93
Cloud-based solutions will help support telemedicine and mHealth services 95
The role of user equipment 96
Limitations of user equipment 96
Government involvement is paramount to foster health adoption 97
New strategies for ICT and healthcare vendors 98
Models to exploit mHealth and telemedicine 98
Health systems with a single point of contact are a good starting point 98
Using a bottom-up approach in developing countries 98
Pricing models for data storage and management 99
Public'private partnerships 99
Addressing funding issues with public'private partnerships 100
New business models 100
A business model based on profit sharing between stakeholders 101
Future-proofing mHealth and telemedicine systems 101
Industrial and commercial partnerships 101
Appendix 102
Scope 102
Methodology 102


Abbreviations 102
Glossary 105
3G 105
4G 105



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Bluetooth 105
eHealth 106
ePrescription 106
Electronic health records 106
Electronic medical records 106
GSM 106
Mobile broadband 106
Mobile health (synonym: mHealth) 106
Mobile Internet 107
Notebook 107
Telemedicine (synonym: teleHealth) 107
USB 107
Wi-Fi 107
Smartphone 107
10
Table of figures
Figure 1: Population aged 60 years or over, 2009 and 2050 19
Figure 2: Proportion of population aged ' 60 years by development levels (%), 1950'2050 21
Figure 3: Government health expenditure as % of total expenditure, 2000'2007 24
Figure 4: Total expenditure on health as % of GDP, 2000'2007 25
Figure 5: Estimated IT and Internet penetration, 2010 29
Figure 6: Estimated worldwide Internet usage by region (per 100 inhabitants), 2010 30
Figure 7: Estimated mobile cellular subscriptions per 100 inhabitants, 2010 32
Figure 8: Global cell-phone subscribers by technology generation (billions), 2009'14 33
Figure 9: Drivers of telemedicine and mHealth 35
Figure 10: Enablers and applications of telemedicine and mHealth 45
Figure 11: Challenges posed by telemedicine and mHealth 63
Figure 12: Distribution of mHealth programs by location, 2010 75
Figure 13: Distribution of mHealth programs by application area, 2010 76
Figure 14: Orange's 3-pronged strategy for 3 market segments 82
Figure 15: Share of total mHealth market opportunity by revenue source (%), 2010'15 92
Figure 16: Benefits of telemedicine and mHealth for stakeholders 100


Table of tables
Table 1: Population aged 60 years or over (millions), 2009 and 2050 20
Table 2: Proportion of population aged ' 60 years by development levels (%), 1950'2050 21
Table 3: Government health expenditure as % of total expenditure, 2000'2007 24
Table 4: Total expenditure on health as % of GDP, 2000'2007 26
Table 5: Estimated IT and Internet penetration, 2010 29
Table 6: Estimated Internet usage by region (per 100 inhabitants), 2010 30
Table 7: Estimated mobile cellular subscriptions per 100 inhabitants, 2010 32
Table 8: Global cell-phone subscribers by technology generation (billions), 2009'14 34
Table 9: Smartphone penetration worldwide by region (% of total mobile handsets), 2009'14 56
Table 10: EU telemedicine activities, 2007'10 71
Table 11: Distribution of mHealth programs by location, 2010 76
Table 12: Distribution of mHealth programs by application area, 2010 77




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Trends in mHealth and Telemedicine in our store

  • 1. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Trends in mHealth and Telemedicine in our store Published on February 2011 Report Summary Mobile health can help healthcare providers to improve the efficiency and cost effectiveness of the care they provide. Healthcare and ICT companies can also benefit from the increased sales opportunities resulting from the crossover of technologies. Worldwide societal, technological, and economic changes are affecting the way people live and look after their health. New, more efficient and cost effective ways of delivering healthcare are needed. mHealth and telemedicine offer a solution to this problem. The growth potential of the mHealth and telemedicine market is only now becoming apparent as more healthcare and ICT vendors take part. Scope of this research ' Identify current trends in healthcare, IT, and mobile technologies and adapt R&D and marketing efforts accordingly. ' Review the various initiatives that will impact private and public healthcare expenditure and affect ICT and healthcare companies' sales. ' Assess the opportunities created by the integration of healthcare and mobile technologies to identify and exploit new growth channels. ' Anticipate the threats posed by the shift in healthcare provision and devise suitable strategies to maintain sales and market shares. Research and analysis highlights Demographic changes such as population ageing, health conditions linked to increased sedentariness and harmful lifestyle choices are key drivers of mobile health. Economic and financial pressures lead healthcare providers and governments to deliver more cost-effective healthcare through mobile health and telemedicine. The pervasiveness of mobile cellular technology and the technological advances in IT, mobile telephony, and user equipment are creating the perfect environment for the remote provision of healthcare. The increased prevalence of chronic diseases is creating a market for telemonitoring equipment and services. Developing countries stand to benefit the most from mobile health and telemedicine due to the greater lack of fixed ICT infrastructures and healthcare provision. Key reasons to purchase this research ' What are the main drivers behind mobile health' ' How is mobile health affecting healthcare provision and health practices' ' Is mobile health the latest fad or is it a long-lasting trend' ' Is mobile health a global or localised phenomenon and how is it applied in various parts of the world' ' Who will benefit from the shift to mobile health and what are the best ways to exploit the new opportunities' Trends in mHealth and Telemedicine in our store (From Slideshare) Page 1/8
  • 2. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Table of Content TABLE OF CONTENTS About the author 2 Disclaimer 2 Executive Summary 12 The changing face of healthcare provision and management 12 Technologies and business frameworks in telemedicine and mHealth 12 Benefits and challenges of telemedicine and mHealth 13 What prospects for telemedicine and mHealth' 13 Exploiting telemedicine and mHealth 14 Chapter 1 The changing face of healthcare provision and management 16 Summary 16 Introduction 16 Factors affecting healthcare 17 Societal factors 17 Population ageing poses new challenges to healthcare systems 17 Increased life expectancy compounds the effects of population ageing 22 Lifestyle choices create new burdens for healthcare systems 22 Economic factors 23 Growing cost of healthcare 23 Lasting impacts of the global financial crisis 26 Shortage of healthcare professionals 27 Shift in care settings 28 Technological advances that help shape mobile health 28 IT penetration 28 Ubiquitous mobile cellular telephony 31 The advent of 3G technology 33 The emerging face of telemedicine and mHealth 35 eHealth as a way to tackle funding and staff shortages 36 Public and private organizations show interest in eHealth 36 Chapter 2 Technologies and business frameworks in telemedicine and mHealth 38 Summary 38 Introduction 38 Technological aspects 39 Connectivity and speed 39 The telemedicine and mHealth ecosystem 39 Electronic health records and patient medical records: the cornerstone of eHealth 40 The right user equipment for the right population 40 Cloud computing 43 Trends in mHealth and Telemedicine in our store (From Slideshare) Page 2/8
  • 3. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Applications of telemedicine and mHealth 44 Remote consultation and diagnostics 45 ePrescribing 45 Home-based care (homecare) 46 Wireless medical telemetry services (WMTS) and remote patient monitoring 46 Wireless medical telemetry services 46 Remote patient monitoring (telemonitoring) 47 Emergency services 47 Health education and disease prevention 47 Personalization of care and patient involvement 48 Improving communication 48 New business frameworks 48 New business strategies 48 Cross-sector partnerships 49 Partnership opportunities for content delivery 49 Chapter 3 Benefits and challenges of telemedicine and mHealth 50 Summary 50 Introduction 50 Benefits for patients and healthcare providers 51 Reduced costs and increased efficiency for healthcare facilities and professionals 51 Greater patient compliance and empowerment 51 Benefits for industry players 52 Chronic health conditions create sales opportunities for ICT and healthcare companies 52 Opportunities for ICT companies 52 Opportunities for healthcare companies 52 Opportunities for new entrants 53 Growing cell-phone use offers opportunities to network operators and content providers 53 Spending in the homecare segment drives telemedicine spending 54 The homecare market offers new product development opportunities 54 Smartphones contribute to the growth in the telemedicine and mHealth market 55 Ultraportable PCs 57 Challenges of telemedicine and mHealth 57 Cost issues 57 Costs of equipment and services 57 New telemedicine and mHealth charges 58 Organizational issues 58 Greater surveillance of healthcare providers' practices 58 Limitations of ePrescribing 58 Technological issues 59 Content challenges 59 Mobile infrastructure and network challenges 59 IT network management 60 Data storage and management 60 Connectivity challenges 60 Lack of interoperability 60 Limitations of cloud computing 61 Legal and practical issues 62 Trends in mHealth and Telemedicine in our store (From Slideshare) Page 3/8
  • 4. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Confidentiality, privacy, and security issues 62 Standards of practice 62 Chapter 4 What prospects for telemedicine and mHealth' 64 Summary 64 Introduction 64 Government regulatory support for eHealth 65 The European Union (EU) 65 The 2004 eHealth action plan 66 The seven-year Seventh Framework Programme for Research (FP7, 2007'13) 66 The joint project "eHealth-INTEROP" (mandate M/403) 67 The European Commission's "Competitiveness and Innovation Programme" 67 EU eHealth policies 67 eHealth investments 68 The US 68 The American Recovery and Reinvestment Act of 2009 (ARRA) 68 The Health Information Technology for Economic and Clinical Health Act (HITECH Act) 68 Healthcare providers are strongly incentivized to adopt eHealth solutions 68 Cooperation between the EU and the US 69 Telemedicine initiatives worldwide 70 Initiatives in the EU and the rest of Europe 70 RENEWING HEALTH (REgioNs of Europe WorkINg toGether for HEALTH) 71 The Smart Open Services for European Patients (epSOS) 72 Initiatives in the US 72 The International Telecommunication Union (ITU) initiative 73 The eHealth Initiative (eHI) and the Foundation for eHealth Initiative 73 The Appalachian Regional Commission (ARC) and Healthy Appalachia 73 The Southwest Virginia Telemedicine Cancer Outreach Program (SWVA TCOP) 74 Initiatives in developing countries 74 Initiatives in Latin America 77 Initiatives in Africa 77 Initiatives in the Caribbean 78 Initiatives in Asia Pacific 78 International initiatives 79 The United Nations Foundation's mHealth Alliance 79 CommCare 79 Network operators' and equipment manufacturers' initiatives 80 AT&T 80 Vodafone 80 Orange 81 NTT DoCoMo 82 Healthcare manufacturers' and technology companies' initiatives 82 GE Healthcare 82 The Continua Health Alliance 83 Mobile real-time medical data collection with Minder by Cambridge Consultants 83 Qualcomm 84 Chapter 5 Exploiting telemedicine and mHealth 85 Trends in mHealth and Telemedicine in our store (From Slideshare) Page 4/8
  • 5. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Summary 85 Introduction 86 Addressing key issues first 86 Overcoming stakeholder resistance 86 Reimbursement and cost issues 86 Efficiency will penalize healthcare providers unless payment systems are reviewed 87 Patients and consumers must buy into telemedicine 87 Telemedicine must not threaten healthcare professionals 88 Innovation in the field requires industry collaboration 88 Solving technical issues and addressing technological requirements 88 Connectivity and infrastructure services 88 Faster mobile connections are required to speed up mHealth adoption 89 Data security must be guaranteed 89 Content must be tailored to mHealth specificities 89 Potential of the telemedicine and mHealth market 90 Future revenue sources 90 Shrinking healthcare resources benefit the homecare segment 90 Growing chronic disease prevalence will consolidate the potential of the homecare segment 91 Significant contribution of home health monitoring to the homecare segment 91 Polypathology creates new opportunities 91 Services and devices will generate the biggest revenue share 92 The mHealth apps segment will continue to grow 93 Growth markets and challenges 93 Barriers still exist in the EU 93 Developing countries can benefit the most from telemedicine 93 Cloud-based solutions will help support telemedicine and mHealth services 95 The role of user equipment 96 Limitations of user equipment 96 Government involvement is paramount to foster health adoption 97 New strategies for ICT and healthcare vendors 98 Models to exploit mHealth and telemedicine 98 Health systems with a single point of contact are a good starting point 98 Using a bottom-up approach in developing countries 98 Pricing models for data storage and management 99 Public'private partnerships 99 Addressing funding issues with public'private partnerships 100 New business models 100 A business model based on profit sharing between stakeholders 101 Future-proofing mHealth and telemedicine systems 101 Industrial and commercial partnerships 101 Appendix 102 Scope 102 Methodology 102 Abbreviations 102 Glossary 105 3G 105 4G 105 Trends in mHealth and Telemedicine in our store (From Slideshare) Page 5/8
  • 6. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! Bluetooth 105 eHealth 106 ePrescription 106 Electronic health records 106 Electronic medical records 106 GSM 106 Mobile broadband 106 Mobile health (synonym: mHealth) 106 Mobile Internet 107 Notebook 107 Telemedicine (synonym: teleHealth) 107 USB 107 Wi-Fi 107 Smartphone 107 10 Table of figures Figure 1: Population aged 60 years or over, 2009 and 2050 19 Figure 2: Proportion of population aged ' 60 years by development levels (%), 1950'2050 21 Figure 3: Government health expenditure as % of total expenditure, 2000'2007 24 Figure 4: Total expenditure on health as % of GDP, 2000'2007 25 Figure 5: Estimated IT and Internet penetration, 2010 29 Figure 6: Estimated worldwide Internet usage by region (per 100 inhabitants), 2010 30 Figure 7: Estimated mobile cellular subscriptions per 100 inhabitants, 2010 32 Figure 8: Global cell-phone subscribers by technology generation (billions), 2009'14 33 Figure 9: Drivers of telemedicine and mHealth 35 Figure 10: Enablers and applications of telemedicine and mHealth 45 Figure 11: Challenges posed by telemedicine and mHealth 63 Figure 12: Distribution of mHealth programs by location, 2010 75 Figure 13: Distribution of mHealth programs by application area, 2010 76 Figure 14: Orange's 3-pronged strategy for 3 market segments 82 Figure 15: Share of total mHealth market opportunity by revenue source (%), 2010'15 92 Figure 16: Benefits of telemedicine and mHealth for stakeholders 100 Table of tables Table 1: Population aged 60 years or over (millions), 2009 and 2050 20 Table 2: Proportion of population aged ' 60 years by development levels (%), 1950'2050 21 Table 3: Government health expenditure as % of total expenditure, 2000'2007 24 Table 4: Total expenditure on health as % of GDP, 2000'2007 26 Table 5: Estimated IT and Internet penetration, 2010 29 Table 6: Estimated Internet usage by region (per 100 inhabitants), 2010 30 Table 7: Estimated mobile cellular subscriptions per 100 inhabitants, 2010 32 Table 8: Global cell-phone subscribers by technology generation (billions), 2009'14 34 Table 9: Smartphone penetration worldwide by region (% of total mobile handsets), 2009'14 56 Table 10: EU telemedicine activities, 2007'10 71 Table 11: Distribution of mHealth programs by location, 2010 76 Table 12: Distribution of mHealth programs by application area, 2010 77 Trends in mHealth and Telemedicine in our store (From Slideshare) Page 6/8
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