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Trends in mHealth and Telemedicine |
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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 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
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
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
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
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
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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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Published By : Business Insights |
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