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mHealth and Home Monitoring - 4th Edition

Berg Insight
December 27, 2011
SKU: BRG6737834

Abstract Table of Contents Related Reports

mHealth and Home Monitoring is the fourth consecutive report from Berg Insight that gives first-hand insights into the adoption of wireless solutions for health monitoring.

This strategic research report from Berg Insight provides you with 200 pages of unique business intelligence including 5-year industry forecasts and expert commentary on which to base your business decisions.

This report will allow you to:

Profit from 30 new executive interviews with market leading companies.
Identify key players in the healthcare monitoring ecosystem.
Learn about key home health monitoring devices and services.
Understand the dynamics of the health monitoring market in Europe and North America.
Comprehend how wireless technology can become seamlessly integrated with medical devices.
Evaluate the business opportunities in the emerging mHealth segment.
Predict future market and technology developments.

Additional Information

Executive Summary

eHealth is a term for healthcare practice supported by electronic processes and communication. More recently, mHealth has begun to appear as a term for eHealth using mobile phones or cellular networks. mHealth is a very broad term that principally involves every kind of mobile health related communication, application or data service. This report covers home health monitoring involving patient self-testing using medical devices and remote transmission of the medical data to healthcare providers for disease management.

Some of the most common conditions being monitored today are chronic diseases including cardiac arrhythmia, hypertension, ischemic diseases, sleep apnea, diabetes, hyperlipidemia, asthma and chronic obstructive pulmonary disease (COPD). These conditions cause substantial costs and reduce both life expectancy and quality of life. Berg Insight estimates that more than 200 million people in the EU and the US suffer from one or several diseases where home monitoring can become a treatment option. Applying information and communication technologies in the healthcare industry can lead to decreased costs, more efficient care delivery and improved sustainability of the healthcare system. However, the rate of adoption is still slow and wireless technologies have only just begun to penetrate the market.

At the end of 2011, around 2.2 million patients worldwide were using a home monitoring service based on equipment with integrated connectivity. The figure does not include patients that use monitoring devices connected to a PC or mobile phone. It only includes systems that rely on monitors with integrated connectivity or systems that use monitoring hubs with integrated cellular or fixed-line modems. Berg Insight forecasts that the number of home monitoring systems with integrated communication capabilities will grow at a compound annual growth rate (CAGR) of 18.0 percent between 2010 and 2016 to reach 4.9 million connections globally by the end of the forecast period. The number of these devices that have integrated cellular connectivity increased from 0.42 million in 2010 to about 0.57 million in 2011, and is projected to grow at a CAGR of 34.6 percent to 2.47 million in 2016.

Several companies have developed integrated solutions for monitoring multiple chronic diseases and other conditions. The six leading providers of integrated telehealth systems include the major technology and electronics companies Bosch, Honeywell, Philips and Bayer, as well as the small specialist telehealth companies Cardiocom and Numera. Combined, these six companies account for 73.0 percent of the installed base of telehealth hubs. The main market segments for medical devices with integrated connectivity are cardiac rhythm management, sleep therapy and cardiac event monitoring. In these segments leading providers such as Medtronic, Biotronik, St. Jude Medical, CardioNet, LifeWatch, ResMed, Philips Respironics and Fisher & Paykel Healthcare today market wirelessly connected solutions. Implantable cardiac rhythm management devices is by far the largest segment, accounting for 74.3 percent of remotely monitored patients.

The major mobile operator groups including AT&T, Orange, Telefónica and Vodafone are currently exploring the field and have set up business units dedicated to mHealth. The most commonly used mode of expansion has been to establish strategic partnerships with mHealth and eHealth solution vendors. Several operators are leveraging other vehicles for expansion such as corporate venture capital, acquisitions and in-house development. However, providing specialized solutions for the healthcare industry implies a significant diversification from the core business. The challenge for mobile operators is to identify market segments where they create most value, while at the same time limiting the potential downsides of over-diversification.

The adoption of out-of-hospital wireless monitoring in healthcare is driven by a wide range of incentives, related to everything from demographics and technology development to new advancements in medical treatment. However, there are a number of barriers, including resistance to change among healthcare organizations and clinicians, misaligned incentive structures and the financing of wireless solutions by what is at large an underfunded healthcare sector. Several catalysts are nevertheless likely to speed up the rate of adoption, including increasing monitoring during clinical trials, insurance company requirements and new clinical evidence on cost effectiveness. Significant events that will drive uptake include the Medical Device Data Systems (MDDS) legislation in the US and the publication of the results from the Whole System Demonstrator project in the UK.

1 The challenge from welfare diseases: 1.1 Introduction; 1.2 Common chronic diseases; 1.3 Healthcare providers and reimbursement systems
2 mHealth strategies of mobile operators: 2.1 Telecommunications in mHealth services; 2.2 mHealth market segments; 2.3 Business models; 2.4 mHealth strategies of mobile operators in North America; 2.5 mHealth strategies of mobile operators in Europe; 2.6 mHealth strategies of mobile operators in Asia-Pacific
3 Enabling technologies and initiatives: 3.1 Wireless M2M technology; 3.2 Mobile handsets; 3.3 Personal health record initiatives; 3.4 Industry associations
4 Home healthcare monitoring: 4.1 Trends in health monitoring; 4.2 Medical monitoring devices; 4.3 Regulatory environment
5 Physiological monitoring solution providers: 5.1 Cardiac monitoring; 5.2 Blood pressure monitoring; 5.3 Coagulation monitoring; 5.4 Sleep monitoring; 5.5 Blood oxygen monitoring; 5.6 Air flow monitoring; 5.7 Glucose level monitoring; 5.8 Lipid monitoring
6 Medication and integrated monitoring solution providers: 6.1 Integrated telehealth solution providers; 6.2 Medication compliance monitoring
7 Market analysis and forecasts: 7.1 Market analysis; 7.2 Market forecasts; 7.3 Market drivers and barriers; 7.4 Potential market catalysts; 7.5 Recommendations for mobile industry players
Glossary
List of Figures: Figure 1.1: Population by age group (EU, North America and Japan 2010-2030); Figure 1.2: Direct and indirect costs of chronic welfare diseases in the US and EU; Figure 1.3: Number of people suffering from chronic welfare diseases (EU/US 2008); Figure 1.4: Percentage of population diagnosed with chronic welfare diseases; Figure 1.5: Total and per capita healthcare spending by country (2009); Figure 1.6: Share of population covered by private health insurance by country; Figure 1.7: Healthcare expenditure per capita by country (US$, World 2007); Figure 1.8: Healthcare spending by type of service and product (US 2009); Figure 2.1: Overview of telecom eHealth and mHealth services; Figure 2.2: mHealth market segments; Figure 2.3: mHealth business models; Figure 2.4: Mobile operators by number of subscribers (North America Q4-2010); Figure 2.5: Mobile operators by number of subscribers (EU27+2 Q4-2010); Figure 2.6: Mobile operators by number of subscribers (APAC Q4-2010); Figure 3.1: Cost versus time diagram for wireless technology integration; Figure 3.2: Examples of wireless M2M modules; Figure 3.3: Examples of wireless M2M terminals; Figure 3.4: System architecture for an end-to-end M2M solution; Figure 3.5: M2M device value chain overview; Figure 3.6: Leading smartphone vendors and operating systems (Q3-2011); Figure 3.7: Leading mobile app stores (Q3-2011); Figure 3.8: Examples of HealthVault-certified devices; Figure 3.9: Examples of Continua-certified devices; Figure 3.10: Selected members of the Continua Health Alliance, by industry; Figure 4.1: Examples of methods for uploading health monitoring data; Figure 4.2: Overview of remote ECG monitoring; Figure 4.3: Heart sensor and monitor from CardioNet; Figure 4.4: Blood pressure monitor from Omron Healthcare; Figure 4.5: Glucose meters from LifeScan and Roche; Figure 5.1: Major suppliers of physiological monitoring solutions (2010); Figure 5.2: Examples of home sleep therapy and diagnostics companies and products; Figure 5.3: Brands used by major diabetes monitoring companies; Figure 6.1: Telehealth gateway form factors; Figure 6.2: Examples of integrated monitoring solution providers; Figure 6.3: The Honeywell Genesis DM telehealth monitor with peripherals; Figure 6.4: The Vitality GlowCaps system; Figure 7.1: Home medical monitoring market value by segment (World 2010-2016); Figure 7.2: Implantable cardiac rhythm management vendor market shares (2010); Figure 7.3: Market shares for remote monitoring of cardiac implants (2011); Figure 7.4: Integrated telehealth solution provider market shares (2011); Figure 7.5: Installed base of telehealth hubs by region (2011); Figure 7.6: Home medical monitoring connections (World 2010-2016); Figure 7.7: Home medical monitoring connections by segment (World 2011); Figure 7.8: RPM connections by major market segments (World 2010-2016)

mHealth and Home Monitoring - 4th Edition

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