Connected Care in Europe – 2nd Edition

Connected Care in Europe is a comprehensive reportfrom Berg Insight analysing the latest developments on thetelehealth and telecare markets in this region.This strategic research report from Berg Insight providesyou with 150 pages of unique business intelligence including5-year industry forecasts and expert commentary on which tobase your business decisions.

This report will allow you to:

Profit from 30 executive interviews with market leading companies.
Identify key players in the connected care ecosystem.
Learn about the latest developments in connected care devicesand services.
Understand the dynamics of the European healthcare and socialcare systems.
Evaluate how the adoption of next-generation solutions isproceeding.
Benefit from expert market analysis including detailed marketforecasts lasting until 2022.

This report answers the following questions:

Which are the main verticals within connected care?
What are the main drivers on this market in Europe?
How many people are using telecare systems in eachEuropean country?
What are the general technology trends for connected careproducts?
Which are the leading telecare equipment providers in Europe?
How will the connected care market evolve in the next fiveyears?
How will the markets for telehealth, telecare and smart homesolutions converge?
What is the potential market size for wireless M2Mcommunication?

Executive summary

The ageing population and the increasing prevalence of chronic diseases will be two of thegreatest challenges in Europe during this century. It is widely believed that connected caresolutions can ease the burden on society by enabling more efficient delivery of care andallowing people to live independently in their homes for longer. Berg Insight’s definition ofconnected care comprises telecare and telehealth solutions that are used for the remotedelivery of healthcare and social care services. Today, the most common connected caresolution is the traditional telecare alarm, which includes a wearable alarm button that the userpresses in the case of an emergency. Next-generation telecare systems are technologicallymore advanced and can automatically trigger an alarm, for instance if the user leaves homeat an unexpected time or forgets to take his or her medicine. Furthermore, next-generationtelecare solutions include mobile telecare alarms that users can carry with them at all times.Telehealth solutions involve connected medical devices and monitoring services that areused for the remote management of patients with COPD, chronic heart failure, diabetes,hypertension, asthma, coronary heart disease or chronic kidney disease.

Traditional telecare is the largest and most mature segment of the connected care marketwith a total of 5.0 million users at the end of 2016. In contrast to this, the markets for nextgenerationtelecare and telehealth solutions are still in nascent stages. At the end of 2016,there were 1.5 million users of next-generation telecare solutions in EU28+2, whereas thenumber of telehealth users reached just 0.26 million. The total number of people usingconnected care solutions totalled 5.9 million at the end of 2016, as there is some overlapbetween the three solution categories. The market is forecasted to grow at a CAGR of 18.7percent during the next six years to reach 16.5 million connected care users by 2022. BergInsight expects that traditional telecare will be overtaken by next-generation telecare as thelargest segment of the connected care market with a forecasted 8.1 million users in 2022.However, traditional telecare will follow with 6.2 million users and telehealth with 4.0 millionusers at the end of the forecast period.

Connected care revenues in the EU28+2 countries reached an estimated € 2.4 billion in2016. This includes revenues from traditional telecare solutions, next-generation telecaresolutions and telehealth solutions. The market is expected to grow at a CAGR of 16.5 percentbetween 2016 and 2022 to reach € 6.1 billion at the end of the forecast period. Traditionaltelecare solutions accounted for the largest share of the market in 2016, but will not grow asquickly as the next-generation telecare and telehealth markets during the next six years.The traditional telecare equipment market in Europe is highly consolidated. The two majorplayers – Tunstall and Legrand – hold leading positions in nearly all markets and togetheraccount for 70 percent of telecare unit sales in the region. The next-generation telecaremarket is on the other hand fragmented. In addition to the leading telecare equipmentvendors, companies active in the next-generation market include specialized providers suchas Essence Group, Telecom Design and Vivago in activity monitoring; Doro, Everon, Navigiland LOSTnFOUND in mobile telecare; and Evondos, Innospense and Medicpen inmedication compliance monitoring. The telehealth market is similarly a fragmented marketthat is evolving quickly. Many new start-ups as well as well-established solution providersfrom adjacent industries are entering the market. Examples include Alere, BodyTel, H2AD,iHealth, S3 Connected Health and Qualcomm Life.

The ongoing digitalization of telephone networks in Europe will require massive replacementsof PSTN-based telecare systems in the coming years. At the same time, there is rising interestin new types of solutions that enable social care and healthcare services to be delivered moreefficiently. Berg Insight expects that these trends will catalyse the transition to the nextgeneration of connected care solutions. Future caregiving is also anticipated to be predictivein nature by analysing user big data and acting on abnormalities. Another trend is that carewill be a natural part of smart home concepts. The transition to digital technologies is goodnews for mobile network operators, as the vast majority of all new connected care systemsrely on cellular connectivity. In fact, Berg Insight predicts that the number of cellularconnections will grow from around 1.2 million in 2016 to more than 8.1 million in 2022.Another significant trend is BYOD, where the user’s own device will be used as hub.

Executive summary
1 Healthcare and social care in Europe
1.1 Introduction
1.1.1 The ageing population
1.1.2 Metabolic syndrome and lifestyle related diseases
1.2 Chronic diseases
1.2.1 Cardiovascular diseases
1.2.2 Hypertension
1.2.3 Chronic respiratory diseases
1.2.4 Diabetes
1.3 Medical conditions
1.3.1 Autism
1.3.2 Dementia
1.3.3 Epilepsy
1.3.4 Other cognitive and physical disabilities
1.4 Healthcare and social care systems
1.4.1 Healthcare systems
1.4.2 Social care systems
1.5 The regulatory environment
1.5.1 Medical device regulations
1.5.2 Privacy regulations
2 Traditional telecare solutions
2.1 Market overview
2.1.1 Form factors and use cases
2.1.2 Value chain
2.1.3 Competitive landscape
2.2 Solution providers
2.2.1 Azur Soft
2.2.2 TeleAlarm (Bosch Healthcare)
2.2.3 Centra Pulse
2.2.4 Chubb Community Care
2.2.5 Eurocross
2.2.6 Legrand (Tynetec, Jontek, Intervox and Neat)
2.2.7 TBS Group
2.2.8 Tunstall Healthcare Group
2.2.9 Verklizan
2.2.10 Urmet ATE
3 Next-generation telecare solutions
3.1 Market overview
3.1.1 Form factors and use cases
3.1.2 Value chain
3.1.3 Competitive landscape
3.2 Solution providers
3.2.1 Doro Care
3.2.2 Encore Healthcare (Evermind)
3.2.3 Everon
3.2.4 Evondos
3.2.5 Essence Group
3.2.6 Innospense
3.2.7 Just Checking
3.2.8 KPN
3.2.9 Limmex
3.2.10 Greatcall (Lively)
3.2.12 Medicpen
3.2.13 Merck Group
3.2.14 Navigil
3.2.15 Nortek (Numera)
3.2.16 Oysta Technology
3.2.17 Philips
3.2.18 Posifon
3.2.19 Telecom Design (Vitalbase)
3.2.20 Vivago
4 Telehealth solutions
4.1 Market overview
4.1.1 Form factors and use cases
4.1.2 Value chain
4.1.3 Competitive landscape
4.2 Solution providers
4.2.1 Alere
4.2.2 Apple HealthKit
4.2.3 BePatient
4.2.4 BodyTel
4.2.5 BT Group
4.2.6 Comarch
4.2.7 DXC Technology (CSC Scandihealth)
4.2.8 Google Fit
4.2.9 H2AD
4.2.10 Haltian
4.2.11 Hope Care
4.2.12 iHealth (eDevice)
4.2.13 Medic4All
4.2.14 Medixine
4.2.15 Medvivo
4.2.16 S3 Connected Health
4.2.17 SHL Telemedicine
4.2.18 OpenTeleHealth
4.2.19 MedM
4.2.20 Qualcomm Life
4.2.21 Telbios
4.2.22 Telefónica
4.2.23 Telia Company
4.2.24 Vitaphone
4.2.25 Voluntis
5 Market forecasts and conclusions
5.1 Market trends and analysis
5.1.1 PSTN network digitalization drives transition to IP-based telecare systems
5.1.2 Millions of new cellular connections will be needed for connected care
5.1.3 Next-generation activity monitoring solutions enable new use cases
5.1.4 Technological developments will affect the competitive landscape
5.1.5 Convergence between telecare and telehealth
5.1.6 BYOD will become a viable option for telehealth
5.1.7 The medication compliance monitoring market gains momentum in Europe . 134
5.1.8 The interest in mobile telecare solutions is growing
5.1.9 Respiratory care with sleep therapy monitoring
5.1.10 The rise of the netdoctor business
5.1.11 Legal aspects on the data driven future
5.2 Market forecasts
5.2.1 Traditional telecare
5.2.2 Next-generation telecare
5.2.3 Telehealth
5.3 Revenue forecasts
5.3.1 Traditional telecare
5.3.2 Next-generation telecare
5.3.3 Telehealth
List of Figures
Figure 1.1: Population by age group (EU28+2 2015–2030)
Figure 1.2: Number of people suffering from various chronic diseases (EU28+2 2012)
Figure 1.3: Percentage of population diagnosed with chronic welfare diseases (2015)
Figure 1.4: Number of people suffering from various medical conditions (EU 2012)
Figure 1.5: Total and per capita healthcare spending by country (2013)
Figure 1.6: Healthcare expenditure per capita by country (EU28+2 2014)
Figure 1.7: Expenditure on long term care support (UK April 2016–March 2017)
Figure 1.8: Healthcare expenditure per capita by country (EU28+2 2014)
Figure 2.1: Analogue and digital telecare systems (EU 28+2 2016)
Figure 2.2: Adoption of telecare services per country (EU 28+2 2016)
Figure 2.3: Neat NEO telecare device
Figure 2.4: The telecare value chain
Figure 2.5: Leading providers of telecare equipment (EU 28+2 2016)
Figure 2.6: Leading telecare solution providers per country (EU 28+2 2016)
Figure 2.7: Overview of telecare solution providers (EU 28+2 2016)
Figure 2.8: Number of telecare units shipped by Legrand by country (2016)
Figure 3.1: Next-generation telecare solutions by segment (EU 28+2 2016)
Figure 3.2: Adoption of activity monitoring solutions per country (EU 28+2 2016)
Figure 3.3: Examples of mobile telecare devices
Figure 3.4: Care@Home activity monitoring solution
Figure 3.5: Compliance monitoring solution form factors
Figure 3.6: Overview of the next-generation telecare value chain
Figure 3.7: Overview of the next-generation telecare landscape
Figure 3.8: Next-generation telecare solution providers
Figure 3.9: CareTech’s CareIP telecare system
Figure 3.10: The Evondos E300 Robot – an Automatic Medicine Dispenser
Figure 3.11: Medido medication dispensers
Figure 3.12: Guard2me from LOSTnFOUND
Figure 3.13: The Easypod injector and the Easypod connect transmitter
Figure 3.14: Numera Libris and Numera Safety Hub
Figure 3.15: The Philips Medido medication dispenser
Figure 3.16: Vivago CARE 8001 watch
Figure 4.1: Adoption of telehealth services per country (EU 28+2 2016)
Figure 4.2: Connected medical devices and the provision of care
Figure 4.3: Telehealth hub form factors
Figure 4.4: Overview of the telehealth value chain
Figure 4.5: New players enter the telehealth market
Figure 4.6: Telehealth solution providers
Figure 4.7: BP eHealth Platform patient dashboard
Figure 4.8: Apps that can be connected to Google Fit
Figure 4.9: The Twitoo telehealth hub
Figure 4.10: Haltian’s Snowfox trackerphone
Figure 4.11: HealthGO+ and HealthGO Mini by eDevice
Figure 4.12: Medic4All’s WristClinic monitoring device
Figure 4.13: Medixine Suite
Figure 4.14: MedM mobile applications
Figure 5.1: Analogue and digital telecare systems (EU 28+2 2016–2022)
Figure 5.2: Cellular connections in the connected care market (EU 28+2 2016–2022)
Figure 5.3: Sleep therapy vendor global market shares (2016)
Figure 5.4: Connected sleep therapy solutions by vendor (2016)
Figure 5.5: ResMed’s portable AirMini CPAP machine for sleep apnea treatment
Figure 5.6: Connected care systems (EU 28+2 2016–2022)
Figure 5.7: Traditional telecare systems (EU 28+2 2016–2022)
Figure 5.8: Next-generation telecare systems (EU 28+2 2016–2022)
Figure 5.9: Telehealth systems (EU 28+2 2016–2022)
Figure 5.10: Connected care market revenues (EU 28+2 2016–2022)
Figure 5.11: Traditional telecare market revenues (EU 28+2 2016–2022)
Figure 5.12: Next-generation telecare market revenues (EU 28+2 2016–2022)
Figure 5.13: Telehealth market revenues (EU 28+2 2016–2022)

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