Connected Care in Europe – 3rd Edition

Connected Care in Europe is a comprehensive report fromBerg Insight analysing the latest developments on the telehealthand telecare markets in this region.

This strategic research report from Berg Insight provides youwith 165 pages of unique business intelligence including 5-yearindustry forecasts and expert commentary on which to baseyour 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 2024.

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 connectedcare products?
Which are the leading telecare equipment providers in Europe?
How will the connected care market evolve in the nextfive years?
How will the markets for telehealth, telecare and smart homesolutions converge?
What is the potential market size for cellular IoT connectivity?

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 5.2 million users at the end of 2018. The market for next-generation telecaresolutions is entering a growth phase with an estimated total of 2.6 million users in the EU28+2 countries at the end of 2018, whereas the number of telehealth users reached 1.0million. The total number of people using connected care solutions amounted to 7.8 million atthe end of 2018, as there is an overlap between the three solution categories. The market isforecasted to grow at a CAGR of 14.1 percent during the next six years to reach 17.3 millionconnected care users by 2024. Berg Insight expects that traditional telecare will be overtakenby next-generation telecare as the largest segment of the connected care market with aforecasted 8.3 million users in 2024. However, traditional telecare will follow with 6.2 millionusers and telehealth with 5.6 million users at the end of the forecast period.

Connected care revenues in the EU 28+2 countries reached an estimated € 3.3 billion in2018. This includes revenues from traditional telecare solutions, next-generation telecaresolutions and telehealth solutions. The market is expected to grow at a CAGR of 14.7 percentbetween 2018 and 2024 to reach € 7.5 billion at the end of the forecast period. Traditionaltelecare solutions accounted for the largest share of the market in 2018 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 almost 70 percent of telecare unit sales in the region. The next-generationtelecare market is on the other hand fragmented. In addition to the leading telecareequipment vendors, companies active in the next-generation market include specialisedproviders such as Essence Group, Just Checking, Vitalbase and Vivago in activity monitoring;Everon, Libify, Navigil, Oysta Technology, SmartLife Care and Smartwatcher in mobiletelecare; and Evondos, Innospense and MediRätt in medication compliance monitoring. Thetelehealth market is similarly a fragmented market that is evolving quickly. Many new start-upsas well as well-established solution providers from adjacent industries are active on themarket. Examples include BodyTel, Capsule Technologies, Comarch, eDevice, Luscii,OpenTeleHealth and SHL Telemedicine.

The ongoing digitalisation 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 data and acting on abnormalities. Care providers will work withsolutions that rely on data not only from telecare devices, but also from other sources such assmart home sensors and healthcare records. 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 2.4 million in 2018 to more than 8.1 million in 2024.

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 Chronic respiratory diseases
1.2.3 Diabetes
1.3 Neurological disorders, mental disorders and physical disabilities
1.3.1 Autism spectrum disorders
1.3.2 Dementia
1.3.3 Epilepsy
1.3.4 Other disorders and 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
1.5.3 Standardisation
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 9Solutions
2.2.2 Azur Soft
2.2.3 Beghelli
2.2.4 Centra Pulse and Connect
2.2.5 Chubb Community Care
2.2.6 Doro
2.2.7 Eurocross
2.2.8 Legrand
2.2.9 Medvivo
2.2.10 TBS Group
2.2.11 TeleAlarm Group
2.2.12 Tunstall Healthcare Group
2.2.13 Urmet ATE
2.2.14 Verklizan
2.2.15 Vitakt Hausnotruf
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 Buddi
3.2.2 ContinYou
3.2.3 Essence Group
3.2.4 Everon
3.2.5 Evondos
3.2.6 GTX Corp
3.2.7 Innospense
3.2.8 Just Checking
3.2.9 Libify
3.2.10 Limmex
3.2.12 MedicPen
3.2.13 MediRätt
3.2.14 Merck Group
3.2.15 Navigil
3.2.16 Oysta Technology
3.2.17 Posifon
3.2.18 Sensio
3.2.19 Skyresponse
3.2.20 SmartLife Care
3.2.21 Smartwatcher
3.2.22 Telenor
3.2.23 Victrix SocSan
3.2.24 Vitalbase
3.2.25 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 Alphabet
4.2.2 Apple
4.2.3 Be Patient
4.2.4 BodyTel
4.2.5 BT Group
4.2.6 Capsule Technologies (Qualcomm Life)
4.2.7 Comarch
4.2.8 Dignio
4.2.9 DXC Technology
4.2.10 eDevice
4.2.11 Hope Care
4.2.12 KPN
4.2.13 Luscii
4.2.14 Medixine
4.2.15 MedM
4.2.16 OpenTeleHealth
4.2.17 S3 Connected Health
4.2.18 SHL Telemedicine
4.2.19 Telbios
4.2.20 Telefónica
4.2.21 Telia Company
4.2.22 Vitaphone
4.2.23 Voluntis
5 Market forecasts and conclusions
5.1 Market trends and analysis
5.1.1 PSTN switch off continues to drive the transition to IP-based telecare
5.1.2 Millions of new cellular connections will be needed for connected care
5.1.3 BYOD will become a popular and viable option for telehealth
5.1.4 Technological developments affect the competitive landscape
5.1.5 Integrated data systems are becoming increasingly important
5.1.6 Convergence between telecare and telehealth towards integrated care
5.1.7 From frequent readings to AI-driven patient engagement
5.1.8 Next-generation activity monitoring solutions enable new use cases
5.1.9 The interest in mobile telecare solutions is growing
5.1.10 The medication compliance monitoring market gains momentum in Europe . 154
5.1.11 A slowly awakening consumer market for telecare in Europe
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 Companies
List of Figures
Figure 1.1: Population by age group (EU 28+2 2018–2050)
Figure 1.2: Prevalence of metabolic syndrome conditions among adults (EU 28+2 2015)
Figure 1.3: Number of people suffering from various chronic diseases (EU 28+2 2017)
Figure 1.4 Diabetes prevalence among adults age 20–79 by country (Europe 2017)
Figure 1.5: Number of people suffering from dementia, ASD and epilepsy (EU 28+2 2017) . 11
Figure 1.6: Total and per capita healthcare expenditure by region (Europe 2016)
Figure 1.7: Healthcare expenditure per capita by country (EU 28+2 2016)
Figure 1.8: Long-term care expenditure by country (EU 28+2 2016)
Figure 1.9: Elderly care expenditure by item (Sweden 2016)
Figure 1.10: Long term care expenditure by item (England April 2017–March 2018)
Figure 2.1: Analogue and digital telecare systems (EU 28+2 2018)
Figure 2.2: Adoption of telecare services per country (EU 28+2 2018)
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 2018)
Figure 2.6: Leading telecare solution providers per country (EU 28+2 2018)
Figure 2.7: Overview of telecare solution providers (EU 28+2 2018)
Figure 2.8: CareTech’s CareIP telecare system
Figure 2.9: Number of telecare units shipped by Legrand by country (2018)
Figure 3.1: Next-generation telecare solutions by segment (EU 28+2 2018)
Figure 3.2: Adoption of activity monitoring solutions per country (EU 28+2 2018)
Figure 3.3: Examples of mobile telecare devices
Figure 3.4: Care@Home activity monitoring solution
Figure 3.5: Medido medication dispensers
Figure 3.6: Compliance monitoring solution form factors
Figure 3.7: Overview of the next-generation telecare value chain
Figure 3.8: Overview of the next-generation telecare landscape
Figure 3.9: Next-generation telecare solution providers
Figure 3.10: The Evondos E300 Automatic Medicine Dispenser
Figure 3.11: Guard2me from LOSTnFOUND
Figure 3.12: The Easypod injector and the Easypod connect transmitter
Figure 3.13: SmartLife Care’s telecare alarm system
Figure 3.14: Vivago CARE 8001 watch
Figure 4.1: Adoption of telehealth services per country (EU 28+2 2018)
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: Overview of the telehealth landscape
Figure 4.6: Telehealth solution providers
Figure 4.7: Be Patient’s eHealth platform patient dashboard
Figure 4.8: HealthGO by eDevice
Figure 4.9: Medixine Suite
Figure 4.10: MedM’s mobile applications
Figure 5.1: Analogue and digital telecare systems (EU 28+2 2018–2024)
Figure 5.2: Cellular connections in the connected care market (EU 28+2 2018–2024)
Figure 5.3: Connected care systems (EU 28+2 2018–2024)
Figure 5.4: Traditional telecare systems (EU 28+2 2018–2024)
Figure 5.5: Next-generation telecare systems (EU 28+2 2018–2024)
Figure 5.6: Telehealth users (EU 28+2 2018–2024)
Figure 5.7: Connected care market revenues (EU 28+2 2018–2024)
Figure 5.8: Traditional telecare market revenues (EU 28+2 2018–2024)
Figure 5.9: Next-generation telecare market revenues (EU 28+2 2018–2024)
Figure 5.10: Telehealth market revenues (EU 28+2 2018–2024)

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