NEW YORK, Dec. 29, 2011 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

mHealth and Home Monitoring – 4th Edition

http://www.reportlinker.com/p0356852/mHealth-and-Home-Monitoring-–-4th-Edition.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Wireless_Technology

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, Telefonica 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.

Table of Contents

1 The challenge from welfare diseases.3

1.1 Introduction 3

1.1.1 The ageing world population..3

1.1.2 Metabolic syndrome and lifestyle related diseases.4

1.2 Common chronic diseases 5

1.2.1 Cardiac arrhythmia6

1.2.2 Hypertension7

1.2.3 Ischemic diseases.7

1.2.4 Sleep apnea.8

1.2.5 Chronic respiratory diseases..9

1.2.6 Diabetes ..12

1.2.7 Hyperlipidemia .13

1.3 Healthcare providers and reimbursement systems ..14

1.3.1 Healthcare in Asia-Pacific16

1.3.2 Healthcare in Europe17

1.3.3 Healthcare in North America.20

2 mHealth strategies of mobile operators .23

2.1 Telecommunications in mHealth services ..24

2.2 mHealth market segments .25

2.3 Business models.27

2.4 mHealth strategies of mobile operators in North America .30

2.4.1 Verizon Communications 30

2.4.2 AT&T ..32

2.4.3 Sprint.34

2.4.4 KORE Telematics 36

2.4.5 GreatCall..36

2.4.6 TELUS ..38

2.4.7 SaskTel .40

2.5 mHealth strategies of mobile operators in Europe .40

2.5.1 Vodafone .42

2.5.2 Deutsche Telecom.44

2.5.3 Orange Group ..45

2.5.4 Telefónica 48

2.5.5 KPN50

2.5.6 Telecom Italia52

2.6 mHealth strategies of mobile operators in Asia-Pacific53

2.6.1 NTT DoCoMo55

2.6.2 SK Telecom56

2.6.3 Telstra 57

3 Enabling technologies and initiatives..59

3.1 Wireless M2M technology ..59

3.1.1 Chipsets, modules and terminals61

3.1.2 Device design and machine integration..64

3.1.3 M2M device value chain..65

3.1.4 eDevice focuses on end-to-end M2M solutions for telehealth .66

3.1.5 Qualcomm launches the 2net Platform and Hub67

3.1.6 Wireless M2M module vendors in the mHealth market ..69

3.2 Mobile handsets..72

3.2.1 Smartphone vendors and operating systems ..72

3.2.2 Application stores provide a new channel to the market for developers75

3.2.3 Medical applications ..76

3.3 Personal health record initiatives .77

3.3.1 Google shuts down Google Health78

3.3.2 Microsoft HealthVault78

3.3.3 Dossia personal health platform .80

3.3.4 PatientsLikeMe .80

3.4 Industry associations.81

3.4.1 Continua Health Alliance.81

3.4.2 The Bluetooth SIG Medical Working Group ..82

3.4.3 American Telemedicine Association.83

3.4.4 CTIA83

3.4.5 GSMA84

3.4.6 mHealth Alliance .84

3.4.7 West Wireless Health Institute ..84

3.4.8 Wireless-Life Sciences Alliance 85

4 Home healthcare monitoring87

4.1 Trends in health monitoring 88

4.1.1 Going digital, going wireless .89

4.1.2 Distance disease management 91

4.1.3 Outsourcing of health monitoring..92

4.2 Medical monitoring devices 93

4.2.1 Cardiac monitoring.94

4.2.2 Blood pressure monitoring96

4.2.3 Blood coagulation monitoring ..98

4.2.4 Blood oxygen level monitoring 98

4.2.5 Glucose monitoring99

4.2.6 Lipid monitoring 101

4.2.7 Sleep monitoring..101

4.2.8 Breath monitoring.102

4.3 Regulatory environment103

4.3.1 Regulatory environment in Europe.103

4.3.2 Regulatory environment in the US..104

4.3.3 Regulatory environment on other major markets106

4.3.4 International standardisation ..107

5 Physiological monitoring solution providers.109

5.1 Cardiac monitoring ..111

5.1.1 Biotronik 112

5.1.2 Boston Scientific113

5.1.3 Medtronic.114

5.1.4 Sorin Group .115

5.1.5 St. Jude Medical115

5.1.6 CardioNet.117

5.1.7 LifeWatch..118

5.1.8 Corventis..119

5.1.9 Curvus 120

5.1.10 Q & S ..120

5.1.11 SHL Telemedicine120

5.1.12 Vitaphone.121

5.1.13 Zenicor ..122

5.2 Blood pressure monitoring..122

5.2.1 Omron Healthcare122

5.2.2 A&D Medical 123

5.2.3 Microlife .124

5.2.4 Rossmax124

5.2.5 IEM..125

5.2.6 Medisana..125

5.3 Coagulation monitoring.126

5.3.1 Alere126

5.3.2 CoaguSense 127

5.3.3 International Technidyne Corporation 128

5.4 Sleep monitoring ..128

5.4.1 Fisher & Paykel Healthcare .131

5.4.2 Philips Respironics..131

5.4.3 ResMed .132

5.4.4 Cadwell Laboratories .133

5.4.5 CareFusion ..133

5.4.6 Compumedics 134

5.4.7 Natus Medical .134

5.4.8 NovaSom..135

5.4.9 Watermark Medical.135

5.5 Blood oxygen monitoring .136

5.5.1 Covidien 136

5.5.2 Masimo..137

5.5.3 Nonin Medical 138

5.5.4 Opto Circuits ..138

5.6 Air flow monitoring 138

5.6.1 Smiths Medical ..139

5.6.2 Clement Clarke International ..139

5.6.3 Medical Electronic Construction..139

5.6.4 Medical International Research.140

5.6.5 Midmark.140

5.6.6 Ndd Medizintechnik .140

5.6.7 nSpire Health ..141

5.6.8 SDI Diagnostics.141

5.6.9 Sibelmed..141

5.6.10 Vitalograph..141

5.6.11 Welch Allyn ..142

5.7 Glucose level monitoring ..142

5.7.1 Abbott Laboratories .143

5.7.2 Bayer Healthcare..144

5.7.3 Johnson & Johnson145

5.7.4 Roche .146

5.7.5 DexCom.146

5.7.6 Telcare 147

5.7.7 Welldoc..147

5.8 Lipid monitoring .148

5.8.1 CardioChek.148

5.8.2 Apex Biotechnology148

5.8.3 Biomedix USA 149

6 Medication and integrated monitoring solution providers..151

6.1 Integrated telehealth solution providers 151

6.1.1 Bosch Healthcare.152

6.1.2 Honeywell HomMed 153

6.1.3 Cardiocom154

6.1.4 Philips Healthcare155

6.1.5 Numera..157

6.1.6 Viterion TeleHealthcare .157

6.1.7 Aerotel Medical Systems..158

6.1.8 American TeleCare ..159

6.1.9 Authentidate159

6.1.10 BlueLibris..160

6.1.11 BodyTel .160

6.1.12 Grandcare Systems .161

6.1.13 H2AD ..162

6.1.14 Ideal Life 162

6.1.15 Intel-GE Care Innovations163

6.1.16 MedApps..164

6.1.17 Medic4All..165

6.1.18 OBS Medical 166

6.1.19 Tunstall Group166

6.1.20 Telehealth Solutions 168

6.2 Medication compliance monitoring .168

6.2.1 Aardex Group .169

6.2.2 Bang & Olufsen Medicom169

6.2.3 Cypak .170

6.2.4 Information Mediary Corporation.170

6.2.5 Medicpen..171

6.2.6 Medsignals..171

6.2.7 Proteus Biomedical.171

6.2.8 SIMpill .172

6.2.9 Vitality .172

6.2.10 Vocel 173

7 Market analysis and forecasts ..175

7.1 Market analysis..175

7.1.2 Compliance requirements drive connectivity in the sleep therapy market .179

7.1.3 Lower reimbursement slows down uptake of mobile cardiac telemetry.180

7.1.4 New entrants challenge leading providers of integrated telehealth solutions..181

7.1.5 Wireless connectivity gains momentum in several market segments ..183

7.1.6 Remote data transmission in other market segments ..185

7.2 Market forecasts187

7.3 Market drivers and barriers..191

7.3.1 An ageing population .192

7.3.2 Increasing welfare disease prevalence .192

7.3.3 Focus on disease prevention .192

7.3.4 Substitutes to medical monitoring..193

7.3.5 Resistance to change .194

7.4 Potential market catalysts .195

7.4.1 Increased monitoring during clinical trials..195

7.4.2 Insurance companies demanding monitoring ..196

7.4.3 New clinical evidence on cost effectiveness ..196

7.4.4 Non-prescribed monitoring and healthcare consumerism .197

7.5 Recommendations for mobile industry players .197

Glossary.201

List of Figures

Figure 1.1: Population by age group (EU, North America and Japan 2010-2030)..4

Figure 1.2: Direct and indirect costs of chronic welfare diseases in the US and EU ..6

Figure 1.3: Number of people suffering from chronic welfare diseases (EU/US 2008) .9

Figure 1.4: Percentage of population diagnosed with chronic welfare diseases11

Figure 1.5: Total and per capita healthcare spending by country (2009)..14

Figure 1.6: Share of population covered by private health insurance by country.17

Figure 1.7: Healthcare expenditure per capita by country (US$, World 2007) 19

Figure 1.8: Healthcare spending by type of service and product (US 2009) 20

Figure 2.1: Overview of telecom eHealth and mHealth services.24

Figure 2.2: mHealth market segments .25

Figure 2.3: mHealth business models ..28

Figure 2.4: Mobile operators by number of subscribers (North America Q4-2010) ..31

Figure 2.5: Mobile operators by number of subscribers (EU27+2 Q4-2010) ..41

Figure 2.6: Mobile operators by number of subscribers (APAC Q4-2010)54

Figure 3.1: Cost versus time diagram for wireless technology integration62

Figure 3.2: Examples of wireless M2M modules.63

Figure 3.3: Examples of wireless M2M terminals64

Figure 3.4: System architecture for an end-to-end M2M solution..65

Figure 3.5: M2M device value chain overview..66

Figure 3.6: Leading smartphone vendors and operating systems (Q3-2011) .74

Figure 3.7: Leading mobile app stores (Q3-2011) ..77

Figure 3.8: Examples of HealthVault-certified devices .. ..79

Figure 3.9: Examples of Continua-certified devices ..81

Figure 3.10: Selected members of the Continua Health Alliance, by industry.82

Figure 4.1: Examples of methods for uploading health monitoring data89

Figure 4.2: Overview of remote ECG monitoring.95

Figure 4.3: Heart sensor and monitor from CardioNet .96

Figure 4.4: Blood pressure monitor from Omron Healthcare 97

Figure 4.5: Glucose meters from LifeScan and Roche..100

Figure 5.1: Major suppliers of physiological monitoring solutions (2010) ..110

Figure 5.2: Examples of home sleep therapy and diagnostics companies and products ..130

Figure 5.3: Brands used by major diabetes monitoring companies ..143

Figure 6.1: Telehealth gateway form factors ..151

Figure 6.2: Examples of integrated monitoring solution providers .152

Figure 6.3: The Honeywell Genesis DM telehealth monitor with peripherals.154

Figure 6.4: The Vitality GlowCaps system 173

Figure 7.1: Home medical monitoring market value by segment (World 2010–2016)..176

Figure 7.2: Implantable cardiac rhythm management vendor market shares (2010)177

Figure 7.3: Market shares for remote monitoring of cardiac implants (2011) 178

Figure 7.4: Integrated telehealth solution provider market shares (2011) ..182

Figure 7.5: Installed base of telehealth hubs by region (2011).183

Figure 7.6: Home medical monitoring connections (World 2010–2016) ..188

Figure 7.7: Home medical monitoring connections by segment (World 2011)189

Figure 7.8: RPM connections by major market segments (World 2010–2016).190

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Wireless Technology Industry: mHealth and Home Monitoring – 4th Edition

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