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Market Insights - 01/07/2009 eHealth

Is the stage set for Health IT and the Telemedecine market?

The major question with eHealth potential is a matter of "when", not "if". From a clear definition of the segments of the eHealth market, this report proposes an in depth analysis of the market's structure in 7 countries and of forces that are driving its development. It analyses and forecasts the market opportunities and proposes a mapping of the main players' involvement and positionning in the value chain.


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1. EXECUTIVE SUMMARY
1.1. Is the stage now set for eHealth?

1.2. The eHealth market analysis

1.3. The telecom industry perspective

   
2. INTRODUCTION TO eHEALTH MARKET
2.1. Challenges
2.1.1. Increasing Chronic diseases
2.1.2. Increasing healthcare expenditure

2.2. Drivers of the eHealth market 
2.2.1. An aging population
2.2.2. Improving healthcare efficiency 
2.2.3. Disease prevention


3. THE CURRENT HEALTHCARE ENVIRONMENT
3.1. Regulation
3.1.1. USA
3.1.2. Europe
3.1.3. Japan

3.2. Interoperability: demanded by clients and policy makers

3.3. Current health systems and potential effects on eHealth development


4. INDUSTRY ANALYSIS
4.1. Market segmentation and potential analysis
4.1.1. Healthcare IT systems
4.1.2. Home healthcare
4.1.3. Transactional services 

4.2. The players 
4.2.1. Healthcare solution developers
4.2.2. Medical hardware vendors
4.2.3. Telcos
4.2.4. IT giants
4.2.5. Web giants

4.3. Mapping of industry players and the segments 


5. THE TELCO PERSPECTIVE ON THE MARKET 
5.1. Market potential 
5.1.1. The addressable market for operators 
5.1.2. Regional market forecasts 
                  
5.2. Synthesis 
5.2.1. Attractiveness of the eHealth market 
5.2.2. Inhibitors of eHealth adoption 
5.2.3. Telco operators actionnable opportunities in this market

6. ANNEXES
6.1. Existing eHealth initiatives and governmental support 
6.2. Health Systems comparison in 7 countries 
6.2.1. Healthcare demographics 
6.2.2. Healthcare costs burden for governments 
6.2.3. Status of physicians 
6.2.4. Share of care payed by patients 
6.2.5. Role and presence of private insurances 
6.2.6. Regional organisation of healthcare 
6.2.7. Existing efforts to coordinate care of chronic conditions 
6.2.8. Role and presence of private care providers 

• What are the drivers of the eHealth market?

• When could we expect a take-off of the eHealth market regarding the issues on regulation, language, Investment and training?

• How are the key players positioning themselves in the E-Health Value Chain: Health solution developers, Medical hardware vendors, Telecom Operators, IT giants, Web giants?

• What is the addressable market for telecom operators?

> eHealth in Europe, Japan and the United States for three relevant markets:
   - Healthcare IT systems
   - Home Healthcare
   - Transactional services

Table 1: Percentage of chronic illness per country
Table 2: Healthcare Expenditure per Capita in selected countries
Table 3: American Recovery Act buget expense by segment 
Table 4: Cerner revenues per geography 
Table 5: McKesson revenues per geography 
Table 6: Home medical monitoring market value by segment (World 2007)
Table 7: Positionning and product of Health IT software editors
Table 8: Identified partnerships and deals between integrators and editors
Table 9: Positionning and products of leading medical equipment vendors
Table 10: Positionning and products of leading telecom operators
Table 11: Overview of healthcare professionals and hospital beds penetration in 7 countries

***

Figure 1: Mapping of players in the eHealth market
Figure 2: Extended e-Health Value Chain
Figure 3: Healthcare Market in North America
Figure 4: Most Common Chronic Disease impacting the health
Figure 5: Number of people suffering from chronic welfare diseases
Figure 6: Chilhood obesity Evolution
Figure 7: Year Based Expenditures for chronic diseases
Figure 8: Evolution of chronic diseases prevalence with age
Figure 9: % of aged 65 / pop.
Figure 10: Compensations claimed by patients
Figure 11: American Recovery Act estimated net investment on eHealth
Figure 12: Evolution of EHR applications received by CCHIT
Figure 13: World Industry leaders by revenues
Figure 14: Distribution of top 100 HIT companies, by 2007 revenues
Figure 15: Siemens software licensing vs. Post sale service revenues
Figure 16: Cerner 2008 revenue mix
Figure 17: Comparison of market caps as of may 22nd 2009 on NYSE
Figure 18: Cerner share of managed services in annual revenues
Figure 19: NTT Docomo-Omron Health monitoring solution
Figure 20: Main industry and player mapping of the eHealth market
Figure 21: 2015 market forecast in France
Figure 22: 2015 market forecast in Europe
Figure 23: 2015 market forecast in North America
Figure 24: Extended e-Health Value Chain overview
Figure 25: Health Systems comparison in 7 countries
Figure 26: Total expenditure on health
Figure 27: General government expenditure on health
Figure 28: Out of pocket expense
Figure 29: Private expenditure on health
Figure 30: Private prepaid plans



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