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Technologies, Products & Trends in Telemedicine, 2003

· 195 pages   · 33 Exhibits   · 50 Company Profiles   · Pub. Date December 2003   · Report #E101

This report is an assessment and forecast of the products, technologies and applications in telemedicine. The report details the test current and emerging products, technologies and trends in the application of electronic information and communications technologies to provide and support health care when distance separates the participants. Specifically, the report describes the current and emerging clinical applications, the status of products and technologies under development, select application market data, the current or likely competitors and their positions in the market, and the opportunities for current or hopeful competitors in this field.



Telemedicine Market Definitions

Government and Other Third Party Payers

Telemedicine Protocols

Telemedicine Disciplines

Telecommunications Technologies

Medical Care Demographics

Health Care Expenditures



1.1       General Introduction to the Field

1.1.1          Telemedicine Applications

1.1.2          Advantages of Telemedicine

1.1.3          Some Disadvantages of Telemedicine

1.1.4          The Telemedicine Market and Evolving Definitions

1.1.5          Telemedicine Programs Baseline Five Years Ago

1.1.6          Telemedicine Market Projections       Defining the Telemedicine Market Segments       The Present State of the Market       Telemedicine Market Drivers       Overview of the Telemedicine Market

1.2       Government Regulatory Policies Affect Telemedicine

1.2.1          Third Parties Shape the Health Care System       The Balanced Budget Act and Medicare       The Benefits Improvement Act of 2000 BIPA)       BIPA Helps Give Telemedicine Medicare Legitimacy       Store and Forward Technologies       Continuous Quality Improvement       Other Third Party Payer Policies

1.2.2          State Licensure of Physicians       State-Based Medical Licensure

1.3       Telemedicine Clinical Practice

1.3.1          Basics       The Network       Clinical Parameters

1.3.2          Cardiology       Stethoscopy and Auscultation       Echocardiography

1.3.3          Dermatology

1.3.4          Teleradiology       Teleradiology Leads the Way       Telemedicine Protocols       Telemedicine Network Layers       DICOM Standard       Specializing in Compression Can Make an Impact       The Role of Teleradiology in Telemedicine

1.3.5          Ear/Nose/Throat ENT)       ENT Imaging       Nasopharyngoscopy and Otoscopy       TV Sets and Computer Monitors

1.3.6          Emergency Medicine       Emergency Care in Transport and at Rural ERs       Battlefield Medical Care

1.3.7          Gastroenterology       Pacemaker-like Technology Redeems Sick Stomachs

1.3.8          Home Care       Health Care Equipment for Telemedicine Home Care       Examples of Telemedicine in Home Care

1.3.9          Neurology

1.3.10        Oncology

1.3.11        Ophthalmology     Diagnostic Step     Vision/Refraction Assessment     Other Assessments

1.3.12        Mental Health

1.3.13        Telerehabilitation     Three Facets of Telerehabilitation     Point of Delivery of Telerehabilitation     Reasons for Telerehabilitation

1.3.14        Telepathology

1.3.15        Telesurgery: An Example of an Emerging Telemedicine Application

1.4       Telemedicine in Developing Nations

1.4.1          Introduction

1.4.2          Telemedicine for Antarctica

1.5       Overview: Home Care and Telemedicine Technologies

1.5.1          Introduction

1.5.2          Increased Access to Information

1.5.3          More Patient Involvement in Health Care

1.6       Telemedicine Compared to Teleconferencing

1.6.1          Prototype Design



2.1       Introduction

2.2       Telecommunications and Network Service Provider Market

2.3       Network Technologies

2.3.1          Asynchronous Transfer Mode ATM)       ATM Technology       Regional Telecommunications Networks       Decision: ATM or IP

2.3.2          Broadband Transmission Technologies       Broadband Telemedicine Transmission Services

2.4       The Telephone Telemedicine Begins

2.4.1          Telephone Consultations

2.4.2          Medical Uses of the Telephone

2.4.3          Management of Acute Problems by Telephone

2.4.4          Follow Up by Telephone

2.4.5          Telephone Telemedicine Productivity

2.5       Telemetry

2.5.1          General Telemetry Applications

2.5.2          Telemetry Basics

2.5.3          Telemetry Data Multiplexing

2.5.4          Digital Technologies give Telemetry a Facelift       Introduction       Generations of Wireless Technology       Telemetry on the Internet       Wireless Patient Monitoring Network Accessible Over the Internet       Welch Allyn Monitoring Systems

2.6       Advanced Wireless Communications

2.6.1          Spread Spectrum Digital Communications       Introduction       How Spread Spectrum Works       Moving SS to Telemedicine       The Viterion Telehealth Monitor

2.6.2          Wi-Fi and Wireless Local Area Network (WLAN)       Wired Equivalent Privacy       Increasing the Security of WLANs

2.7       Video and Image Requirements

2.7.1          Some Telepsychiatry Results

2.7.2          Teledermatology Experience

2.7.3          Satellite Networks       VSAT       Satellite Advantages and Disadvantages

2.8       Digital X-ray

2.8.1          General Electric's Digital X-ray System

2.8.2          Hard Copy Versus Soft Copy Mammography



3.1       Introduction

3.1.1          The Cost of a Telemedicine Installation       Teleconferencing Equipment and Service       Telecommunications and Computer Power       The Electronic Conferencing Market       U.S. Videoconference Equipment and Services Market Analysis       Market Analysis of Telemetry for Ambulatory Monitoring

3.2       The Decision to Develop a Telemedicine Facility

3.2.1          Some Disadvantages of Telemedicine

3.2.2          Designing the System

3.3       Survey of the Telemedicine Market

3.3.1          Market Drivers of Telemedicine

3.3.2          The Economy of Health Care

3.3.3          Business Models that Impact the Telemedicine Market

3.3.4          Current US Patterns of Hospitalization

3.4       Government and Telemedicine

3.4.1          Federal and State Facilities

3.4.2          Government Reimbursement for Telemedicine

3.4.3          Real-World Cost Concerns For Telemedicine Care

3.4.4          Family Care Givers and the Health Care Budget

3.4.5          Factors Limiting the Acceptance of Telemedicine       Demand for Integrated Solutions       High Costs of Telemedicine Services       Difficulty of Telemedicine Transmission       Inadequate Telecom Infrastructure       Lack of Profit Potential       Legal Issues       Procedure Caps Given by HMOs       Insufficient Publicity for Telemedicine       Existence of Private Networks

3.5       Telemedicine Marketplace

3.5.1          Total Health Care Expenditures

3.5.2          Market Forecast Methodologies

3.5.3          Total Home Health Care Services Market

3.5.4          Telemedicine-based Home Care Market

3.5.5          Telemedicine Home Health Care Services Market



4.1       Company Profiles

4.1.1          American Educational Telecommunications

4.1.2          Alaris Center

4.1.3          American TeleCare, Inc

4.1.4          AMD Telemedicine, Inc.

4.1.5          American Telemedicine Association

4.1.6          Apollo Telemedicine, Inc.

4.1.7          APREX (A division of AARDEX)

4.1.8          Association of Telehealth Service Providers

4.1.9          BioControl Systems

4.1.10        Card Guard

4.1.11        Center for Telemedicine Law

4.1.12        Cerner Technologies

4.1.13        Criticare Systems Inc.

4.1.14        Cybernet Systems Corporation

4.1.15        Daou Systems, Inc.

4.1.16        GE Medical Systems

4.1.17        HomMed LLC

4.1.18        International Datacasting Corporation

4.1.19        Impact Labs, Inc.

4.1.20        Internet Healthcare Coalition

4.1.21        Invivo Research, Inc.

4.1.22        IVY Biomedical

4.1.23        Johns Hopkins Medicine

4.1.24        Koninklijke Philips Electronics

4.1.25        Medical Data Electronics

4.1.26        Mennen Medical Corp.

4.1.27        National Association for Home Care and Hospice (NAHC)

4.1.28        Neon Software Inc.

4.1.29        NetAcquire

4.1.30        Novametrix Medical Systems Inc.

4.1.31        PDSHeart

4.1.32        Protocol Systems Inc.

4.1.33        Quinton Instrument Company

4.1.34        Raytel Medical Corporation

4.1.35        Scottcare Corporation

4.1.36        SHL TeleMedicine

4.1.37        Siemens Medical Solutions

4.1.38        Smith Micro

4.1.39        SpaceLab Medical

4.1.40        SPRY Foundation

4.1.41        Sunopsis Inc.

4.1.42        Tandberg

4.1.43        TDS Telemedicine Ltd

4.1.44        TeleVital Inc.

4.1.45        UK National Health Service

4.1.46        United Therapeutics Corporation

4.1.47        Viterion TeleHealthcare LLC

4.1.48        VTEL Products Corporation

4.1.49        Welch Allyn Protocol, Inc.

4.1.50        WorldCare



Exhibit 1-1: Medical Specialties That have Benefited from Telemedicine Applications

Exhibit 1-2: Some Disadvantages of Telemedicine

Exhibit 1-3: States Where Medicaid Reimbursement of Services Utilizing Telemedicine is Available

Exhibit 1-4: Percent of Revenues by Type of Telemedicine Videoconferencing Application

Exhibit 1-5: The Relationships Among Various Imaging and Audio Protocols Useful in Telemedicine

Exhibit 1-6: Steps in the General Ophthalmic Exam

Exhibit 1-7: Forecast of the U.S. Telepathology Systems Market

Exhibit 1-8: Diagram of the Seahawk Prototype Telemedicine System

Exhibit 2-1: Listing of the Most Common Types of Phone Services Used by Telemedicine Programs

Exhibit 2-2: An Older Application of Telemetry to Transmit Heart Sounds to a Specialist

Exhibit 2-3:  Outline of Three Common Types of Telemetry Systems

Exhibit 2-4: The Wireless Propaq CS Central Telemedicine Station

Exhibit 2-5: Ultraview Modular Digital Telemetry System

Exhibit 2-6: The American TeleCare® XR – High Resolution Video Patient Station.

Exhibit 2-7: Viterion TeleHealthcare — 100

Exhibit 2-8: Store-and-Forward Equipment Specifications

Exhibit 2-9: Motion Video System Recommended Guidelines for Bandwidths 384kbps - 1.54mbps (T-1)

Exhibit 2-10: Advantages and Disadvantages of Satellite Telecommunication

Exhibit 3-1: Market Projection for U.S. Videoconference Equipment and Communications Services Used for Telemedicine

Exhibit 3-2: Market Projection for U.S. Equipment and Communications Services, Other than Teleconferencing, Used for Telemedicine

Exhibit 3-3: Forecast of the U.S. Telemetry Systems Market for Ambulatory Monitoring

Exhibit 3-4: Important Factors to Consider when Planning a New Telemedicine Installation

Exhibit 3-5: Recommended Procedure for Establishing a Telemedicine Program and for Evaluating and Selecting Technologies

Exhibit 3-6: Major Market Drivers Impacting Telemedicine in the U.S.

Exhibit 3-7: Projections of U.S. Distribution of Health Care Payment Sources

Exhibit 3-8: Telemedicine Marketplace

Exhibit 3-9: Projections of U.S. Population Demographics (Million)

Exhibit 3-10: Projection of Total U.S. and Total World-Wide Health Care Expenditures ($Billion)

Exhibit 3-11: Projections of U.S. Distribution of Health Care Payment Sources

Exhibit 3-12: Number and Types of Medicare-certified Home Care Agencies for the Year 2000

Exhibit 3-13: Projection of Total U.S. Home Care, Nursing Home, and Hospice Care Patients (Million)

Exhibit 3-14: Projection of Practitioner Visits with Patients, and Payments made to U.S. Home Care, Nursing Home, and Hospice Organization

Exhibit 3-15: Projection of the Number of U.S. Telemedicine Information Exchanges between a Practitioner and a Patient (Visit), and Payments



Technologies, Products & Trends in Telemedicine, 2003

Report #E101, December 2003


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MedMarket Diligence Reports are produced through primary and secondary research. Data is gathered from published sources on products and technologies on the market and under development.  Clinicians and industry representatives are interviewed for their knowledge and insights on product development, market development, clinical practice and trends associated with the evolving use of technologies. Secondary data is used to corroborate and support assessments and projections.  Reports are written and researched by industry insiders, whose familiarity with the companies, industry dynamics and other marketplace specifics facilitate the research process and ensure high quality and thorough reports.


 Contact: Patrick Driscoll, (949) 859-3401.

Copyright © 2006 MedMarket Diligence, LLC. All rights reserved.
Revised: 02/16/11

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