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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.
EXECUTIVE SUMMARY
Introduction
Telemedicine
Market Definitions
Government
and Other Third Party Payers
Telemedicine
Protocols
Telemedicine
Disciplines
Telecommunications
Technologies
Medical
Care Demographics
Health
Care Expenditures
Section 1:
CLINICAL APPLICATIONS OF TELEMEDICINE
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
1.1.6.1
Defining the Telemedicine Market Segments
1.1.6.2
The Present State of the Market
1.1.6.3
Telemedicine Market Drivers
1.1.6.4
Overview of the Telemedicine Market
1.2
Government Regulatory Policies Affect Telemedicine
1.2.1
Third Parties Shape the Health Care System
1.2.1.1
The Balanced Budget Act and Medicare
1.2.1.2
The Benefits Improvement Act of 2000 BIPA)
1.2.1.3
BIPA Helps Give Telemedicine Medicare Legitimacy
1.2.1.4
Store and Forward Technologies
1.2.1.5
Continuous Quality Improvement
1.2.1.6
Other Third Party Payer Policies
1.2.2
State Licensure of Physicians
1.2.2.1
State-Based Medical Licensure
1.3
Telemedicine Clinical Practice
1.3.1
Basics
1.3.1.1
The Network
1.3.1.2
Clinical Parameters
1.3.2
Cardiology
1.3.2.1
Stethoscopy and Auscultation
1.3.2.2
Echocardiography
1.3.3
Dermatology
1.3.4
Teleradiology
1.3.4.1
Teleradiology Leads the Way
1.3.4.2
Telemedicine Protocols
1.3.4.3
Telemedicine Network Layers
1.3.4.4
DICOM Standard
1.3.4.5
Specializing in Compression Can Make an Impact
1.3.4.6
The Role of Teleradiology in Telemedicine
1.3.5
Ear/Nose/Throat ENT)
1.3.5.1
ENT Imaging
1.3.5.2
Nasopharyngoscopy and Otoscopy
1.3.5.3
TV Sets and Computer Monitors
1.3.6
Emergency Medicine
1.3.6.1
Emergency Care in Transport and at Rural ERs
1.3.6.2
Battlefield Medical Care
1.3.7
Gastroenterology
1.3.7.1
Pacemaker-like Technology Redeems Sick Stomachs
1.3.8
Home Care
1.3.8.1
Health Care Equipment for Telemedicine Home Care
1.3.8.2
Examples of Telemedicine in Home Care
1.3.9
Neurology
1.3.10
Oncology
1.3.11
Ophthalmology
1.3.11.1
Diagnostic Step
1.3.11.2
Vision/Refraction Assessment
1.3.11.3
Other Assessments
1.3.12
Mental Health
1.3.13
Telerehabilitation
1.3.13.1
Three Facets of Telerehabilitation
1.3.13.2
Point of Delivery of Telerehabilitation
1.3.13.3
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
Section 2:
PRODUCTS AND TECHNOLOGIES
2.1
Introduction
2.2
Telecommunications and Network Service Provider Market
2.3
Network Technologies
2.3.1
Asynchronous Transfer Mode ATM)
2.3.1.1
ATM Technology
2.3.1.2
Regional Telecommunications Networks
2.3.1.3
Decision: ATM or IP
2.3.2
Broadband Transmission Technologies
2.3.2.1
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
2.5.4.1
Introduction
2.5.4.2
Generations of Wireless Technology
2.5.4.3
Telemetry on the Internet
2.5.4.4
Wireless Patient Monitoring Network Accessible Over the Internet
2.5.4.5
Welch Allyn Monitoring Systems
2.6
Advanced Wireless Communications
2.6.1
Spread Spectrum Digital Communications
2.6.1.1
Introduction
2.6.1.2
How Spread Spectrum Works
2.6.1.3
Moving SS to Telemedicine
2.6.1.4
The Viterion Telehealth Monitor
2.6.2
Wi-Fi and Wireless Local Area Network (WLAN)
2.6.2.1
Wired Equivalent Privacy
2.6.2.2
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
2.7.3.1
VSAT
2.7.3.2
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
Section 3:
MARKET ASSESSMENT & FORECAST
3.1
Introduction
3.1.1
The Cost of a Telemedicine Installation
3.1.1.1
Teleconferencing Equipment and Service
3.1.1.2
Telecommunications and Computer Power
3.1.1.3
The Electronic Conferencing Market
3.1.1.4
U.S. Videoconference Equipment and Services Market Analysis
3.1.1.5
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
3.4.5.1
Demand for Integrated Solutions
3.4.5.2
High Costs of Telemedicine Services
3.4.5.3
Difficulty of Telemedicine Transmission
3.4.5.4
Inadequate Telecom Infrastructure
3.4.5.5
Lack of Profit Potential
3.4.5.6
Legal Issues
3.4.5.7
Procedure Caps Given by HMOs
3.4.5.8
Insufficient Publicity for Telemedicine
3.4.5.9
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
Section 4:
TELEMEDICINE COMPANIES AND CONTACTS
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
APPENDIX: COMPANY ADDRESSES AND CONTACTS
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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Methodology.
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: 09/22/08
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