Telehealth solutions include the peripheral devices needed to monitor vital signs and collect data, systems for transmitting the data to the server, and software to display the data. Some common peripheral devices include blood pressure cuffs, weight scales, blood glucose monitors and pulse oximeters. The devices included with each solution will vary depending on the patients’ condition. Data from these devices may be transmitted using a telephone line, broadband, GSM and Bluetooth. This data is displayed using software systems which may be viewed by the patient, caregiver, clinician or physician, who can use this information to better manage an individual’s health. Cardiac implantable electronic devices (CIEDs) refer to modern pacemakers, implantable loop recorders, implantable cardioverter defibrillators (ICDs), cardiac resynchronization therapy devices (CRT-Ds), and hemodynamic monitors. Remote monitoring of these devices can help reduce the need for in-office follow up visits by ensuring that the device is working properly, and that the patient’s health status is normal. Chronic obstructive pulmonary disease (COPD) refers to a variety of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD experience difficulty breathing due to damage in the lungs, which is most commonly due to smoking. Treatment of COPD involves alleviating the symptoms and may include use of an inhaler. Lung damage is irreversible, so it is important to maintain a healthy lifestyle and monitor symptoms to prevent the patient’s condition from worsening. Diabetes mellitus, more commonly referred to as diabetes is a chronic condition caused by high levels of glucose in the blood. Normally sugar levels are controlled by insulin which is produced in the pancreas. In people with diabetes, the insulin may not work properly, or there may not be enough to effectively manage glucose levels in the blood. There is no cure for diabetes, but symptoms may be controlled through diet and lifestyle choices, insulin medication and monitoring. Hypertension or high blood pressure is a chronic condition where an individual’s systemic arterial blood pressure is elevated. People with hypertension are generally asymptomatic. However, this condition does increase the risk of stroke, heart failure, arterial aneurysms and kidney failure. Hypertension may be controlled through dietary and lifestyle changes or drug treatment. Heart conditions which can benefit from telehealth monitoring include chronic heart failure (CHF) or conditions which require a cardiac implant such as arrhythmias including bradycardia and tachycardia.
Bradycardia is characterized by a slow irregular heartbeat, usually less than 60 beats per minute. This slow heart rate makes it difficult for the heart to pump enough oxygen-rich blood through the body during normal activity or exercise. Bradycardia may be managed through implantation of a pacemaker.
Tachycardia is characterized by a heart rate that exceeds the normal range for a resting state, usually more than 100 beats per minute. This accelerated heart rate causes the heart to pump less efficiently than normal, and results in less blood flow through the body. Tachycardia may be managed through implantation of a pacemaker.
Pacemakers are small electrical devices that are implanted under the skin, usually on the right side of a patient’s chest. The pacemaker contains a battery and computer circuitry in a metal case to correct irregular rhythms. The pacemaker continuously monitors the heart, and if it detects a rhythm problem, it sends out an electrical signal to correct it.
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TABLE OF CONTENTS I
LIST OF FIGURES V
LIST OF CHARTS VII
SUITE EXECUTIVE SUMMARY 1
EUROPEAN PATIENT MONITORING MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 7
MARKET DEVELOPMENTS 11
MARKETS INCLUDED 13
KEY REPORT UPDATES 15
VERSION HISTORY 16
RESEARCH METHODOLOGY 17
1.1 RESEARCH SCOPE 17
1.2 IDATA’S 9-STEP METHODOLOGY 17
Step 1: Project Initiation & Team Selection 17
Step 2: Prepare Data Systems and Perform Secondary Research 19
Step 3: Preparation for Interviews & Questionnaire Design 20
Step 4: Performing Primary Research 21
Step 5: Research Analysis: Establishing Baseline Estimates 23
Step 6: Market Forecast and Analysis 24
Step 7: Identify Strategic Opportunities 26
Step 8: Final Review and Market Release 27
Step 9: Customer Feedback and Market Monitoring 28
COUNTRY PROFILES 29
2.1 INTRODUCTION 29
2.1.1.1 Population 29
2.1.1.2 Median Age 29
2.1.1.3 GDP Per Capita 29
2.1.1.4 Price Index 29
2.2 GERMANY 31
2.3 FRANCE 32
2.4 UNITED KINGDOM 33
2.5 ITALY 34
2.6 SPAIN 35
2.7 BENELUX 36
2.8 SCANDINAVIA 37
2.9 AUSTRIA 38
2.10 SWITZERLAND 39
2.11 PORTUGAL 40
TELEHEALTH MARKET 41
3.1 INTRODUCTION 41
3.1.1 Telehealth Solutions 41
3.1.2 Cardiac Implantable Electronic Devices 41
3.1.3 Chronic Obstructive Pulmonary Disease 42
3.1.4 Diabetes 42
3.1.5 Hypertension 42
3.1.6 Heart Conditions 42
3.2 MARKET OVERVIEW 44
3.3 MARKET ANALYSIS AND FORECAST 49
3.3.1 Disease Conditions Management Telehealth Monitoring Market 49
3.3.1.1 Purchased Telehealth Monitoring for Disease Conditions Management Market 53
3.3.1.2 Leased Telehealth Monitoring for Disease Conditions Management Market 60
3.3.2 CIED Telehealth Monitoring Market 67
3.4 DRIVERS AND LIMITERS 74
3.4.1 Market Drivers 74
3.4.2 Market Limiters 75
3.5 COMPETITIVE MARKET SHARE ANALYSIS 78
ABBREVIATIONS 85
Chart 1 1: Patient Monitoring Market by Segment, Europe, 2012 – 2022 3
Chart 1 2: Patient Monitoring Market Overview, Europe, 2012 & 2022 3
Chart 2 1: Country Profile, Germany, 2015 31
Chart 2 2: Country Profile, France, 2015 32
Chart 2 3: Country Profile, United Kingdom, 2015 33
Chart 2 4: Country Profile, Italy, 2015 34
Chart 2 5: Country Profile, Spain, 2015 35
Chart 2 6: Country Profile, Benelux, 2015 36
Chart 2 7: Country Profile, Scandinavia, 2015 37
Chart 2 8: Country Profile, Austria, 2015 38
Chart 2 9: Country Profile, Switzerland, 2015 39
Chart 2 10: Country Profile, Portugal, 2015 40
Chart 3 1: Telehealth Market by Segment, Europe, 2012 – 2022 47
Chart 3 2: Telehealth Market Breakdown, Europe, 2015 48
Chart 3 3: Telehealth Market Breakdown, Europe, 2022 48
Chart 3 4: Disease Conditions Management Telehealth Monitoring Market by Type, Europe, 2012 – 2022 52
Chart 3 5: Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 54
Chart 3 6: Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 61
Chart 3 7: CIED Telehealth Monitoring Market, Europe, 2012 – 2022 68
Chart 3 8: Leading Competitors, Telehealth Market, Europe, 2015 83
Figure 1 1: Patient Monitoring Competitor Market Share Ranking by Segment, Europe, 2015 (1 of 2) 5
Figure 1 2: Patient Monitoring Competitor Market Share Ranking by Segment, Europe, 2015 (2 of 2) 5
Figure 1 3: Companies Researched in this Report, Europe, 2015 6
Figure 1 4: Factors Impacting the Patient Monitoring Market by Segment, Europe (1 of 4) 7
Figure 1 5: Factors Impacting the Patient Monitoring Market by Segment, Europe (2 of 4) 8
Figure 1 6: Factors Impacting the Patient Monitoring Market by Segment, Europe (3 of 4) 9
Figure 1 7: Factors Impacting the Patient Monitoring Market by Segment, Europe (4 of 4) 10
Figure 1 8: Recent Events in the Patient Monitoring Market, Europe, 2012 – 2015 (1 of 2) 11
Figure 1 9: Recent Events in the Patient Monitoring Market, Europe, 2012 – 2015 (2 of 2) 12
Figure 1 10: Patient Monitoring Markets Covered, Europe, 2015 (1 of 2) 13
Figure 1 11: Patient Monitoring Markets Covered, Europe, 2015 (2 of 2) 14
Figure 1 12: Key Report Updates 15
Figure 1 13: Version History 16
Figure 3 1: Telehealth Market by Segment, Europe, 2012 – 2022 (€M) 45
Figure 3 2: Telehealth Market by Segment, Europe, 2012 – 2022 (US$M) 46
Figure 3 3: Disease Conditions Management Telehealth Monitoring Market by Type, Europe, 2012 – 2022 (€M) 50
Figure 3 4: Disease Conditions Management Telehealth Monitoring Market by Type, Europe, 2012 – 2022 (US$M) 51
Figure 3 5: Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (€ and US$) 54
Figure 3 6: Units Sold by Country, Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 55
Figure 3 7: Average Selling Price by Country, Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (€) 56
Figure 3 8: Average Selling Price by Country, Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (US$) 57
Figure 3 9: Market Value by Country, Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (€M) 58
Figure 3 10: Market Value by Country, Purchased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (US$M) 59
Figure 3 11: Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (€ and US$) 61
Figure 3 12: Units Sold by Country, Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 62
Figure 3 13: Average Selling Price by Country, Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (€) 63
Figure 3 14: Average Selling Price by Country, Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (US$) 64
Figure 3 15: Market Value by Country, Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (€M) 65
Figure 3 16: Market Value by Country, Leased Telehealth Monitoring for Disease Conditions Management Market, Europe, 2012 – 2022 (US$M) 66
Figure 3 17: CIED Telehealth Monitoring Market, Europe, 2012 – 2022 (€ and US$) 68
Figure 3 18: Units Sold by Country, CIED Telehealth Monitoring Market, Europe, 2012 – 2022 69
Figure 3 19: Average Selling Price by Country, CIED Telehealth Monitoring Market, Europe, 2012 – 2022 (€) 70
Figure 3 20: Average Selling Price by Country, CIED Telehealth Monitoring Market, Europe, 2012 – 2022 (US$) 71
Figure 3 21: Market Value by Country, CIED Telehealth Monitoring Market, Europe, 2012 – 2022 (€M) 72
Figure 3 22: Market Value by Country, CIED Telehealth Monitoring Market, Europe, 2012 – 2022 (US$M) 73
Figure 3 23: Drivers and Limiters, Telehealth Market, Europe, 2015 77
Figure 3 24: Leading Competitors by Segment, Telehealth Market, Europe, 2015 82
Medtronic
Tunstall
Biotronik
Philips Healthcare
St. Jude Medical
Boston Scientific
Docobo Ltd
Aerotel Medical Systems
Sorin (LivaNova)
BodyTel
