mHealth Market or Mobile Medicine is presented by services and products, which use mobile technologies (usually smartphones and tablets, but also specialized equipment, for example, sensors and medical instruments) in order to make the process of medical treatment and work with medical information easier, faster and cheaper.
Lately, the term “Telemedicine” is gaining popularity in Russia and CIS. In terms of this research, we distinguish between telemedicine and mHealth. Telemedicine includes the exchange of medical information with the help of modern communication ways, like remote medical consultancies, tele-education, online broadcasting of surgeries or councils. On the other hand, mHealth includes mobile technologies, which are being used in medicine in general, including mobile telemedicine.
Provider of medical services – isan institute (hospital, ER) or person (doctor, medical staff) providing medical services.
Consumer of medical services – is aparty, which pays for services of medical providers for a patient (government or insurance company).
Medical Records (Data) – personal patient’s data, regarding his state (chronic diseases, life indicators, used drugs etc).
Tracker (sensor) of activity or fitness tracker – wearable on the body device, which measures and calculates key activity indicators of users (number of steps, workloads, number of spent calories etc).
Platform for remote patient’s monitoring – main part of the system responsible for communication between the patient and its device, controlling health parameters and provider of medical services, which monitor its health.
Main Characteristics of mHealth Market
The use of mobile technologies in healthcare sphere can be extremely wide.There are technologies allowing doctors to examine patients remotely via mobile phones and sensors, to get access to medical records and health indicators for a long period of time and to prescribe treatment without face to face meeting with patients. Moreover patients receive more opportunities to monitor their health themselves with the development of technologies (physical activity sensors, diagnostic devices with large scale use, availability of medical information and growth of medical apps market).
According to PWC’s survey:
- 56% customers of wearable devices expect that this will help them to live 10 years longer
- 46% consider that implementation of mHealth technologies will allow to fight extra weight problem
- 42% are planning to improve their health’s indicators thanks to regular monitoring
Sphere of Use – mHealth Technologies
- Analytics (analysis of received information from mobile phones and information sensors in order to increase healthcare efficiency)
- Access to healthcare (market of available doctors and medical staff, access to information about new methods and treatment opportunities, exchange of experience between specialists, mobile telemedicine)
- Self-treatment and health-improving procedures (fitness trackers and activities' sensors, software for visualization of patients' recovery treatment or physical activity, programs and services, helping preventing diseases)
- Solutions for pharmaceutical industry (smart inspirators and boxes for drugs, services and platforms controlling the treatment process by patients, analysis of received data for developing and drugs’ improvement, ways to fight counterfeit products)
- Solutions for medical institutions (diagnostic software (identification of diseases and traumas), mobile patients' support, consultancy software)
- Solutions to coordinate the medical institutions' working process (specialized CRM (Customer Relationship Management) systems, feedback with patients, managing medical data and online registration for doctors’ appointments)
- mHealth technologies allow to cut costs on healthcare. Patients, which use mHealth technologies, more rarely require visiting medical institutions, as they have more detailed picture about their health (for a long period of time) and in case they needed, they can consult specialists remotely. More to this, mHealth technologies allow doctors receive data about patients' health for a long period of time, it help them to make better decision about treatment scheme and decrease the level of failures in diagnosis process. Most market players understand this advantage and that is why we observe the increasing investments in mHealth sphere from insurance companies, government and medical services' suppliers. In accordance with forecasts, costs on mHealth in USA clinics will increase till 5.4 bln USD in 2015-2016 vs 2.9 bln USD in 2011. And the economy from decreasing number of visits to medical institutions by 2018 can reach 36 bln USD.
- The use of mHealth technologies improve the quality of health care and make it more affordable to patients. Joint research of Economist Intelligence Unit and PWC shows that the key motive to use mHealth are:
- Easier access to healthcare 46%
- Decreasing costs on healthcare 43%
- Increasing number of opportunities to control your own health 32%
- Receiving medical information, which was inaccessible before 28%
- Increase the quality of healthcare 25%
mHealth Market Volume in the World
According to Statista company’s statistics, in 2014 mHealth market was estimated in 10.97 bln USD, while market growth rate was 32%. mHealth market will reach 58.8 bln USD by 2020, if the tendency remains the same. CAGR will be 31% during these years.
Largest Investment Deals on mHealth Market in 2014
The analysis of the largest investment deals in mHealth technologies sphere allows to make the following conclusions:
- The amount of investment in medical projects drastically increased vs 2013. In 2014 – 6.5 bln USD had been invested. Growth was 125% in 2014 vs 2013.
- Large and famous companies consider this sphere as attractive and perspective, including Google Ventures, Tencent.
- Mobile technologies play an important role in the development of medical technologies, as 5 from 9 companies from the list below use mobile technologies in theirs' products.
Distribution of mHealth Projects by Spheres of Use
According to GSMA mHealth Tracker data, major projects on mHealth market are being implemented in the segment of healthcare systems (30%). 18% projects operate in the segment of preventing diseases, and 15% help medical stuff in work by expanding theirs' opportunities. Monitoring after patients' health with 14% is next, and then go solutions for general health-improving or sport apps (9%), diagnostic (9%) and treatment (6%).
Remote Monitoring Systems
In USA 75% of medical expenses are presented by chronic diseases. Exactly the constant control of their state can decrease costs on healthcare and that is why the segment of remote monitoring is gaining popularity yearly. According to the researches, approximately 3 mln.people use devices for remote monitoring of health living indicators, which are being supported by professionals in a medical sphere. This number includes only devices, via which, doctors remotely overview their patients' state and doesn’t include different fitness trackers and other sensors, which people use by themselves. CAGR is forecasted on the level of 45% and market volume should reach 19,1 mln. devices by 2018. Major market share is presented by cardio monitors connected to the network (65%). Second place on the market with 18% belong to solutions to monitor patients' sleep.
Health-Improving and Self-Treatment
After appearance of mHealth technologies, people have been actively monitoring different indicators of their health and physical activity by themselves. According to researches, almost 30% of HHs in USA, which have access to broadband access to Internet, have at least one activity tracker or medical sensor. 13% more are planning to purchase such device in the coming 12 month. Other devices, which are popular among USA population:
- Sport equipment with implemented app - 13% have, 6% are planning to purchase
- Fitness-tracker - 7% have, 5% are planning to purchase
- Blood pressure monitor connected to the Network - 6% have, 4% are planning to purchase
- Digital scales - 4% have, 4% are planning to purchase
- Watches with GPS - 4% have, 3,5% are planning to purchase
- Monitor of sleep quality - 2,5% have, 4% are planning to purchase
- Smart boxes for drugs and inspirators - 2% have, 4% are planning to purchase
- Glucose monitor - 2% have, 3,5% are planning to purchase
Mobile apps for smartphones in the health sphere – is a fast growing mHealth market segment. There are 4 main categories of mobile apps: general health and fitness (fitness and nutrition, etc), medical information (informational books, diagnostics, education), remote consultancies and monitoring, health management (e-cards of patients, logical and money support).
mHealth Market Volume in Russia
Nowadays mHealth market is on early stage of its development in Russia, which makes it difficult to provide accurate estimations. Meanwhile, according to Brookings company’s forecast, Russian mHealth market will reach 800 mln USD by 2017 and will have around 3% share of global market. Moreover, Brookings also forecasts that by 2017 Russia will be on 6th place in the world by revenue from distribution of mHealth technologies.
Russian mHealth Market Drivers and Deterrents
1) Government policy in the sphere of health care modernization and attention paid to informatization of this industry.
2) Decrease of government healthcare financing.
3) Increase of paid services in healthcare.
4) Ageing of population.
5) Large number of cities situated in remote territories/ which is difficult to reach.
In most cases, in Russia mHealth market barriers correspond to the global ones, but there are some national peculiarities. For example, not readiness of population and medical staff to use mobile technologies in medicine, the rate of such population is very high. According to PMLiVE’s statistics, only 7.5% of Russian doctors have access to the Internet. Another barrier can be the provision of safe medical data in Russia, due to weak development of IT culture in medical sphere.
Although, lack of market financing, can be considered as the key barrier for Russian mHealth market. Global experience shows that mHealth market development is possible only with the support of those, who pay for medical services. Insurance companies invest in the development of mHealth technologies in order to decrease their costs for a long term perspective. But insurance medicine in Russia is not yet ready for such projects and that has negative influence on mHealth development in country in general. Also, lack of governmental financing in the modernization of healthcare systems and medical infrastructure stop the development of mHealth companies in Russia.
As so, despite the wide range of mHealth advantages, market development depends on range of factors. Only communication and cooperation of all interested parties (government, medical services’ suppliers, insurance companies, patients, technological companies, etc.) can give the necessary driver for mHealth development in Russia.
Cases and Companies’ Examples
Top 3 Platforms for Remote Monitoring
ABI Research identified three the most popular platforms for remote health monitoring. Qualcomm Life is the first. This platform doesn’t produce equipment and not connected to any of existed equipment solutions. Instead, the company receives information from all accessible sources (medical institutions, apps, fitness trackers and medical devices). This approach allows to make the process of systems’ implementation easier and that, what helped the platform to become a leader. On the second place is Alere Connect, also thanks to the deep integration with many manufacturers of medical equipment. Third place was taken by Vivify Health platform, which has a range of innovational functions, which positively distinguish the platform from competitors (for example: video conference connection between doctors and patients).
Medical Information Aggregator
Also, it is worth to mention Validic Company in this segment. The company collects information from trackers, medical and home devices made by main manufacturers and provides it as one stream of information about patients’ health. These data could be transmitted to popular medical systems, and information is being checked for failures. As of beginning of 2015, platform works with more than 140 apps and platforms.
Remote Monitoring of Cardio Vascular Diseases
Cardio vascular diseases have the first place among causes of death in the world, over 30% deaths. This is exactly the reason why Preventice Company is so successful (8th place among largest investment deals in mHealth technologies sphere in 2014). The company produces solutions to control heart state of clients (sensor of heartbeat and ECG), which patients wear all the time and also provides platform for suppliers of medical services and patients. Moreover, the company developed special system, which involves patients in the treatment process, which provides relevant information about his health and helps to follow the treatment schedule. This system is being successfully used among patients with heart disorders and other heart vascular diseases.
Solutions for Pharmaceutical Companies
Fights against Counterfeit Products
Pharmaceutical companies use mobile technologies in the fight against counterfeit products on the developing countries’ markets. Such companies, as Sproxil and mPedigree had already tested theirs technologies on the territory of African countries. They put a unique code on the drugs’ pack, which further patients send on a certain phone and in a split second receive an answer to the question, is it a real drug or a fake. Solutions against counterfeit products previously existed, but the use of mobile phones allows to solve the problem faster, easier and cheaper, which is very important in terms of African region. According to UN market of counterfeit drugs from malaria in Africa is 438 bln USD. mPedigree is in negotiations with GlaxoSmithKline Plc, one of the largest pharmaceutical companies, and also other manufacturers about drugs’ stamping, delivered to African countries.
Analysis of Drugs’ Comparability
One more solution to increase the level of drugs’ safety consumption was developed by MedSnap Company. With the help of MedSnap ID, patient can record the list of consumed drugs; suppliers of medical services receive an access to this information online. It allows to increase treatment’s efficiency, make the process of making solution by doctor faster and erase cases of drugs’ consumption, which cannot be consumed simultaneously. MedSnap ID allows to identify correlation between drugs and influence of a drug on a certain disease.
Process Management in the Medical Sphere
Examples of Process Management Platforms
The system of e-medical cards is being used in many developed countries. This system allows to develop specialized mHealth solutions, as there is a necessary technological base. For example, patient can get relevant information, e-prescriptions and leaflets directly on mobile phone. Moreover, this system allows to transfer all organizational processes online, and patients and medical staff can receive access to this information from phones and tablets. There are already platforms, such as PracticeFusion and Patientfusion, which connect medical staff in one system, plus patients, diagnostic laboratories and payers for medical services. It allows all market participants to receive all necessary information in time and without any labor costs that allow all health care spheres to concentrate on patients’ treatment process. Moreover, these solutions are free and companies revenue from targeted advertising pharmaceutical companies.
Communication between Medical Staff
Zynx Health Company developed ZynxCarebook system, which allows medical services suppliers to exchange medical information about patients in real time. It makes the process of after treatment much easier, when a doctor transfer patient under supervision of other person from medical staff. Services can also be valuable for patients, which have changed the doctor by different reasons. In this case, new doctor will be able to get all necessary medical information about a patient from previous doctor, and providing by this, unstoppable treatment process without reduction of efficiency.
Mobile medicine in the coming years will be one of the trends in the development of medical technologies. Main interested parties, which stimulate market development, are:
- Governmental and insurance companies – the most interested party in the world due to the fact that use of mHealth technologies allow to cut costs on medical services.
- Institutes in the sphere of healthcare (clinics, hospitals etc.)
- Manufacturers of medical equipment
- Technological companies (devices and sensors, soft, infrastructure, analysis of medical information, etc.)
J’son & Partners Consulting’s experts specify the following market drivers and deterrents:
- Mobile phones, smartphones and tablets’ penetration. Around 7 bln mobile phones operate in the world, and 14 countries crossed the border of 100 bln subscribers.
- Population share, living in remote and far distance regions. This category of people does not have access to qualified medical help and mobile technologies allow to provide them medical help on a distance.
- Aging of Population in the world. Elderly people suffer more often from chronic diseases and, accordingly, more often need medical help. They require constant control over health, and mobile technologies allow to solve this problem by the most effective way.
- Increasing prices on healthcare in general. Population growth (especially in developing countries) and aging (in developed countries) leads towards increasing medical costs. One of mHealth’s advantages is a possibility to cut costs.
- Lack of medical staff. Lack of 1 mln of nurses is expected by 2020 in USA. Mobile technologies allow to cut the number of people’s inquiries to medical institutions and help to solve the problem with lack of nurses.
By development, Russian market is far behind from the developed countries’ markets. Nevertheless mobile medicine has perspectives in Russia. The aging of population and number of people with chronic diseases will stimulate mHealth technologies development, which will allow to cut costs on patients’ treatment. In terms of medical staff deficit and high per cent of rural population, solutions for remote monitoring and consultancies will gain popularity.
Moreover, increasing popularity of smartphones and tablets will influence all economic industries, and healthcare won’t stay aside.
Content of the Full Version of the Report (Customized)
1. Definition of mHealth
1.1. Definition and Role of mHealth
1.1.1. Definition, directions and technologies of mHealth
1.2. Main Characteristics of mHealth Market and Prerequisites for Development
1.2.1. mHealth Advantages
1.2.2. Interested Parties (Stakeholders)
1.2.3. Prerequisites for Market Development (Drivers)
1.2.4. Market Deterrents
1.2.5. mHealth Market Structure
1.3. Key Market Players Roles
1.3.1. Medical Services' Customers
1.3.2. Medical Services' Providers
1.3.3. Mobile Operators
1.3.4. Equipments’ Distributors
1.3.5. Content Providers and Apps
1.4. Categories of mHealth Services
1.5. Mobile Apps for m-Health: Main Categories and the Use
2. mHealth Market in the World
2.1. mHealth Market Structure and Volume in the World
2.2 Analysis of Investment Deals on mHealth Market
2.3. mHealth in Developed Countries
2.3.2. Western European Countries
2.3.3. Other Countries
2.4. Use of mHealth in Developing Countries
2.4.1. India and Bangladesh
2.4.2. African Countries
2.4.3. Asian Region
2.4 mHealth Market Tendencies and Forecasts in the World
3. mHealth Market in Russia
3.1. Estimation of Russia mHealth Market
3.2. Geographical Structure of Russian mHealth Market
3.3. Market Development in Russia
3.3.1. Level of Mobile Technologies Development in Russia
3.3.2. Legislative Initiatives in mHealth Sphere
3.3.3. mHealth Development Indicators
3.4. mHealth Projects in Russia
3.5. mHealth Market Tendencies and Forecasts in Russia
4. Cases and Companies’ Examples
4.1. Interesting Cases
4.1.3. Patients’ Involvement in the Treatment Process
4.1.4. Solutions for Pharmaceutical Companies
4.1.5. Process Management in Medical Sphere
4.1.6. Complex mHealth Solutions
4.2. Companies’ Profiles
4.2.1. Complex Solutions