WinterGreen Research announces that
it has published a new study Telemedicine and M-Health Market Convergence
Shares, Strategy, and Forecasts, Worldwide, 2013 to 2019. The 2013 study has
879 pages, 299 tables and figures. Worldwide markets are poised to achieve
significant growth as the telemedicine systems merge with the smart phone
systems of engagement to provide a way to improve clinical care delivery to
patients with chronic disease, decreasing hospitalizations and visits to the
emergency room. There is a convergence of telemedicine and m-health as the
patients become more responsible for their own care delivery and their own
health Clinical telemedicine services converge with m-health systems of
engagement to lower cost of care and improve quality of care. Tele-medicine and
M-Health Market Convergence driving forces relate to an overall trend toward
ordinary people taking more responsibility for their own health. This trend has
been more prevalent for women in the past 100 years than for men because women
used to die very young and they had to learn how to keep themselves healthy.
Women have been able to reverse this trend of dying young and to live longer
than men in the past 40 years, illustrating that paying attention to health is
important.
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Healthcare patient, physician, and
facility decision support markets are forecast based n the broad availability
of smartphones combined with the IBM Watson technology that Watson offers
Interactive Care Insights for Oncology. The cognitive systems use insights
gleaned from the deep experience of Memorial Sloan-Kettering clinicians. Watson
is positioned to permit clinicians to provide individualized treatment.
More options are based on patient
medical information. IBM Watson in combination with Memorial Sloan-Kettering
Cancer Center has information that represents the synthesis of a vast array of
updated and vetted treatment. It is able to compute individual treatment
guidelines. This represents a revolution in cancer treatment care and presages
a major revolution in all healthcare treatment and diagnosis.
Because Watson is able to leverage
published research it can stay more current than any clinician or group of
clinicians can. Watson-is a cognitive computing system. The aim of Watson is to
streamline the healthcare delivery process. Watson supports the healthcare
decision making process. The system has the ability to ensure evidence-based
care is provided.
Both tele-medicine and m-health
contribute to healthcare delivery in the home. M-health will surely be
delivered over the smart phone. Tele-medicine is evolving toward smart phone
device delivery as well.
The cost of tele-medicine for the US
veterans administration is $1,600 per patient per annum. This is substantially
less than other NIC programs and nursing home care which can easily run to
$100,000 per annum. VHA's experience is that an enterprise-wide home
tele-medicine implementation is an appropriate and cost-effective way of
managing chronic care patients in both urban and rural settings.
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Chronic disease conditions are best
treated early on when there is a change in patient condition and an early
intervention can make a difference. It is even better to treat them in a
wellness treatment environment before there are indications of chronic disease,
before symptoms develop, by addressing lifestyle issues early on.
Left to their own judgments, some
patients typically are apt to make terrible decisions relating to their
personal health either because of ignorance, genetic inheritance, or because of
lifestyle habit. The ability to accurately access patient condition via a
combination of advanced testing and telemonitoring creates the opportunity to
intervene when what is called for clinically can make a difference, and permits
provision for education regarding healthy living in a way that is likely to
create compliance with clinician recommendations.
Home telemonitoring programs need to
use advanced technology. Effective monitors support patient education. They
support timely clinician intervention based on real vital signs data gathered
on a daily basis. Health care for patients with congestive heart failure has
been shown to be successful in reducing hospitalizations and trips to the
emergency department, making these critical measures unnecessary in many cases.
Home patient monitoring means two
things: the imminent rise of the expert patient whom the health authorities
anticipate would self-manage his long-term medical conditions and the
prominence of mobile devices as the go-between for clinicians and patients.
Telemedicine markets are emerging
software markets. The consumer tablet computers are poised to become ubiquitous
and inexpensive. As this happens telemedicine is becoming a fee for services
much as a cell phone. The software runs on industry standard tablet computing
devices. Clinicians gather patients information on a daily basis and provide
consultation and intervention as needed for chronic conditions.
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Telemedicine now delivered on
proprietary devices is becoming obsolete. The Honeywell / Samsung strategic
alliance represents the model that works. Telemedicine market analysis
indicates that the price points are way below device costs and that companies
are seeking to gain market share by working with clients.
Telemedicine device and software
companies recognize that their revenue stream will come from services delivery.
Just as cell phones are paid for in conjunctions with the services contracts,
so also the telemedicine applications will be paid by insurance. In some cases
the insurance companies recognize that their long term costs are lower by
delivering clinical intervention to try to impact lifestyle for patients with
chronic disease conditions.
The telemedicine in the home is
cheaper than the consequent emergency room visits and hospitalizations that
occur if chronic conditions are ignored. There is a certain inevitability
related to chronic disease condition care delivery. People that take care of
themselves tend to stay healthy. People that are not attentive to protecting
their health tend to have medical conditions that contribute to deteriorating
health and benefit from early intervention when it is delivered in a manner to
which the person can relate.
Telemedicine is, at its core, a way
to extend clinical services to make them part of lifestyle consultation. . It
provides a way to initiate two way communications with a patient, forever
changing the doctor - patient relationship to a collaborative one. It means
that physicians need to build collaboration skills or delegate those to their
nurses which they have always done, but this time in a more effective manner,
on that is supported by technology.
Telemedicine systems come from IBM,
Intel, Honeywell, Vitarian, and Bosch Diagnostic Support Expert Systems.
Tablets are poised to change telemedicine as are telepresence systems from
Logitech among others. Clinical diagnosis is being impacted by the decision support
systems. Clinical decision support systems (CDSS) have been a key aspect of
telemedicine. Bosch offers the ability to track and update on a daily basis,
questions that are able to address actual situations that patients face.
Diagnostic support expert systems
promise to revolutionize healthcare. The mandated electronic health record
(EHR) systems in all healthcare facilities, is a key enabler of diagnostic
support expert systems. The objectives are to promote better and cheaper
healthcare using diagnostic support based on the patient data collected from
the telemedicine systems. With the large amount of new data collected by the
newly installed EHR systems, computers like the Watson will be able to find
optimal answers to clinical questions much more efficiently than the human
mind.
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Two major categories are diagnostic
support tools and treatment support tools. Chronic conditions requires
continuous diagnostic support because a continuous flow of information on
patient change in conditions helps physicians make a better diagnosis based on
the patient symptoms, medications, and medical records.
Treatment support helps clinicians
stay compliant with known treatment guidelines such as avoiding known drug
interactions, dispensing the right medication to the right patients, and
staying on schedule with response to changes in patient condition.
According to Susan Eustis, lead
author of the WinterGreen Research team that prepared the telemedicine market
research study, "Differential diagnostic tools support differential
telemedical treatment. The decision process take into account clinical findings
form the home monitoring devices and from symptoms verbally communicated in a
clinical services implementation."
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