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Health & Fitness

Summary Report by Ludwig Eckl, February 14th 2013

Telemedicine – Future of Clinical Medicine
Telemedicine is a fast developing application of medical medicine where medical information is transferred through interactive audiovisual media for the purpose of consulting remote medical procedures or perhaps examinations, reducing the time of consultation for people.

Telemedicine can be as easy as two health experts discussing a case over the telephone or as complex as utilizing satellite technology and videoconferencing equipment to conduct a real-time consultation between medical experts in two different countries. Telemedicine generally refers to the use of communications as well as information technologies for the delivery of medical care. This medical practice has dramatically reduced the time of consultation for people.

Teledermatology (as an application of telemedicine was developed in 1995) can also help in prevention as well as diagnosis of skin cancer. Today, a reduction of morbidity and mortality of nonmelanoma and melanoma skin cancer is the most important challenge for dermatology: teledermatology can be considered a new tool that allows preventing as well as diagnosing skin cancers.

Dermoscopic images of pigmented skin lesions can be sent through internet to remote teleconsultants. The feasibility of teledermoscopy reveals a 91% consensus between the face-to-face diagnosis and the remote diagnosis.

Teledermatology has gained a great deal of interest among scientific community. It can deeply revolutionize the delivery of dermatology services, providing fair services to remote areas and allowing main care doctors to refer patients to well-equipped dermatological services at a distance. Images can be transmitted through a virtual private network to the teledermoscopists, as well as those ones can be created mobile as the technology is portable, overcoming geographical barriers, as well as delivering service to remote areas.

Source: http://www.hindawi.com/journals/ijta/2011/125762/

Telemedicine as a standard of care:

Medical images, such as x-rays and CT scans, have been viewed in digital form for forty many years. “Teleradiology” is now thus common that many hospitals don’t know the name – outsourcing part or perhaps all of the radiology system is just the way aspects are now done in healthcare. Providing 24/7 services by a radiologist, using telehealth technologies, is the first form of telemedicine that becomes a true standard of care.

The rise of virtual medical centers:
There are numerous such examples which show growing trend and investment done by hospitals as well as health companies to set up virtual medical centers. A remote clinical enterprise is when a hospital outsources specialties like neurology and psychiatry to a vendor that can provide the services 24/7 through telehealth.

As soon as such prominent example is of Mercy Hospitals, which announced that it would develop a $90 million virtual care center near its headquarters in Chesterfield, Missouri. On a small scale, intensivists at Inova Health System in Virginia tend to be based at business office building as well as provide remote ICU services to 122 ICU beds throughout northern Virginia.

Some Important Facts:
Australia has the highest skin cancer incidence rate in the world. About one in ten reported cancers is a melanoma. The latest figures show over 10,000 diagnoses a year and 1400 deaths.
The worldwide telehealth (remote patient monitoring) market will grow by 55 percent in 2013 in terms of device and service profits.
From 2010 to 2011, the telehealth usage worldwide increased by 22.2 %.
Telehealth device revenues only grew by 5 % over that exact same time span; they grew 18 percent from 2011 to 2012.
2.8 million people worldwide used home-based remote monitoring devices in 2012. Forecast is the fact that the number of these systems with integrated communication capabilities would grow to 9.4 million connections worldwide by 2017.
Telemedicine-dedicated device and software markets at $736 million in 2011 tend to be anticipated to reach $2.5 billion by 2018.
That Predicted Just what for 2012?
Wall Street Projected telemedicine to be $6bn industry in 2012
Data Monitor projected the same be $8bn industry in 2012
TechNavio goes four fold then Wall Street projections and expected $17.8bn industry in 2012

Global Telemedicine market:
Source: http://www.informationweek.com/healthcare/mobile-wireless/global-telemedicine-market-headed-for-27/232602930
Global Telemedicine Marketplace on Basis of Technology:
Source: http://www.informationweek.com/healthcare/mobile-wireless/global-telemedicine-market-headed-for-27/232602930
Worldwide Marketplace for Telemedicine & Telehospital Services:

Source: http://www.informationweek.com/healthcare/mobile-wireless/global-telemedicine-market-headed-for-27/232602930

Telemedicine for Diabetes:
By 2020 estimated 7.2 million Americans will have diabetic retinopathy. Today, almost 26 million Americans have diabetes, and there are an additional 79 million Americans who are pre-diabetic. To treat this large diabetic population and surge in future diabetic retinopathy patients, there are 20,000 ophthalmologists and 30,000 optometrists in practice that is not enough. The demand for eye care will increase when that occurs. Furthermore, as demand for eye care grows and the supply of eye care practitioners fails to keep pace, greater efficiencies will be required.

To deal up with this growing demand eye care practitioners see telemedicine as a viable alternative due to the speed of the interaction and time saved in the office. Telemedicine provides a way to quickly and inexpensively segregate diabetics without having retinopathy from those with retinopathy who need additional evaluation and treatment. Telemedicine also provides for more coordination of care between experts that are managing a single individual.

Telemedicine provides a reliable, affordable means of screening diabetic patients for retinopathy, which can lead to blindness. Since the number of diabetics in the United States is growing fast, however the provide of eye-care practitioners is certainly not, healthcare resources tend to be strained and becoming more thus. Certainly, certainly not every diabetic now receives the standard of care, an annual eye exam, however that situation will probably worsen except if alternative medical delivery systems are employed to address it. With new, easy-to-use, non-mydriatic cameras, nurses and medical assistants without having any kind of ophthalmic training can discover to take good fundus pictures. These images can be transmitted to a reading center where they can be expertly assessed.

Diabetic issues costs US almost $100 billion per year. Research shows that using e-health technologies to help people avoid a deterioration of their health condition, too as reduce costly emergency space visits, validates the pursuit of using these tools, especially among economically disadvantaged individuals.
Source: http://www.retinalphysician.com/articleviewer.aspx?articleID=107266
The best five telehealth markets in North America, in ranking order, are:
Home medical and disease management monitoring
Remote doctor and specialist services
Individual emergency reaction systems (PERSs)
Video diagnostic consultation
Remote cardiac services
Whenever combined, these markets generate more than $1.9 billion in revenue.
Video Telemedicine Market (North America):
Let s look at market segmentation of video telemedicine market in North America –

Learn more about remote Imaging by visiting: http://www.slideshare.net/ludwigEckl/telemedicine-market-research.

Source: Frost & Sullivan

Ludwig Eckl

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